The Relationship between Depression and Sleep Quality with Quality of Life in Pregnant Women referring to Health Centers Tabriz, 2014

Abstract

Abstract: Background: Pregnancy's is a common event for women at the reproductive ages resulting in one s happiness. Focus on the quality of life of the mother during pregnancy is necessary because one of the goals of prenatal care is to improve the health of the mother. Regarding the sociocultural differences among different societies- as a result of the manifestation of these differences in the quality of life. This study aimed to determine the relationship between depression and sleep quality with quality of life in pregnant women referring to health centers in Tabriz- 2014. Materials and Methods: This cross-sectional study was conducted on 565 pregnant women who referred to Tabriz health centers by 2-stage cluster sampling. Data were collected using Edinburgh Postnatal Depression Scale (EPDS), a specific questionnaire for quality of life in pregnancy(QOL-GRAV) and Pittsburgh Sleep Quality Index (PSQI). Person correlation test was used to determine the relationship between variables and General linear model was used in order to estimate the effect of independent variables (sleep quality and socio-demographic characteristics) on dependent variable (depression). P-value lower than 0.05 was considered significant. Results: The mean (SD) of sleep quality score was 3.6 (1.4) from possible score range of 0-21 and the mean (SD) of depression score was 4.7 (3.7) from attainable score of 0-30. And the mean (SD) of quality of life score was 2.9 (0.3) from attainable score of 1-5. According to Pearson correlation test, there was statistically significant correlation between depression and quality of life(p<0.001. Quality of life and total score of sleep quality(p<0.001 and depression and score of quality of life(p<0.001). Also, according to adjusted general linear model, the variable of marital relationship, satisfaction of husband job and place of prenatal care were predictors of quality of life and the variables of husbands education level, satisfaction of husband job, place of residence, place of receiving prenatal care and women interest in fetal sex were predictors of sleep quality and the variables of age, husbands education level, marital relationship, satisfaction of husband job, place of residence and place of receiving prenatal care were predictors of depression (p<0.05). Conclusion: According to the findings of this research about the association between depression and sleep quality and quality of life in pregnant women, the development pf programs to scream all pregnant women for diagnosis and treatment interventions for depression and sleep disorders should be considered as an important issue in women's lives.