The relationship between anxiety and sleep quality in iranian pregnant women

Objectives: Sleep disturbances are common in women, especially during pregnancy. Anxiety is a common disorder that can be accompanied by obstetric, neonatal and postnatal complications. This can result in emotional and psychological consequences in pregnant women. We aimed to evaluate the relationship between the anxiety and the sleep quality among pregnant women in Mashhad - Iran, in 2020. Materials and methods: This cross-sectional study was conducted on 565 pregnant women who were referred to Mashhad health centers. Two-stage cluster sampling method was used to choose the patients. The data were collected using a sociodemographic questionnaire, state-trait anxiety inventory (STAI) and Pittsburgh Sleep Quality Index (PSQI). A general linear model was used in order to estimate the effect of independent variables (sleep quality and socio-demographic characteristics) on the dependent variable (anxiety). Results: The mean +/- standard deviation (SD) sleep quality score was 3.6 +/- 1.4 (range: 0-21), and the mean anxiety score was 4.7 +/- 3.7 (range: 0-30). A significant correlation was found between anxiety score and total score of sleep quality and all its subdomains except delay in sleeping. According to the adjusted general linear model, sleep quality, age, marital relationship, the satisfaction of husband job, place of residence and place of receMng prenatal care were predictors of anxiety. Conclusion: Considering the significant relationship between anxiety and sleep quality in pregnant women, sleep hygiene education will be necessary in order to decrease the anxiety of pregnant women.