{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T12:06:18Z","timestamp":1784376378793,"version":"3.55.0"},"reference-count":69,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100000002","name":"NIH","doi-asserted-by":"publisher","award":["R01MH118249"],"award-info":[{"award-number":["R01MH118249"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"NIH","doi-asserted-by":"publisher","award":["R01MH118261"],"award-info":[{"award-number":["R01MH118261"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"NIH","doi-asserted-by":"publisher","award":["K23MH137376"],"award-info":[{"award-number":["K23MH137376"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"name":"NIH Public Access Policy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,7,13]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Study objectives<\/jats:title>\n                    <jats:p>Anxiety is common during the perinatal period and is associated with adverse maternal and infant outcomes, highlighting a need to identify predictors of perinatal anxiety. Accumulating research implicates sleep disruption in perinatal anxiety and related symptoms, including obsessive-compulsive symptoms. We examined the associations among insomnia symptoms and sleep duration with perinatal anxiety, obsessive beliefs, and obsessive-compulsive symptoms and the moderating role of coping from pregnancy through postpartum.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A sample of 231 women (agemean\u2009=\u200932.97\u2009\u00b1\u20094.36\u00a0years; 74% white) completed interview and self-report measures of sleep, coping, perinatal anxiety, obsessive beliefs, and obsessive-compulsive symptoms in early and late pregnancy, 6\u00a0weeks postpartum, and 6\u00a0months postpartum. Multilevel models were used for data analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Shorter sleep duration predicted increases in subsequent perinatal anxiety (B\u2009=\u2009-.63, p &amp;lt; .05) and obsessive beliefs (B\u2009=\u2009-2.17, p &amp;lt; .05), whereas perinatal anxiety and related symptoms did not predict subsequent sleep disruption (p\u2019s\u2009&amp;gt;\u2009.05). Those who reported higher insomnia symptoms and shorter sleep duration reported higher perinatal anxiety (B\u2009=\u20091.19, p &amp;lt; .001; B\u2009=\u2009-3.18, p &amp;lt; .001), obsessive beliefs (B\u2009=\u20093.42, p &amp;lt; .001; B\u2009=\u2009-11.57, p &amp;lt; .001), and obsessive-compulsive symptoms (B\u2009=\u2009.69, p &amp;lt; .001; B\u2009=\u2009-1.94, p &amp;lt; .001) on average. The relation between insomnia symptoms and perinatal anxiety was moderated by coping (B\u2009=\u2009-.18, p &amp;lt; .01).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These findings suggest that sleep disruption is a modifiable risk factor for perinatal anxiety and related symptoms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/sleep\/zsag089","type":"journal-article","created":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T11:45:20Z","timestamp":1775043920000},"source":"Crossref","is-referenced-by-count":0,"title":["Subjective sleep disruption, coping, and anxiety and related symptoms in the perinatal period: findings from a longitudinal study"],"prefix":"10.1093","volume":"49","author":[{"given":"Rebecca C","family":"Cox","sequence":"first","affiliation":[{"name":"Department of Psychological and Brain Sciences, Washington University in St. Louis , St. Louis, MO ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4151-0376","authenticated-orcid":false,"given":"Caroline P","family":"Hoyniak","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Washington University School of Medicine , St. Louis, MO ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jack","family":"Samuels","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine , Baltimore, MD ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan S","family":"Abramowitz","sequence":"additional","affiliation":[{"name":"Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill , Chapel Hill, NC ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerald","family":"Nestadt","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine , Baltimore, MD ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric A","family":"Storch","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine , Houston, TX ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rashelle","family":"Musci","sequence":"additional","affiliation":[{"name":"Department of Mental Health, Johns Hopkins Bloomberg School of Public Health , Baltimore, MD ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2479-703X","authenticated-orcid":false,"given":"Paul","family":"Nestadt","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine , Baltimore, MD ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren M","family":"Osborne","sequence":"additional","affiliation":[{"name":"Departments of Obstetrics & Gynecology and of Psychiatry, Weill Cornell Medical College , New York, NY ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Kimmel","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Washington University School of Medicine , St. Louis, MO ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,4,1]]},"reference":[{"key":"2026071807461656600_ref1","doi-asserted-by":"publisher","first-page":"165","DOI":"10.1146\/annurev-clinpsy-032813-153713","article-title":"Obsessive-compulsive and related disorders: a critical review of the new diagnostic class. 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