Study of the relationship between sleep disorders and post-traumatic stress after perinatal trauma in pregnant women

Rashidi, Farzaneh; Shakeri, Marzieh; Shariatnia, Sahar; Mahzoon, Bita; Hesari, Nazanin

Volume 13, Issue 3 (9-2025) jmsthums 2025, 13(3): 26-36 | Back to browse issues page

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Rashidi F, Shakeri M, Shariatnia S, Mahzoon B, Hesari N. Study of the relationship between sleep disorders and post-traumatic stress after perinatal trauma in pregnant women. jmsthums 2025; 13 (3) :26-36
URL: http://jms.thums.ac.ir/article-1-1364-en.html

Study of the relationship between sleep disorders and post-traumatic stress after perinatal trauma in pregnant women

Farzaneh Rashidi¹

, Marzieh Shakeri²

, Sahar Shariatnia³

, Bita Mahzoon⁴

, Nazanin Hesari⁵

1- Addiction and Behavioral Sciences Research Center, North Khorasan University of Medical Sciences, Bojnurd, Iran & Department of Midwifery, School of Nursing and Midwifery, North Khorasan University of Medical Sciences, Bojnurd, Iran
2- Student Research Committee, Faculty of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran
3- Addiction and Behavioral Sciences Research Center, North Khorasan University of Medical Sciences, Bojnurd, Iran
4- Bentol-Hoda Hospital, North Khorasan University of Medical Sciences, Bojnord, Iran
5- Department of Midwifery, School of Nursing and Midwifery, North Khorasan University of Medical Sciences, Bojnurd, Iran & Student Research Committee, North Khorasan University of Medical Sciences, Bojnurd, Iran

Abstract: (27 Views)

Background & Aim: Despite the high importance of post-traumatic stress disorder and sleep disorders during pregnancy, these conditions are rarely addressed among pregnant women. Therefore, this study aimed to determine the relationship between sleep disorders and post-traumatic stress following perinatal trauma in pregnant women.
Methods: This cross-sectional study was conducted in 2022 on 131 pregnant women who referred to health centers in Bojnurd City, using a multistage probability sampling method. Data collection tools included questionnaires on demographic and obstetric characteristics, the Post-Traumatic Stress Disorder Scale, the Pittsburgh Sleep Quality Index, and the Maureen Insomnia Severity Index. Data were analyzed using descriptive statistics and multiple regression analysis in SPSS version 26.
Results: The mean age and gestational age (in weeks) were 28.76 ± 4.48 and 30.98 ± 9.62, respectively. The mean total scores for insomnia severity and sleep quality were 10.1 ± 5.41 and 9.62 ± 3.92, while the mean total score for post-traumatic stress disorder after perinatal trauma was 25.41 ± 16.22. Among participants, 73.6% reported difficulty initiating sleep, 80% had trouble maintaining sleep, 14.5% experienced early-morning awakening, and 89.1% reported daytime dysfunction. The variables of insomnia severity (B = 0.23), gestational age (B = 0.10), and husband’s desire for the current pregnancy (B = 2.5) had a statistically significant relationship with post-traumatic stress disorder (P < 0.05).
Conclusion: Based on the findings, the relationship between sleep disorders and post-traumatic stress after perinatal trauma highlights the importance of increasing healthcare providers’ awareness regarding the necessity of screening pregnant women for sleep disturbances and implementing psychological interventions to prevent adverse outcomes.

Keywords: Sleep disorders, Pregnancy, Trauma, Post-traumatic stress, Perinatal

Full-Text [PDF 329 kb] (52 Downloads)

Type of Study: Research | Subject: Special
Received: 2024/08/24 | Accepted: 2025/01/29 | Published: 2025/11/17

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