Sleep to Reduce Incident Depression Effectively in Peripartum
Perinatal depression (PND) is the most common complication in pregnancy and postpartum, which increases risk for adverse perinatal outcomes such as preterm birth, maternal suicidal thoughts, and impaired mother-infant bonding. Insomnia often precedes PND cases and may serve as an entry point for interventions preventing PND. The proposed project is a large-scale clinical trial to test the effectiveness of a mindfulness-based sleep program designed for pregnant women to improve sleep and alleviate cognitive arousal to reduce risk for PND across pregnancy and postpartum.
• Singleton pregnancy, gestational week 14-31 at screening.
• DSM-5 Insomnia Disorder (≥1 month duration).
• Insomnia Severity Index (ISI) score ≥ 11.
• Edinburgh Postnatal Depression Scale score\<13 at screening.
• No current DSM-5 Major Depression.
• Reliable internet access for treatment and assessments.
• Not currently engaged in therapy for major depression or insomnia disorder.
• Age 18 years or older.