Intimate Partner Violence Is Associated with Stress-Related Sleep Disturbance and Poor Sleep Quality during Early Pregnancy.

Objectives To examine the associations of Intimate partner violence (IPV) with stress-related sleep disturbance (measured using the Ford Insomnia Response to Stress Test [FIRST]) and poor sleep quality (measured using the Pittsburgh Sleep Quality Index [PSQI]) during early pregnancy. Methods This cross-sectional study included 634 pregnant Peruvian women. In-person interviews were conducted in early pregnancy to collect information regarding IPV history, and sleep traits. Adjusted odds ratios (aOR) and 95% confidence intervals (95%CIs) were calculated using logistic regression procedures. Results Lifetime IPV was associated with a 1.54-fold increased odds of stress-related sleep disturbance (95% CI: 1.08–2.17) and a 1.93-fold increased odds of poor sleep quality (95% CI: 1.33–2.81). Compared with women experiencing no IPV during lifetime, the aOR (95% CI) for stress-related sleep disturbance associated with each type of IPV were: physical abuse only 1.24 (95% CI: 0.84–1.83), sexual abuse only 3.44 (95%CI: 1.07–11.05), and physical and sexual abuse 2.51 (95% CI: 1.27–4.96). The corresponding aORs (95% CI) for poor sleep quality were: 1.72 (95% CI: 1.13–2.61), 2.82 (95% CI: 0.99–8.03), and 2.50 (95% CI: 1.30–4.81), respectively. Women reporting any IPV in the year prior to pregnancy had increased odds of stress-related sleep disturbance (aOR = 2.07; 95% CI: 1.17–3.67) and poor sleep quality (aOR = 2.27; 95% CI: 1.30–3.97) during pregnancy. Conclusion Lifetime and prevalent IPV exposures are associated with stress-related sleep disturbance and poor sleep quality during pregnancy. Our findings suggest that sleep disturbances may be important mechanisms that underlie the lasting adverse effects of IPV on maternal and perinatal health.Support was provided by the National Institutes of Health (R01-HD-059835 and T37-MD000149).Revisión por pare

Socio-demographic and reproductive characteristics of the study population by types of lifetime intimate partner violence in Lima, Peru (N = 634).

<p>Socio-demographic and reproductive characteristics of the study population by types of lifetime intimate partner violence in Lima, Peru (N = 634).</p

Association between intimate partner violence, depression¹ assessed by the Patient Health Questionnaire-9 (PHQ-9), and stress-related sleep disturbance assessed by the Ford Insomnia Response to Stress Test (FIRST-S) during pregnancy (N = 631).

<p>Association between intimate partner violence, depression<a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0152199#t003fn003" target="_blank">¹</a> assessed by the Patient Health Questionnaire-9 (PHQ-9), and stress-related sleep disturbance assessed by the Ford Insomnia Response to Stress Test (FIRST-S) during pregnancy (N = 631).</p

Association between intimate partner violence and sleep quality assessed by the Pittsburgh Sleep Quality Index (PSQI) during pregnancy (N = 634).

<p>Association between intimate partner violence and sleep quality assessed by the Pittsburgh Sleep Quality Index (PSQI) during pregnancy (N = 634).</p

Association between intimate partner violence, depression¹ and stress-related sleep disturbance assessed by the Pittsburgh Sleep Quality Index (PSQI) during pregnancy (N = 631).

<p>Association between intimate partner violence, depression<a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0152199#t005fn003" target="_blank">¹</a> and stress-related sleep disturbance assessed by the Pittsburgh Sleep Quality Index (PSQI) during pregnancy (N = 631).</p

Association between intimate partner violence and stress-related sleep disturbance assessed by the Ford Insomnia Response to Stress Test (FIRST-S) during pregnancy (N = 634).

<p>Association between intimate partner violence and stress-related sleep disturbance assessed by the Ford Insomnia Response to Stress Test (FIRST-S) during pregnancy (N = 634).</p