![]() If what you’re experiencing is more than just slight anxiety or temporary OCD (obsessive-compulsive disorder), seek help from a trained professional or consult with your doctor about how to manage serious cases of depression. Whether it’s the onset of postpartum depression or PTSD (post-traumatic stress disorder), you may be going through emotional challenges that add even more stress to life and make sleep elusive. Needless to say, lying in a pool of sweat is not conducive to sleep. The hormone fluctuations we discussed earlier are also responsible for flushing your body of the water that helped support you and baby during pregnancy but is no longer needed. You probably noticed excessive sweating during the night while you were at the hospital counting the days until you could come home. ![]() And, because hormones influence the function of our internal clock telling us when it’s time to be awake and asleep, even a slight fluctuation can confuse things and make it a challenge to sleep. Your reproductive hormones have plummeted, which is normal, but it takes time for your body to find its equilibrium again. The mean sleep efficiency was also low at 65.5 percent, and 76.3 percent of the participants met the insomnia disorder diagnosis criteria.The miracle of birth may be miraculous, but it also wreaks havoc on your hormones and throws everything off balance. These participants reported poor sleep at baseline, with the mean ISI score falling just under the ‘clinical insomnia’ threshold of 14. The study included 114 participants (mean age 32.20 years, 89.4 percent White, 99.1 percent married to male partners), of which 39 were in the CBT group, 36 in the LDT group, and 39 in the control group. “While investigation of potential mechanisms lay outside the scope of the current paper, given the different focus and comprising strategies of the interventions, it is possible that improvements in insomnia symptoms were caused by different mechanisms, changes in sleep-related cognitions and behaviours in the CBT group changes to circadian phase and/or amplitude in the LDT group,” they said. “These findings support the existing body of literature on the efficacy of both CBT and LDT for improving sleep among diverse populations and extend the evidence base to insomnia in the latter postpartum,” according to the investigators. Dropout rates were low (one participant in the LDT group withdrew, while four in the CBT group were lost to follow-up) and satisfaction rates were high in both intervention groups. Headaches, dizziness, and nausea were the only adverse events, being documented in four women (11 percent) in the LDT group. In terms of safety, both therapist-assisted CBT and LDT delivered over 6 weeks caused no serious problems and were considered safe. Poor sleep, they said, is only one of the many contributing factors, and several other psychosocial factors were not addressed in either intervention. įor depression and anxiety, on the other hand, the investigators pointed out that both conditions are multifactorial. “ needs to be interpreted in the context of unique postpartum circumstances, such as frequent overnight awakenings for infant care, which contribute to insufficient sleep… It is possible that sleep disruption may continue to cause sleep-related daytime consequences beyond the subsiding of insomnia symptoms,” they explained. In a study that included nulliparous women at 4–12 months postpartum and with self-reported insomnia symptoms, a 6-week course of either CBT or LDT resulted in significant reductions in Insomnia Severity Index (ISI) scores compared with treatment as usual (control effect sizes, −2.01 and −1.52, respectively p0.08 for all). New mothers who are struggling to fall or stay asleep may find relief from therapist-assisted cognitive behavioural therapy (CBT) and light dark therapy (LDT), which have been shown to be safe and effective at reducing postpartum insomnia symptoms.
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