Effectiveness of health literacy and relaxing music on quality of sleep and risk for antenatal depression
Background: Pregnant women experience increased sleep disturbances during the third trimester of their pregnancy, which may result in the development of psychological issues in the perinatal period. There is a dearth of interventional studies that combine health literacy and the provision of music f...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-10-01
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| Series: | Indian Journal of Psychiatry |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/indianjpsychiatry.indianjpsychiatry_180_23 |
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| author | Meena Konsam Samir Kumar Praharaj Sunita Panda Jyothi Shetty N. Ravishankar Sonia R. B. D’Souza |
| author_facet | Meena Konsam Samir Kumar Praharaj Sunita Panda Jyothi Shetty N. Ravishankar Sonia R. B. D’Souza |
| author_sort | Meena Konsam |
| collection | DOAJ |
| description | Background:
Pregnant women experience increased sleep disturbances during the third trimester of their pregnancy, which may result in the development of psychological issues in the perinatal period. There is a dearth of interventional studies that combine health literacy and the provision of music for the benefit of pregnant women in South Asia.
Aim:
To determine the effectiveness of a combination of Comprehensive Health literacy And Relaxing Music (CHARM) interventions on quality of sleep and risk for antenatal depression among women visiting antenatal outpatient departments of a tertiary hospital in South India.
Methods:
A four-arm parallel-group randomized controlled trial was adopted; 128 low-risk primigravid women were recruited and randomly assigned to the four groups using block randomization. The interventions included relaxing music interventions, comprehensive health-literacy interventions, combinations of both as CHARM interventions, and standard antenatal care. All the interventions were provided for four weeks. The quality of sleep among pregnant women was assessed using the Pittsburgh Sleep Quality Index Scale at baseline and after four weeks of intervention. Women at risk of developing antenatal depression were screened using the Edinburgh Postnatal Depression Scale-Antenatal Version.
Results:
Pregnant women who received CHARM interventions had significant improvement in quality of sleep when compared with other interventions (F(3,124) =15.0, P < .001, effect size ηp2= 0.27). Also, 38 (29.6%) of the included pregnant women were at risk of developing antenatal depression, which was reduced to 21 (16.4%) following the intervention.
Conclusion:
CHARM intervention could promote quality sleep and reduce the risk of developing antenatal depression, thereby improving perinatal mental health. |
| format | Article |
| id | doaj-art-b395a0ea234648de87b35a28f0ad6350 |
| institution | Kabale University |
| issn | 0019-5545 1998-3794 |
| language | English |
| publishDate | 2023-10-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Psychiatry |
| spelling | doaj-art-b395a0ea234648de87b35a28f0ad63502025-01-26T08:54:32ZengWolters Kluwer Medknow PublicationsIndian Journal of Psychiatry0019-55451998-37942023-10-0165101035104310.4103/indianjpsychiatry.indianjpsychiatry_180_23Effectiveness of health literacy and relaxing music on quality of sleep and risk for antenatal depressionMeena KonsamSamir Kumar PraharajSunita PandaJyothi ShettyN. RavishankarSonia R. B. D’SouzaBackground: Pregnant women experience increased sleep disturbances during the third trimester of their pregnancy, which may result in the development of psychological issues in the perinatal period. There is a dearth of interventional studies that combine health literacy and the provision of music for the benefit of pregnant women in South Asia. Aim: To determine the effectiveness of a combination of Comprehensive Health literacy And Relaxing Music (CHARM) interventions on quality of sleep and risk for antenatal depression among women visiting antenatal outpatient departments of a tertiary hospital in South India. Methods: A four-arm parallel-group randomized controlled trial was adopted; 128 low-risk primigravid women were recruited and randomly assigned to the four groups using block randomization. The interventions included relaxing music interventions, comprehensive health-literacy interventions, combinations of both as CHARM interventions, and standard antenatal care. All the interventions were provided for four weeks. The quality of sleep among pregnant women was assessed using the Pittsburgh Sleep Quality Index Scale at baseline and after four weeks of intervention. Women at risk of developing antenatal depression were screened using the Edinburgh Postnatal Depression Scale-Antenatal Version. Results: Pregnant women who received CHARM interventions had significant improvement in quality of sleep when compared with other interventions (F(3,124) =15.0, P < .001, effect size ηp2= 0.27). Also, 38 (29.6%) of the included pregnant women were at risk of developing antenatal depression, which was reduced to 21 (16.4%) following the intervention. Conclusion: CHARM intervention could promote quality sleep and reduce the risk of developing antenatal depression, thereby improving perinatal mental health.https://journals.lww.com/10.4103/indianjpsychiatry.indianjpsychiatry_180_23antenatal depressionhealth literacypregnant womenrelaxing musicsleep |
| spellingShingle | Meena Konsam Samir Kumar Praharaj Sunita Panda Jyothi Shetty N. Ravishankar Sonia R. B. D’Souza Effectiveness of health literacy and relaxing music on quality of sleep and risk for antenatal depression Indian Journal of Psychiatry antenatal depression health literacy pregnant women relaxing music sleep |
| title | Effectiveness of health literacy and relaxing music on quality of sleep and risk for antenatal depression |
| title_full | Effectiveness of health literacy and relaxing music on quality of sleep and risk for antenatal depression |
| title_fullStr | Effectiveness of health literacy and relaxing music on quality of sleep and risk for antenatal depression |
| title_full_unstemmed | Effectiveness of health literacy and relaxing music on quality of sleep and risk for antenatal depression |
| title_short | Effectiveness of health literacy and relaxing music on quality of sleep and risk for antenatal depression |
| title_sort | effectiveness of health literacy and relaxing music on quality of sleep and risk for antenatal depression |
| topic | antenatal depression health literacy pregnant women relaxing music sleep |
| url | https://journals.lww.com/10.4103/indianjpsychiatry.indianjpsychiatry_180_23 |
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