Pregnancy depression and insomnia in pregnant women: The predictive role of nocturnal rumination and mindfulness

Pregnancy and postpartum are the most sensitive periods in a woman's life. This period is as important physically as it is physically and psychologically. Sleep disorders and depression are common complaints during pregnancy. These disorders, which occur as a result of physiological and hormonal changes in pregnancy, have different causes and can be the cause of many disorders during pregnancy. The aim of this study was to explain the role of nocturnal rumination and mindfulness in predicting depression and insomnia. The population included women referring to gynecology and obstetrics clinics in Tehran, 136 of whom were selected by convenience sampling. In order to collect data, questionnaires of insomnia severity, Edinburgh depression, pre-sleep arousal and revised cognitive-emotional scale of mindfulness were used. Data were analyzed by SPSS 24 software. There was a positive relationship between insomnia and arousal before sleep and depression in pregnant women. Also, nocturnal rumination has a positive relationship with both variables of depression during pregnancy and insomnia and mindfulness has a negative relationship with both depression during pregnancy and insomnia.The results of the present study show that the rate of depression decreases with the reduction of ruminant thought processes, and mindful interventions on insomnia and depression improve and regulate stress and mental states in the prenatal period.