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Vinsamlegast notið þetta auðkenni þegar þið vitnið til verksins eða tengið í það: http://hdl.handle.net/1946/44749

Titill: 
  • Titill er á ensku Stillbirth and trauma associated sleep disturbances: A population-based study of 27,605 women
  • Fæðing andvana barns og áfallatengd svefnvandamál: Lýðgrunduð rannsókn á meðal 27.605 kvenna
Námsstig: 
  • Meistara
Útdráttur: 
  • Útdráttur er á ensku

    Background: Prior studies have found stillbirth to be associated with depression, anxiety, PTSD and heightened suicide risk among mothers. However, the association of stillbirth and trauma associated sleep disturbances has received limited attention. Therefore, the main aim of this study is to assess the association of having experienced a stillbirth and the proposed trauma associated sleep disorder (TASD) in a large nationally representative cohort of women. In addition, we aim to assess possible risk factors for TASD among women who experienced a stillbirth, such as age of the mother at the time of the stillbirth and years since the stillbirth occurred.
    Methods: Participants were 27,605 women (18-69 years old, mean age=43.8) who participated in the Stress-And-Gene-Analysis cohort study. Information on demographic characteristics was collected and whether women had experienced a stillbirth during their lifetime. Self-reported symptoms of TASD during the past month were assessed with the Pittsburg Sleep Quality Index-Addendum for PTSD. Information on the mothers age at time of stillbirth, years since the trauma and frequency of events was also gathered. We used logistic regression to calculate odds ratio (OR) as a measure of the association between stillbirth and TASD, controlling for age and socioeconomic factors.
    Results: Of the 27,605 women, 772 (2.8%) had experienced stillbirth. When adjusting for age and socioeconomic status, women that had experienced stillbirth were more likely to report TASD than other women (12% vs. 10% respectively; OR=1.32; 95% CI 1.05-1.67). When assessing specific symptoms of TASD, women who had experienced stillbirth were more likely to report disruptive nocturnal behavior (DNB), such as vocalizations or dream enactment behavior and trauma-related nightmares or memories than other women (p<0.05). Among women who had experienced stillbirth, TASD symptoms were associated with young age (≤39 years), being single, inactive (e.g., unemployed, or on sick leave), and low income (p<0.05). The associations between TASD and age of the mother at the time of the stillbirth, years since the stillbirth and the frequency of stillbirths, were all non-significant.
    Conclusion: Our results indicate that women who experience stillbirth are more likely to report TASD than other women, particularly DNB and trauma-related nightmares or memories. Results indicate that TASD after experiencing stillbirth may be long-lasting, emphasizing that the detection and treatment of TASD among women following stillbirth is important. Further studies are needed assessing the relationship between experiencing stillbirth and TASD.
    Efni: Andvana fæðing, svefn, martraðir, áfallatengd svefnvandamál, áföll, konur

Samþykkt: 
  • 7.6.2023
URI: 
  • http://hdl.handle.net/1946/44749


Skrár
Skráarnafn Stærð AðgangurLýsingSkráartegund 
StillbirthAndTASD.pdf566.24 kBLokaður til...06.06.2024HeildartextiPDF
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