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SYSTEMATIC REVIEW article

Front. Psychiatry
Sec. Perinatal Psychiatry
Volume 15 - 2024 | doi: 10.3389/fpsyt.2024.1427255
This article is part of the Research Topic Exploring Mental Health in Vulnerable Populations in Developing Countries View all 20 articles

Evaluating the Global Prevalence of Insomnia During Pregnancy Through Standardized Questionnaires and Diagnostic Criteria: A Systematic Review and Meta-Analysis

Provisionally accepted
Chengcheng Yang Chengcheng Yang 1Rui Fu Rui Fu 1Huan Wang Huan Wang 2Yanjie Jiang Yanjie Jiang 2Shipeng Zhang Shipeng Zhang 1*Xiaoli Ji Xiaoli Ji 1
  • 1 Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan Province, China
  • 2 Nanjing University of Chinese Medicine, Nanjing, Jiangsu Province, China

The final, formatted version of the article will be published soon.

    Abstract: Insomnia during pregnancy presents significant medical care challenges and heightens the risk of adverse outcomes for both pregnant women and fetuses. This study undertook a meta-analysis to assess the global prevalence of insomnia during pregnancy, examining both the overall prevalence and regional variations. Method: The aim of this study was to perform a meta-analysis of articles indexed in PubMed, Embase, and Web of Science from the inception of these databases up to February 29, 2024. The study systematically reviewed the global prevalence of gestational insomnia and explored potential moderating factors, encompassing research type, publication date, regional influences, maternal age, pregnancy status, depressive symptoms, and anxiety symptoms. Result: Forty-four studies, encompassing a total of 47,399,513 participants, were included in the analysis. The overall prevalence of insomnia symptoms during pregnancy was 43.9%. Regional factors and depression emerged as the main factors affecting insomnia, with Europe (53.6%) surpassing North America (41.0%), followed by South America (50.6%) and Asia (40.7%). High depression rates (56.2%) correlated with increased insomnia prevalence compared to low depression rates (39.8%). The type of research and publication date showed no significant impact on the prevalence of insomnia symptoms. Conclusion: The meta-analysis results indicated that the prevalence of insomnia symptoms was higher during pregnancy, especially among pregnant women who were in a highly depressed state or located in the European region.

    Keywords: insomnia, Depression, Geographic location, and prevalence during pregnancy, global

    Received: 03 May 2024; Accepted: 25 Jul 2024.

    Copyright: © 2024 Yang, Fu, Wang, Jiang, Zhang and Ji. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Shipeng Zhang, Chengdu University of Traditional Chinese Medicine, Chengdu, 610075, Sichuan Province, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.