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Insomnia in the third trimester and its association with postpartum anxiety

Published online by Cambridge University Press:  26 August 2025

J. V. Stojanov
J. V. Stojanov*
Affiliation:
Forensic Psychiatry, Special Hospital for Psychiatric Disorders “GornjaToponica”, Serbia; Medical faculty Nis, University of Nis, Serbia;, Nis, Serbia

Abstract

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Introduction

Postnatal anxiety (PNA) in recent years, has become increasingly recognized as an important issue, as it affects a substantial number of women. Data from non-perinatal populations indicate that insomnia has a bidirectional association with anxiety.

Objectives

Here we aimed to explore the association between insomnia in third trimester and PNA.

Methods

We analyzed data from the hospital’s birth records and questionnaire responses from pregnancy week 32 and postnatal week 4 (n=225). Postnatal anxiety symptoms were measured using the Beck Anxiety Inventory (BAI). Anxiety disorder measurements were based on questions from the Mini-International Neuropsychiatric Interview. Insomnia was measured using the Insomnia Severity Index.

Results

Among postnatal women, 8.7 % reported symptoms of at least one anxiety disorder. The observed prevalence of obsessive-compulsive disorder after delivery was 3.7%, and for social anxiety disorder 2%. Multiple regression analysis, with adjustment for several psychosocial and reproductive variables, indicated that insomnia in third trimester was significantly associated with postpartum anxiety symptoms.

Conclusions

Our results suggest that anxiety disorders are prevalent in postnatal period. Healthcare professionals should be aware that women with insomnia in third trimester may have an increased risk of postnatal anxiety disorders.

Disclosure of Interest

None Declared

Information

Type
Abstract
Information
European Psychiatry , Volume 68 , Special Issue S1: Abstracts of the 33rd European Congress of Psychiatry , April 2025 , pp. S497 - S498
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of European Psychiatric Association
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