We provide here the first bottom‐up review of the lived experience of depression, co‐written by experts by experience and academics. First‐person accounts within and outside the medical field were screened and discussed in collaborative workshops involving numerous individuals with lived experience of depression, family members and carers, representing a global network of organizations. The material was enriched by phenomenologically informed perspectives and shared with all collaborators in a cloud‐based system. The subjective world of depression was characterized by an altered experience of emotions and body (feeling overwhelmed by negative emotions, unable to experience positive emotions, stuck in a heavy aching body drained of energy, detached from the mind, the body and the world); an altered experience of the self (losing sense of purpose and existential hope, mismatch between the past and the depressed self, feeling painfully incarcerated, losing control over one's thoughts, losing the capacity to act on the world; feeling numb, empty, non‐existent, dead, and dreaming of death as a possible escape route); and an altered experience of time (experiencing an alteration of vital biorhythms, an overwhelming past, a stagnation of the present, and the impossibility of the future). The experience of depression in the social and cultural context was characterized by altered interpersonal experiences (struggling with communication, feeling loneliness and estrangement, perceiving stigma and stereotypes), and varied across different cultures, ethnic or racial minorities, and genders. The subjective perception of recovery varied (feeling contrasting attitudes towards recovery, recognizing recovery as a journey, recognizing one's vulnerability and the need for professional help), as did the experience of receiving pharmacotherapy, psychotherapy, and social as well as physical health interventions. These findings can inform clinical practice, research and education. This journey in the lived experience of depression can also help us to understand the nature of our own emotions and feelings, what is to believe in something, what is to hope, and what is to be a living human being.

Sleep disturbances are common in women, especially during pregnancy. This can result in emotional and psychological consequences for pregnant women, and it could lead to some serious complications for both mothers and their babies. However, it is not well recognized and has not been studied in developing countries, including Ethiopia. Objective To assess the quality of sleep and associated factors among pregnant women on antenatal care follow-up at Nekemte Referral Hospital and Wollega University Hospital, Nekemte, Ethiopia 2019. Methods An institution-based cross-sectional study was conducted from May to June 2019 at Nekemte Referral Hospital and Wollega University Hospital. A systematic random sampling technique was used to get 408 samples. Sleep quality was assessed using structured questionnaires of the Pittsburgh Sleep Quality Index tool. Then, the collected data was coded and entered into Epi-Data 3.1 version and analyzed using SPSS version 20. A logistic regression analysis was computed to determine the association between independent variables and sleep quality. Statistically significant was considered at P -value < 0.05. Results With 96.4% response rate, the magnitude of poor sleep quality was found to be 59.1% [95% CI: (54.2, 64)]. Poor sleep quality was high among participants with unplanned pregnancy [AOR = 4.25,95%CI:(1.47,12.23)],poor sleep hygiene[AOR = 2.93,95%CI:(1.41,6.09)],depressed women[AOR = 5.73,95%CI:(2.49,13.21)], anxiety disorder[AOR = 6.62,95%CI:(2.61,16.82)] and third trimester participants [AOR = 5.84,95% CI:(2.49,13.21)]. Conclusion This study demonstrated that poor sleep quality among pregnant women is high. Factors like depression, anxiety, poor sleep hygiene, first time pregnancy, unplanned pregnancy, and late gestational age were found to be associated with poor sleep quality. This underlines health care planners’ needs to incorporate screening for poor sleep quality into routine ANC services.