TY - JOUR
T1 - Improving perinatal sleep via a scalable cognitive behavioural intervention
T2 - Findings from a randomised controlled trial from pregnancy to 2 years postpartum
AU - Bei, Bei
AU - Pinnington, Donna M.
AU - Quin, Nina
AU - Shen, Lin
AU - Blumfield, Michelle
AU - Wiley, Joshua F.
AU - Drummond, Sean P.A.
AU - Newman, Louise K.
AU - Manber, Rachel
N1 - Publisher Copyright:
©1/2 0.001), as well as at 24 months postpartum (p ranges 0.012-0.052). Group differences across the first postpartum year were non-significant. Participants with elevated insomnia symptoms at baseline benefitted substantially more from CBT (v. control), including having significantly lower insomnia symptoms throughout the first postpartum year. Group differences in symptoms of depression or anxiety were non-significant. Conclusions A scalable CBT sleep intervention is efficacious in buffering against sleep disturbance during pregnancy and benefitted sleep at 2-year postpartum, especially for individuals with insomnia symptoms during pregnancy. The intervention holds promise for implementation into routine perinatal care.
Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2023/1
Y1 - 2023/1
N2 - Background Sleep disturbance is common in gestational parents during pregnancy and postpartum periods. This study evaluated the feasibility and efficacy of a scalable cognitive behavioural therapy (CBT) sleep intervention tailored for these periods. Methods This is a two-arm, parallel-group, single-blind, superiority randomised controlled trial. Nulliparous females without severe medical/psychiatric conditions were randomised 1:1 to CBT or attention-and time-matched control. All participants received a 1 h telephone session and automated multimedia emails from the third trimester until 6 months postpartum. Outcomes were assessed with validated instruments at gestation weeks 30 (baseline) and 35 (pregnancy endpoint), and postpartum months 1.5, 3, 6 (postpartum endpoint), 12 and 24. Results In total, 163 eligible participants (age M ± s.d. = 33.35 ± 3.42) were randomised. The CBT intervention was well accepted, with no reported adverse effect. Intention-to-treat analyses showed that compared to control, receiving CBT was associated with lower insomnia severity and sleep disturbance (two primary outcomes), and lower sleep-related impairment at the pregnancy endpoint (p values â.
AB - Background Sleep disturbance is common in gestational parents during pregnancy and postpartum periods. This study evaluated the feasibility and efficacy of a scalable cognitive behavioural therapy (CBT) sleep intervention tailored for these periods. Methods This is a two-arm, parallel-group, single-blind, superiority randomised controlled trial. Nulliparous females without severe medical/psychiatric conditions were randomised 1:1 to CBT or attention-and time-matched control. All participants received a 1 h telephone session and automated multimedia emails from the third trimester until 6 months postpartum. Outcomes were assessed with validated instruments at gestation weeks 30 (baseline) and 35 (pregnancy endpoint), and postpartum months 1.5, 3, 6 (postpartum endpoint), 12 and 24. Results In total, 163 eligible participants (age M ± s.d. = 33.35 ± 3.42) were randomised. The CBT intervention was well accepted, with no reported adverse effect. Intention-to-treat analyses showed that compared to control, receiving CBT was associated with lower insomnia severity and sleep disturbance (two primary outcomes), and lower sleep-related impairment at the pregnancy endpoint (p values â.
KW - cognitive behavioural therapy
KW - insomnia
KW - perinatal
KW - postpartum
KW - pregnancy
KW - Sleep
UR - http://www.scopus.com/inward/record.url?scp=85109918060&partnerID=8YFLogxK
U2 - 10.1017/S0033291721001860
DO - 10.1017/S0033291721001860
M3 - Article
C2 - 34231450
AN - SCOPUS:85109918060
SN - 0033-2917
VL - 53
SP - 513
EP - 523
JO - Psychological Medicine
JF - Psychological Medicine
IS - 2
ER -