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The present study aimed to determine the proportion of women with clinically significant symptoms of depression, anxiety, or comorbid symptoms in the perinatal period who report compromised sleep, as well to identify factos associated with the percption of compromised sleep. A total of 531 postpartum women participated in the study, responding to standardized questionnaires, including the Edinburgh Postnatal Depression Scale (EPDS), the State-Trait Anxiety Inventory (STAI), and self-reported measures related to sleep. The results revealed that 10.9% of participants had clinically significant depressive symptoms, and 7.9% had comorbidity between the two. Women with depressive and/or anxiety symptoms reported greater frequency and severity of sleep impairment, with a dose-response pattern observed in comorbidity. Regression analyses showed that depressive/anxiety symptoms, childbirth-related trauma, parity, and current psychological problems were significant predictors of impaired maternal sleep. These results highlight the centrality of sleep to maternal well-being, emphasize psychological vulnerability in the perinatal period, and support the role of occupation-based interventions in promoting maternal sleep and occupational balance.
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Perinatal depression Perinatal anxiety Sleep quality Maternal mental health