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Sleep patterns and fatigue in new mothers and fathers.

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TLDR
Both parents self-reported more sleep disturbance and fatigue during the 1st month postpartum than during pregnancy, and fathers obtained less total sleep than mothers when sleep was objectively measured throughout the entire 24-h day.
Abstract
The purpose of this study was to describe the sleep patterns and fatigue of both mothers and fathers before and after childbirth. The authors used wrist actigraphy and questionnaires to estimate sleep and fatigue in 72 couples during their last month of pregnancy and 1st month postpartum. Both parents experienced more sleep disruption at night during the postpartum period as compared to the last month of pregnancy. Compared to fathers, with their stable 24-h sleep patterns over time, mothers had less sleep at night and more sleep during the day after the baby was born. Sleep patterns were also related to parents' work status and type of infant feeding. Both parents self-reported more sleep disturbance and fatigue during the 1st month postpartum than during pregnancy. Mothers reported more sleep disturbance than fathers, but there was no gender difference in ratings of fatigue. At both time points, fathers obtained less total sleep than mothers when sleep was objectively measured throughout the entire 24-h day. Further research is needed to determine the duration of sleep loss for both mothers and fathers, to evaluate the effect of disrupted sleep and sleep loss on psychosocial functioning and job performance, and to develop interventions for improving sleep patterns of new parents.

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Practice parameters for the use of actigraphy in the assessment of sleep and sleep disorders: an update for 2007.

TL;DR: Actigraphy provides an acceptably accurate estimate of sleep patterns in normal, healthy adult populations and inpatients suspected of certain sleep disorders, and recent research utilizing actigraphy in the assessment and management of sleep disorders has allowed the development of evidence-based recommendations.
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The Pains and Pleasures of Parenting: When, Why, and How Is Parenthood Associated With More or Less Well-Being?

TL;DR: It is proposed that parents are unhappy to the extent that they encounter relatively greater negative emotions, magnified financial problems, more sleep disturbance, and troubled marriages, when parents experience greater meaning in life, satisfaction of their basic needs, greater positive emotions, and enhanced social roles, they are met with happiness and joy.
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Subgroups of patients with cancer with different symptom experiences and quality-of-life outcomes: a cluster analysis.

TL;DR: Four relatively distinct patient subgroups were identified based on patients experiences with four highly prevalent and related symptoms; the subgroup of patients who reported low levels of all four symptoms reported the best functional status and QOL.
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Melatonin for sleep disturbances in Parkinson's disease.

TL;DR: A statistically significant improvement in actigraphically measured total sleep time on 50 mg melatonin compared to 5 mg or placebo and a significant improvement found in subjective sleep disturbance suggests that these modest effects may be clinically relevant in this patient population.
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A Selective Review of Maternal Sleep Characteristics in the Postpartum Period

TL;DR: The relationships among sleep disturbance, fatigue, and depression in postpartum women lack clarity due to their ambiguous definitions and the variety of the studies conducted.
References
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Journal ArticleDOI

The role of actigraphy in the study of sleep and circadian rhythms.

TL;DR: It is suggested that in the clinical setting, actigraphy is reliable for evaluating sleep patterns in patients with insomnia, for studying the effect of treatments designed to improve sleep, in the diagnosis of circadian rhythm disorders (including shift work), and in evaluating sleep in individuals who are less likely to tolerate PSG, such as infants and demented elderly.

The Role of Actigraphy in the Study of Sleep and Circadian Rhythms AMERICAN ACADEMY OF SLEEP MEDICINE REVIEW PAPER

TL;DR: Wang et al. as discussed by the authors reviewed the current knowledge about the role of actigraphy in the evaluation of sleep disorders and concluded that actigraphys can provide useful information and that it may be a cost-effective method for assessing specific sleep disorders.
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Automatic sleep/wake identification from wrist activity

TL;DR: In this paper, the authors developed and validated automatic scoring methods to distinguish sleep from wakefulness based on wrist activity using wrist actigraphs during overnight polysomnography, which provided valuable information about sleep and wakefulness that could be useful in both clinical and research applications.
Journal ArticleDOI

Validity and reliability of a scale to assess fatigue

TL;DR: A visual analogue scale to evaluate fatigue severity (VAS-F) was developed and tested and demonstrated significant differences between their evening and morning scores, while sleep-disordered patients did not.
Journal ArticleDOI

Parity and sleep patterns during and after pregnancy

TL;DR: Sleep disturbance was greatest during the first postpartum month, particularly for first-time mothers, and sleep efficiency remained significantly lower than baseline prepregnancy values.
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