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- Title
Poor Sleep and Decision-Making Disturbance Are Associated With Suicidal Ideation in Pre-natal Depression.
- Authors
Bao, Ciqing; Xu, Ling; Tang, Weina; Sun, Shiyu; Zhang, Wenmiao; He, Jincai; Zhao, Ke; Xu, Dongwu; Ye, Xiaodan
- Abstract
Although many risk factors for suicidal ideation have been identified, few studies have focused on suicidal ideation and pre-natal depression. The purpose was to investigate the relationship between decision-making (DM) dysfunction and sleep disturbance on suicidal ideation in pre-natal depression. Participants included 100 women in the third trimester of pregnancy, including pregnant women with pre-natal depression who had recent suicidal ideation (n = 30), pre-natal depression without SI (n = 35) and healthy controls (n = 35). The Iowa Gambling Task (IGT) was used to evaluate the DM function and the Pittsburgh Sleep Quality Index (PSQI) was used to assess the sleep index. The Edinburgh Post-natal Depression Scale (EPDS) was used to assess suicidal ideation and the seriousness of depression. Overall, the two groups with pre-natal depression showed worse sleep quality and decreased DM function compared with healthy controls. The pre-natal depression with suicidal ideation group showed a significantly higher score in subjective sleep quality and a lower score in block 5 of IGT than the pre-natal depression without suicidal ideation group. Further correlation analysis showed that suicidal ideation positively correlated with subjective sleep quality, sleep duration, and daytime function, and negatively correlated with IGT scores. Sleep disturbance and impaired DM function may be risk factors for suicidal ideation in pre-natal depression.
- Subjects
PRENATAL depression; SUICIDAL ideation; SUICIDE risk factors; SLEEP interruptions; THIRD trimester of pregnancy; POSTPARTUM depression; SLEEP
- Publication
Frontiers in Psychiatry, 2021, Vol 12, p1
- ISSN
1664-0640
- Publication type
Article
- DOI
10.3389/fpsyt.2021.680890