Patterns and Predictors of Sleep Quality in Taiwanese Pregnant Women.

Patterns and Predictors of Sleep Quality in Taiwanese Pregnant Women.

MCN Am J Matern Child Nurs. 2013 Mar; 38(2): 95-101
Hung HM, Tsai PS, Ko SH, Chen CH

PURPOSE:: This study examined the patterns and psychosocial predictors of sleep quality in Taiwanese pregnant women. STUDY DESIGN AND METHODS:: A cross-sectional, correlational study design was used. A convenience sample of 400 pregnant women from two urban hospitals in Taiwan participated in this study. Data were collected using six self-report measures: Pittsburgh Sleep Quality Index (PSQI), Edinburgh Prenatal Depression Scale, Perceived Stress Scale, State-Trait Anxiety Inventory, Attitude to Body Image Scale, and Interpersonal Support Evaluation List. RESULTS:: Our findings revealed that the prevalence of pregnancy-associated sleep disturbance (PSQI score >5) was 65.5%. The mean score of the global PSQI was 7.25 ± 3.43, indicating that participant pregnant women in general reported mild sleep disturbance. Trend analyses of PSQI score indicated a linear trend, with a gradual decline in the sleep quality as the pregnancy progressed. Sleep latency, habitual sleep efficiency, and subjective sleep quality scores differed significantly by trimesters. Stepwise multiple regression analyses revealed that the best subsets to predict sleep quality were prenatal depression, prepregnancy sleep quality, current body image, and week of gestation for Taiwanese pregnant women. CLINICAL IMPLICATIONS:: These findings offer evidence that healthcare professionals should provide sleep counseling to pregnant women, and incorporate depression and body image into a supportive model of sleep-related prenatal care. HubMed – depression


Depression Among Mothers of High-Risk Infants Discharged From a Neonatal Intensive Care Unit.

MCN Am J Matern Child Nurs. 2013 Mar; 38(2): 89-94
Northrup TF, Evans PW, Stotts AL

PURPOSE:: This study investigated potential associations between maternal depression and specific infant health conditions, smoking, and socioeconomic characteristics among mothers of high-risk infants during medical follow-up visits. STUDY DESIGN AND METHODS:: Cross-sectional self-report, and interview data were collected from 114 mothers of high-risk infants previously discharged from a neonatal intensive care unit. Mothers were assessed at a postdischarge clinic visit. RESULTS:: Prevalence rates for a Center for Epidemiological Studies-Depression Scale score ?16) suggestive of a depressive disorder exceeded 20% at all time points for this sample of predominantly low-income, minority-race mothers. A greater number of mothers who had infants with a highly visible illness (e.g., surgical necrotizing enterocolitis) were depressed. Depression was also associated with the presence of a household smoker, younger age, and less education and income. CLINICAL IMPLICATIONS:: Given the prevalence rates, routine screening for postpartum depression in mothers of high-risk infants is imperative, with particular attention to the infant’s health, smoking, and socioeconomic variables. HubMed – depression


Sexual dysfunction in men with spinal cord injury: a case-control study.

Int J Impot Res. 2013 Feb 21;
Virseda-Chamorro M, Salinas-Casado J, Lopez-Garcia-Moreno AM, Cobo-Cuenca AI, Esteban-Fuertes M

The objective of this study is to confirm that spinal cord injury (SCI) alters the neurological pathways of sexual function (SF) and to ascertain whether other differences exist among men with SCI compared with men without SCI (WSCI) and sexual dysfunction (SD). The method comprise a case study of 98 men with SCI and SD, and 89 men with WSCI and SD as controls. A questionnaire was administered to these men regarding their SF, anxiety, depression, self-esteem and quality of life. Additionally, a penile eco-Doppler study was performed after a prostaglandin E1 (PGE1) injection, in addition to neurophysiological tests of the innervation pathways of SF. The mean age of cases (39.35 years) was significantly lower than the control group (48.5 years). The SCI group had a higher frequency of ejaculatory disorders, and the WSCI group had a higher frequency of decreased sexual desire, erectile dysfunction (ED) and premature ejaculation. The WSCI group had greater anxiety and depression than the SCI group. The systolic velocities of both cavernous arteries were higher in the SCI group. Significant differences were observed in electromyography of the bulbocavernosus muscle, pudendal sensory thresholds, somatosensory potentials, genital sympathetic potentials and electromyography of the cavernous bodies after PGE1 injection. SCI causes significant alterations in the innervation pathways of SF.International Journal of Impotence Research advance online publication, 21 February 2013; doi:10.1038/ijir.2013.1. HubMed – depression



New depression treatment – Ketamine Injection – Psychiatrist in NYC Dr. Edward Fruitman, MD explains the methods of Ketamine use for depression and why he prefers injection method with ketamine depression treatment. At Trifecta Health, we individualize treatment to the particular patient. We try to make the patient a full partner in the treatment process. Trifecta Health Medical Center 115 Broadway, New York, NY, 10006 (212) 233-2830


The secret world of anorexics
Chairwoman of mental health at the University of Western Sydney, Professor Phillippa Hay, likens eating disorders to depression. ''In the course of human experience, it will be normal to feel low in the same way as someone with depression feels low … Read more on The Age

For Traumatized Caregivers, Therapy Helps
The older man went to assisted living, where he died not long afterward of pneumonia that wasn't diagnosed right away. The wife fell into a depression, preoccupied with the thought that it was all her fault. Another six months of therapy convinced her … Read more on New York Times (blog)

Evan Gattis wanders his way back to baseball
There were bouts with depression and drugs, a series of menial jobs ranging from valet to janitor to cart boy at a golf course. He traveled throughout the West, … The Braves certainly aren't giving Gattis any special treatment. If anything, he's got … Read more on USA TODAY