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Sleep Quality Among Pregnant Women Amidst COVID-19: Association with Mental Wellbeing and Self-efficacy

Received: 2 November 2021    Accepted: 22 November 2021    Published: 7 December 2021
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Abstract

Background: Currently, corona virus disease has imposed huge global burdens and psychological impacts. Although unpredicted stress from this outbreak resulted in disturbed sleep in general, its effect on sleep among pregnant women is not well explored yet. Thus, the main aim of this study was to explore quality of sleep among pregnant mothers amidst COVID-19 pandemic. Methods: Health facility-based cross-sectional study was carried out from April to May, 2020 among 228 pregnant women. Frequencies and related percentages were calculated for categorical variables, while continuous variables were computed by mean and standard deviation. Chi-square test was conducted and Pearson correlation coefficient (r) was calculated to assess relationship between variables. For statistical significance, p-value<.05 and 95% CI were considered. Results: For study subjects, the mean age was 30.79 (SD±7.57) and 57% of them had reported quality of sleep quality and mean sleep duration was 6.70 hours (SD±1.95). Among all participants, less than one-fifth (44, 19.3%) of them had reported very good subjective sleep quality. Perceived stress, depression and Anxiety have moderate to strong positive association with Pittsburgh Sleep Quality Index score (r=0.36, 0.37 and 0.57 respectively) at significant level. Self-efficacy was moderately linked in negative direction (r=0.32, p<0.001). Conclusion: As our finding revealed, the occurrence of poor quality of sleep was high among pregnant women during the era of COVID-19 and anxiety, depression and stress were identified as contributor factors. Routine assessment of sleep should be considered along with collaboration of antenatal care and psychiatry units.

Published in American Journal of Health Research (Volume 9, Issue 6)
DOI 10.11648/j.ajhr.20210906.14
Page(s) 238-245
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Anxiety, Depression, PSQI, Trimesters, Ethiopia

References
[1] Shreffler J. The Impact of COVID-19 on Healthcare Worker Wellness: A Scoping Review. West J Emerg Med. 2020; 1–9.
[2] Olatunji OS, Olusola Ayandele, Ashirudeen D, Olaniru OS. “Infodemic” in a Pandemic: COVID-19 Conspiracy Theories in an African Country. Soc Heal Behav. 2020; 3: 152–7.
[3] Mohammed H, Oljira L, Roba KT, Yimer G, Fekadu A, Manyazewal T. Containment of COVID-19 in Ethiopia and implications for tuberculosis care and research. Infect Dis Poverty. 2020; 9 (131): 1–8.
[4] Biadgilign S, Yigzaw M. COVID-19 in Ethiopia: current situation, missed opportunities, and the risk of health system disruptions. Pan Africa Med J. 2020; 35 (2): 1–2.
[5] FMOH EPHI. COVID-19 PANDEMIC PREPAREDNESS AND RESPONSE IN ETHIOPIA: WEEKLY BULLETIN [Internet]. 2020. Available from: web:www.ephi.gov.et.
[6] Altena E, Baglioni C, Espie CA, Ellis J, Gavriloff D, Holzinger B, et al. Dealing with sleep problems during home confinement due to the COVID-19 outbreak: Practical recommendations from a task force of the European CBT-I Academy. J Sleep Res. 2020; 29: 1–7.
[7] Gupta R, Grover S, Basu A, Krishnan V, Tripathi A, Subramanyam A. Changes in sleep pattern and sleep quality during COVID-19 lockdown. Indian J Psychiatry. 2020; 62 (4): 370–8.
[8] Jahrami H, Bahammam AS, Algahtani H, Ebrahim A, Faris M, Aleid K, et al. The examination of sleep quality for frontline healthcare workers during the outbreak of COVID-19. Sleep Breath. 2020; 1–9.
[9] Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Res [Internet]. 2020; 288 (112954): 1–6. Available from: https://doi.org/10.1016/j.psychres.2020.112954.
[10] Romero-blanco C, Hern A. Sleep Pattern Changes in Nursing Students during the COVID-19 Lockdown. Int J Environ Res Public Heal. 2020; 17 (5222): 1–11.
[11] Rodriguez-blanque R, Sánchez-garcía JC, Sánchez-lópez AM, Mur-villar N. The in fl uence of physical activity in water on sleep quality in pregnant women: A randomised trial. Women and Birth [Internet]. 2018; 31 (1): e51–8. Available from: https://doi.org/10.1016/j.wombi.2017.06.018.
[12] Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. Psychiatry. 2020; 3 (3): 1–12.
[13] Neves A, Pipa J, Santa E, Santiago T, Viana P, Drummond M. Sleep quality in times of COVID-19 pandemic. Sleep Med. 2020; 74: 81–5.
[14] Asltoghiri M, Ghodsi Z. Study of the relation between sleep disorder and depression at late stage of pregnancy. Procedia - Soc Behav Sci [Internet]. 2011; 28: 430–4. Available from: http://dx.doi.org/10.1016/j.sbspro.2011.11.082.
[15] Marelli S, Castelnuovo A, Somma A, Castronovo V, Mombelli S, Bottoni D, et al. Impact of COVID-19 lockdown on sleep quality in university students and administration staf. J Neurol [Internet]. 2020; 1–8. Available from: https://doi.org/10.1007/s00415-020-10056-6.
[16] Wei Wang, Wenqin Song, Zhongyuan Xia, Yuhong He, Linghua Tang, Jiabao Hou SL. Sleep Disturbance and Psychological Profiles of Medical Staff and Non- Medical Staff During the Early Outbreak of COVID-19 in Hubei Province, China. Front Psychiatry. 2020; 11 (733): 1–8.
[17] Ahorsu DK, Imani V, Lin CY, Timpka T, Broström A, Updegraff JA, et al. Associations Between Fear of COVID-19, Mental Health, and Preventive Behaviours Across Pregnant Women and Husbands: An Actor-Partner Interdependence Modelling. Int J Ment Health Addict. 2020; 1–16.
[18] Mappa I, Distefano FA, Rizzo G. Effects of coronavirus 19 pandemic on maternal anxiety during pregnancy: a prospectic observational study. J Perinat Med. 2020; 48 (6): 545–50.
[19] Nodoushan RJ, Alimoradi H, Nazari M. Spiritual Health and Stress in Pregnant Women During the COVID-19 Pandemic. SN Compr Clin Med. 2020; 1–7.
[20] Chekole YA, Minaye SY, Abate SM, Mekuriaw B. Perceived Stress and Its Associated Factors during COVID-19 among Healthcare Providers in Ethiopia: A Cross-Sectional Study. Adv Public Heal. 2020; 1–7.
[21] Shrestha DB, Thapa BB, Katuwal N, Shrestha B, Pant C, Basnet B, et al. Psychological distress in Nepalese residents during COVID-19 pandemic: a community level survey. BMC Psychiatry. 2020; 20 (491): 1–8.
[22] Xiao H, Zhang Y, Kong D, Li S, Yang N. The Effects of Social Support on Sleep Quality of Medical Staff Treating Patients with Coronavirus Disease 2019 (COVID-19) in January and February 2020 in China. Clin Res. 2020; 26: 1–8.
[23] Shacham M, Hamama-raz Y, Kolerman R, Mijiritsky O. COVID-19 Factors and Psychological Factors Associated with Elevated Psychological Distress among Dentists and Dental Hygienists in Israel. Int J Environ Res Public Heal. 2020; 17 (2900): 1–7.
[24] Wang P, Lin P, Lin C, Yang S, Chen K. Does Interpersonal Interaction Really Improve Emotion, Sleep Quality, and Self-Efficacy among Junior College Students? Int J Environ Res Public Heal. 2020; 17 (4542): 1–15.
[25] Jiang H, Jin L, Qian X, Xiong X LX & CW et al. Evidence of accessing antenatal care information via social media platforms supports mental wellbeing in COVID-19 epidemic. [Submitted]. Bull World Heal Organ E-pub. 2020; 1–15.
[26] Wang J, Gong Y, Chen Z, Wu J, Feng J. Sleep disturbances among Chinese residents during the Coronavirus Disease 2019 outbreak and associated factors. Sleep Med. 2020; 74: 199–203.
[27] Buysse, DJ, Reynolds CF, Monk TH, Berman SR KD. The Pittsburgh Sleep Quality Index (PSQI): A new instrument for psychiatric research and practice. Psychiatry Res. 1989; 28: 193–213.
[28] Salahuddin M, Maru TT, Kumalo A, Pandi-perumal SR, Bahammam AS, Manzar D. Validation of the Pittsburgh sleep quality index in community dwelling Ethiopian adults. Health Qual Life Outcomes [Internet]. 2017; 15 (58): 1–7. Available from: http://dx.doi.org/10.1186/s12955-017-0637-5.
[29] Reda AA. Reliability and validity of the Ethiopian version of the hospital anxiety and depression scale (HADS) in HIV infected patients. PLoS One. 2011; 6 (1): 1–6.
[30] Manzar MD, Salahuddin M, Peter S, Alghadir A, Anwer S, Bahammam AS, et al. Psychometric properties of the perceived stress scale in Ethiopian university students. BMC Public Health. 2019; 19 (1): 1–8.
[31] Schwarzer, R., & Jerusalem M. Generalized Self-Efficacy scale: A user’s portfolio. Causal and control beliefs. Meas Heal Psychol. 1995; (1995): 35–7.
[32] Aukia L. Sleep quality during pregnancy: associations with depressive and anxiety symptoms. Acta Obstet Gynecol Scand. 2017; 96 (2): 198–206.
[33] Palagini L, Gemignani A, Banti S, Manconi M, Mauri M, Riemann D. Chronic sleep loss during pregnancy as a determinant of stress: impact on pregnancy outcome. Sleep Med [Internet]. 2014; 15 (8): 853–9. Available from: http://dx.doi.org/10.1016/j.sleep.2014.02.013.
[34] Xu X, Liu D, Zhang Z, Sharma M. Sleep Duration and Quality in Pregnant Women: A Cross-Sectional Survey in China. Int J Environ Res Public Heal. 2017; 14 (817): 1–14.
[35] Yang Y, Li W, Ma T, Zhang L, Hall BJ. Prevalence of Poor Sleep Quality in Perinatal and Postnatal Women: A Comprehensive Meta-Analysis of Observational Studies. Front Psychiatry. 2020; 11 (161): 1–10.
[36] Jamalzehi A, Omeidi K, Javadi M, Dashipour A. Evaluation of Sleep Quality in Third Trimester of Pregnancy and Its Relation to Birth Characteristics in Women Referred to Gynecology Clinic of Tamin Ejtemaee Hospital of Zahedan. Der Pharm Lett. 2017; 9 (2): 194–201.
[37] Zaky NH. The Relationship between Quality of Sleep during Pregnancy and Birth Outcome among Primiparae. IOSR-JNHS. 2015; 4 (5): 90–101.
[38] TASKIRAN N. Pregnancy and sleep quality. J Turk Soc Obs Gynecol. 2011; 90 (3): 181–7.
[39] Olaimat AN, Aolymat I, Shahbaz HM, Holley RA. Knowledge and Information Sources About COVID-19 Among University Students in Jordan: A Cross-Sectional Study. Front Public Heal. 2020; 8 (254): 1–10.
[40] Hossain MA, Jahid MIK, Amran Hossain KM, Walton LM, Uddin Z, Haque MO, et al. Knowledge Attitudes and fear of COVID-19 during the Rapid Rise Period in Bangladesh. PLoS One [Internet]. 2020; 15 (9 September): 1–13. Available from: http://dx.doi.org/10.1371/journal.pone.0239646.
[41] Mertens G, Gerritsen L, Duijndam S, Salemink E, Engelhard IM. Fear of the coronavirus (COVID-19): Predictors in an online study conducted in March 2020. J Anxiety Disord. 2020; 74: 1–31.
[42] Wang P, Song L, Wang K, Han X, Cong L, Wang Y, et al. Prevalence and associated factors of poor sleep quality among Chinese older adults living in a rural area: a population-based study. Aging Clin Exp Res [Internet]. 2020; 32 (1): 125–31. Available from: http://dx.doi.org/10.1007/s40520-019-01171-0.
[43] Kramer A, Machado F, I AW, César F, Ii W. Sleep problems and associated factors in a rural population of a Southern Brazilian city. Rev Saude Publica. 2018; 52: 1–11.
[44] Gao M, Hu J, Yang L, Ding N, Wei X, Li L, et al. Association of sleep quality during pregnancy with stress and depression: a prospective birth cohort study in China. BMC Pregnancy Childbirth. 2019; 19 (444): 11–3.
[45] Johnson R, Hlaing EE. Predictors of sleep quality: Depression, anxiety, and sleep self- efficacy. Mod Psychol Stud. 2020; 25 (1): 1–24.
[46] Liu R, Id MSB, Wu Q, He Z, Qian Z, Stamatakis KA, et al. Association between depressive symptoms and poor sleep quality among Han and Manchu ethnicities in a large, rural, Chinese population. PLoS One. 2019; 1–14.
[47] Wojujutari AK, Alabi OT, Matthew O. Prenatal Stress and Sleep Quality Influence on Antenatal Women Psychological Capital in Mother / Child Hospital in Akure, Ondo State Journal of Sleep Disorders & Therapy. J Sleep Disord Ther. 2018; 7 (2): 2–5.
[48] Fu W, Wang C, Zou L, Guo Y, Lu Z, Yan S, et al. Psychological health, sleep quality, and coping styles to stress facing the COVID-19 in Wuhan, China. Transl Psychiatry [Internet]. 2020; 10 (225): 1–9. Available from: http://dx.doi.org/10.1038/s41398-020-00913-3.
[49] Kalyani MN, Jamshidi N, Salami J, Pourjam E. Investigation of the Relationship between Psychological Variables and Sleep Quality in Students of Medical Sciences. Depress Res Treat. 2017; 1–7.
[50] Oh C, Kim HY, Na HK, Cho KH, Chu MK. The Effect of Anxiety and Depression on Sleep Quality of Individuals With High Risk for Insomnia: A Population-Based Study. Front Neurol. 2019; 10: 1–8.
[51] Yıldırım M, Güler A. COVID-19 severity, self-efficacy, knowledge, preventive behaviors, and mental health in Turkey. Death Stud [Internet]. 2020; 0 (0): 1–8. Available from: https://doi.org/10.1080/07481187.2020.1793434.
[52] Angelika A Schlarb, Dominika Kulessa MDG. Sleep characteristics, sleep problems, and associations of self-efficacy among German university students. Nat Sci Sleep. 2012; 4: 1–7.
[53] Schlarb AA, Bihlmaier I, Hautzinger M, Gulewitsch MD, Schwerdtle B. Nightmares and Associations with Sleep Quality and Self-Efficacy among. J Sleep Disord Manag. 2015; 1 (1): 1–5.
[54] Mahin Nazari, Mostafa Taheri, Sareh Keshavarzi AJ. The Relationship between Sleep Quality, Self- Efficacy, and Stages of Change among the Elderly: A Pilot Study. J Heal Sci Surveill Sys. 2014; 2 (2): 72–7.
[55] Adegbola M. Sleep Quality, Pain and Self-Efficacy among Community- Dwelling Adults with Sickle Cell Disease. J Natl Black Nurses Assoc. 2016; 26 (1): 15–21.
Cite This Article
  • APA Style

    Aman Dule, Zakir Abdu, Mohammedamin Hajure, Mustefa Mohammedhussein. (2021). Sleep Quality Among Pregnant Women Amidst COVID-19: Association with Mental Wellbeing and Self-efficacy. American Journal of Health Research, 9(6), 238-245. https://doi.org/10.11648/j.ajhr.20210906.14

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    ACS Style

    Aman Dule; Zakir Abdu; Mohammedamin Hajure; Mustefa Mohammedhussein. Sleep Quality Among Pregnant Women Amidst COVID-19: Association with Mental Wellbeing and Self-efficacy. Am. J. Health Res. 2021, 9(6), 238-245. doi: 10.11648/j.ajhr.20210906.14

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    AMA Style

    Aman Dule, Zakir Abdu, Mohammedamin Hajure, Mustefa Mohammedhussein. Sleep Quality Among Pregnant Women Amidst COVID-19: Association with Mental Wellbeing and Self-efficacy. Am J Health Res. 2021;9(6):238-245. doi: 10.11648/j.ajhr.20210906.14

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  • @article{10.11648/j.ajhr.20210906.14,
      author = {Aman Dule and Zakir Abdu and Mohammedamin Hajure and Mustefa Mohammedhussein},
      title = {Sleep Quality Among Pregnant Women Amidst COVID-19: Association with Mental Wellbeing and Self-efficacy},
      journal = {American Journal of Health Research},
      volume = {9},
      number = {6},
      pages = {238-245},
      doi = {10.11648/j.ajhr.20210906.14},
      url = {https://doi.org/10.11648/j.ajhr.20210906.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajhr.20210906.14},
      abstract = {Background: Currently, corona virus disease has imposed huge global burdens and psychological impacts. Although unpredicted stress from this outbreak resulted in disturbed sleep in general, its effect on sleep among pregnant women is not well explored yet. Thus, the main aim of this study was to explore quality of sleep among pregnant mothers amidst COVID-19 pandemic. Methods: Health facility-based cross-sectional study was carried out from April to May, 2020 among 228 pregnant women. Frequencies and related percentages were calculated for categorical variables, while continuous variables were computed by mean and standard deviation. Chi-square test was conducted and Pearson correlation coefficient (r) was calculated to assess relationship between variables. For statistical significance, p-valueResults: For study subjects, the mean age was 30.79 (SD±7.57) and 57% of them had reported quality of sleep quality and mean sleep duration was 6.70 hours (SD±1.95). Among all participants, less than one-fifth (44, 19.3%) of them had reported very good subjective sleep quality. Perceived stress, depression and Anxiety have moderate to strong positive association with Pittsburgh Sleep Quality Index score (r=0.36, 0.37 and 0.57 respectively) at significant level. Self-efficacy was moderately linked in negative direction (r=0.32, pConclusion: As our finding revealed, the occurrence of poor quality of sleep was high among pregnant women during the era of COVID-19 and anxiety, depression and stress were identified as contributor factors. Routine assessment of sleep should be considered along with collaboration of antenatal care and psychiatry units.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Sleep Quality Among Pregnant Women Amidst COVID-19: Association with Mental Wellbeing and Self-efficacy
    AU  - Aman Dule
    AU  - Zakir Abdu
    AU  - Mohammedamin Hajure
    AU  - Mustefa Mohammedhussein
    Y1  - 2021/12/07
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ajhr.20210906.14
    DO  - 10.11648/j.ajhr.20210906.14
    T2  - American Journal of Health Research
    JF  - American Journal of Health Research
    JO  - American Journal of Health Research
    SP  - 238
    EP  - 245
    PB  - Science Publishing Group
    SN  - 2330-8796
    UR  - https://doi.org/10.11648/j.ajhr.20210906.14
    AB  - Background: Currently, corona virus disease has imposed huge global burdens and psychological impacts. Although unpredicted stress from this outbreak resulted in disturbed sleep in general, its effect on sleep among pregnant women is not well explored yet. Thus, the main aim of this study was to explore quality of sleep among pregnant mothers amidst COVID-19 pandemic. Methods: Health facility-based cross-sectional study was carried out from April to May, 2020 among 228 pregnant women. Frequencies and related percentages were calculated for categorical variables, while continuous variables were computed by mean and standard deviation. Chi-square test was conducted and Pearson correlation coefficient (r) was calculated to assess relationship between variables. For statistical significance, p-valueResults: For study subjects, the mean age was 30.79 (SD±7.57) and 57% of them had reported quality of sleep quality and mean sleep duration was 6.70 hours (SD±1.95). Among all participants, less than one-fifth (44, 19.3%) of them had reported very good subjective sleep quality. Perceived stress, depression and Anxiety have moderate to strong positive association with Pittsburgh Sleep Quality Index score (r=0.36, 0.37 and 0.57 respectively) at significant level. Self-efficacy was moderately linked in negative direction (r=0.32, pConclusion: As our finding revealed, the occurrence of poor quality of sleep was high among pregnant women during the era of COVID-19 and anxiety, depression and stress were identified as contributor factors. Routine assessment of sleep should be considered along with collaboration of antenatal care and psychiatry units.
    VL  - 9
    IS  - 6
    ER  - 

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Author Information
  • Department of Psychiatry, Collage of Health Sciences, Mettu University, Mettu, Ethiopia

  • Department of Psychiatry, Collage of Health Sciences, Mettu University, Mettu, Ethiopia

  • Department of Psychiatry, Collage of Health Sciences, Mettu University, Mettu, Ethiopia

  • Psychiatry Department, School of Health Science, Madda Walabu University, Goba, Ethiopia

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