{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T02:21:47Z","timestamp":1789438907220,"version":"build-2803163510"},"reference-count":56,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,5,1]],"date-time":"2023-05-01T00:00:00Z","timestamp":1682899200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001868","name":"National Science Council","doi-asserted-by":"publisher","award":["NSC101\u20102629\u2010H\u2010038\u2010001\u2010MY2"],"award-info":[{"award-number":["NSC101\u20102629\u2010H\u2010038\u2010001\u2010MY2"]}],"id":[{"id":"10.13039\/501100001868","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Sleep Research"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Sleep quality and depression during pregnancy often affect women's adaptation to motherhood and are linked with adverse maternal and neonatal outcomes. Using a prospective cohort study comprising 190 pregnant women in central Taiwan, we investigated the trajectories of sleep quality and depressive symptoms and their associated predictors in perinatal women from pregnancy to postpartum. Sleep and depressive symptoms were assessed using the Pittsburgh Sleep Quality Index and the Edinburgh Postnatal Depression Scale, respectively, from mid\u2010pregnancy to 3\u2009months postpartum. We used group\u2010based trajectory modelling and logistic regression modelling to analyse the data collected from the structured questionnaires. Pregnant women (50.5% primipara) with a mean (standard deviation) age of 32.3\u2009(4.1)\u2009years were included. We identified three distinctive classes of sleep quality trajectories during the perinatal period: \u2018stable good\u2019 (18.4%), \u2018increasing poor\u2019 (48.9%), and \u2018stable poor\u2019 (32.6%). We further detected three stable trajectories of depressive symptoms: \u2018stable low\u2019 (36.3%), \u2018stable mild\u2019 (42.1%), and \u2018stable high\u2019 (21.6%). A significant association between sleep quality and depression trajectories was evident (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). High fatigue symptoms and low social support predicted the high trajectories of poor sleep and depressive symptoms. Distinctive dynamic sleep quality and stable depression trajectories were characterised. Our findings revealed that both the sleep and depression trajectories were closely associated with one another, with common predictors of fatigue symptoms and social support. The early assessment of maternal sleep and depression status is important for identifying at\u2010risk women and initiating interventions tailored to perinatal women to improve their sleep and mental health.<\/jats:p>","DOI":"10.1111\/jsr.13918","type":"journal-article","created":{"date-parts":[[2023,5,2]],"date-time":"2023-05-02T06:05:01Z","timestamp":1683007501000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Trajectories of sleep quality and depressive symptoms in women from pregnancy to 3\u2009months postpartum: a prospective cohort study"],"prefix":"10.1111","volume":"32","author":[{"given":"Marianne","family":"Lin\u2010Lewry","sequence":"first","affiliation":[{"name":"School of Nursing, College of Nursing Taipei Medical University  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ya\u2010Ling","family":"Tzeng","sequence":"additional","affiliation":[{"name":"School of Nursing, College of Health Care China Medical University  Taichung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chieh\u2010Chen","family":"Li","sequence":"additional","affiliation":[{"name":"School of Nursing, College of Health Care China Medical University  Taichung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabrielle T.","family":"Lee","sequence":"additional","affiliation":[{"name":"Applied Psychology, Faculty of Education Western University  London Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pi\u2010Hsia","family":"Lee","sequence":"additional","affiliation":[{"name":"School of Nursing, College of Nursing Taipei Medical University  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Su\u2010Ru","family":"Chen","sequence":"additional","affiliation":[{"name":"School of Nursing, School of Post\u2010Baccalaureate Nursing, College of Nursing Taipei Medical University  Taipei 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