Antenatal Depression in East Asia: A Review of the Literature

Schatz, David Beck; Hsiao, Mei‐Chun; Liu, Chia-Yih

doi:10.4306/pi.2012.9.2.111

Cited by 22 publications

(19 citation statements)

References 29 publications

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“…The result contradicts some previous studies, which found that the risk factors of antenatal depressive symptoms included lower income, lower education, smoking, alcohol abuse, and single status. Some studies in East Asia found that younger age and unemployment could also contribute to antenatal depression [7, 10, 20–22, 58]. This may be because our sample included a large proportion of pregnant women who were of young ages between 18–29 years old (82.4%).…”

Section: Resultsmentioning

confidence: 99%

Negative Life Events and Antenatal Depression among Pregnant Women in Rural China: The Role of Negative Automatic Thoughts

Wang

Liu

et al. 2016

PLoS ONE

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BackgroundFew studies have looked at the relationship between psychological and the mental health status of pregnant women in rural China. The current study aims to explore the potential mediating effect of negative automatic thoughts between negative life events and antenatal depression.MethodsData were collected in June 2012 and October 2012. 495 rural pregnant women were interviewed. Depressive symptoms were measured by the Edinburgh postnatal depression scale, stresses of pregnancy were measured by the pregnancy pressure scale, negative automatic thoughts were measured by the automatic thoughts questionnaire, and negative life events were measured by the life events scale for pregnant women. We used logistic regression and path analysis to test the mediating effect.ResultsThe prevalence of antenatal depression was 13.7%. In the logistic regression, the only socio-demographic and health behavior factor significantly related to antenatal depression was sleep quality. Negative life events were not associated with depression in the fully adjusted model. Path analysis showed that the eventual direct and general effects of negative automatic thoughts were 0.39 and 0.51, which were larger than the effects of negative life events.ConclusionsThis study suggested that there was a potentially significant mediating effect of negative automatic thoughts. Pregnant women who had lower scores of negative automatic thoughts were more likely to suffer less from negative life events which might lead to antenatal depression.

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Section: Resultsmentioning

confidence: 99%

Negative Life Events and Antenatal Depression among Pregnant Women in Rural China: The Role of Negative Automatic Thoughts

Wang

Liu

et al. 2016

PLoS ONE

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“…No significance was observed for women aged 35 years or more. Previous studies have shown that younger antenatal and postnatal women have higher risks of experiencing depressive symptoms [ 61 – 63 ]; older women are believed to have the ability to adapt to changes in the external environment and to have fewer mood disorders [ 64 ]. The nonsignificant association between secondhand smoke exposure and depression for women aged <25 years in our study is probably due to the small sample size and its limited statistical power.…”

Section: Discussionmentioning

confidence: 99%

Effects of tobacco exposure on perinatal suicidal ideation, depression, and anxiety

Weng

Huang

et al. 2016

BMC Public Health

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BackgroundPrevious studies have stressed the importance of tobacco exposure for the mood disorders of depression and anxiety. Although a few studies have focused on perinatal women, none have specifically considered the effects of smoking and secondhand smoke exposure on perinatal suicidal ideation. Thus, this study aimed to investigate the relationships of smoking/secondhand smoke exposure status with suicidal ideation, depression, and anxiety from the first trimester to the first month post partum.MethodsThis cross-sectional study based on self-reported data was conducted at five hospitals in Taipei, Taiwan from July 2011 to June 2014. The questionnaire inquired about women’s pregnancy history, sociodemographic information, and pre-pregnancy smoking and secondhand smoke exposure status, and assessed their suicidal ideation, depression, and anxiety symptoms. Logistic regression models were used for analysis.ResultsIn the 3867 women in the study, secondhand smoke exposure was positively associated with perinatal depression and suicidal ideation. Compared with women without perinatal secondhand smoke exposure, women exposed to secondhand smoke independently exhibited higher risks for suicidal ideation during the second trimester (odds ratio (OR) = 7.63; 95 % confidence interval (CI) = 3.25–17.93) and third trimester (OR = 4.03; 95 % CI = 1.76–9.23). Women exposed to secondhand smoke had an increased risk of depression, especially those aged 26–35 years (OR = 1.71; 95 % CI = 1.27–2.29).ConclusionsSecondhand smoke exposure also considerably contributes to adverse mental health for women in perinatal periods, especially for the severe outcome of suicidal ideation. Our results strongly support the importance of propagating smoke-free environments to protect the health of perinatal women.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-016-3254-z) contains supplementary material, which is available to authorized users.

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“…Schatz [21], in their review of antenatal depression in East Asia (e.g. Taiwan, China, Japan, and Korea), found that Chinese individuals have common risk factors associated with antenatal depression in both Western and Eastern populations, including: age [17,22], education level [23], occupation, number of miscarriages/abortions [24].…”

Section: Introductionmentioning

confidence: 99%

Validation of Chinese Multidimensional Depression Assessment Scale (MDAS) in Inner Mongolia pregnant women and risk factors of antenatal depression in Inner Mongolia in the era of one-child policy

2020

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BackgroundPregnancy involves physiological changes in reproductive and endocrine systems, and social role changes that can increase the risk of mental health problems. In China, greater emphasis has been given to postpartum depression and its negative impact on infant development. This study examined depression in pregnant women in Inner Mongolia, who are under the influence of cultural values of collectivism and social factors specific to China. Chinese society adheres firmly to traditional values, while market reform, birth-control policy, together with high parental investment in childcare and rearing construct a unique and sometimes unfavorable environment for Chinese women that may influence their depression expression. The aims of this study are twofoldFirst, it validated the Chinese Multidimensional Depression Assessment Scale (MDAS), a holistic self-report questionnaire measuring depression severity in four domains of depression-emotional, somatic, cognitive and interpersonal in pregnant women in Inner Mongolia; second, it examined the influences of demographic characteristics (including age, education and employment), pregnancy characteristics (week of gestation, first pregnancy), selfesteem, social support, social activity, work stress, and work-family balance on depression. MethodsA total of 234 pregnant women, mostly in their third trimester, were recruited in an antenatal hospital in Inner Mongolia and self-reported questionnaires were completed.

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Antenatal Depression in East Asia: A Review of the Literature

Cited by 22 publications

References 29 publications

Negative Life Events and Antenatal Depression among Pregnant Women in Rural China: The Role of Negative Automatic Thoughts

Negative Life Events and Antenatal Depression among Pregnant Women in Rural China: The Role of Negative Automatic Thoughts

Effects of tobacco exposure on perinatal suicidal ideation, depression, and anxiety

Validation of Chinese Multidimensional Depression Assessment Scale (MDAS) in Inner Mongolia pregnant women and risk factors of antenatal depression in Inner Mongolia in the era of one-child policy

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