Comorbidity of anxiety and depressive disorders: A comparative population study in Western and non-Western inhabitants in the Netherlands

Schrier, Agnes C.; Wit, Matty A. S. de; Coupé, Veerle M.H.; Fassaert, Thijs; Verhoeff, Arnoud P.; Kupka, Ralph; Dekker, Jack; Beekman, Aartjan T.F.

doi:10.1177/0020764010390433

Cited by 14 publications

(9 citation statements)

References 33 publications

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“…[27][28][29][30] Also, cultural and social differences between ethnic groups (eg, language barriers, unfamiliarity with the obstetric care organisation) may explain differences between ethnic groups regarding the influence of anxiety on the birth process. [31][32][33][34] In addition, it is unknown whether the association between anxiety and the birth process differs between nulliparous and multiparous women as well as between women giving birth in primary and secondary care. To our knowledge, no study has investigated the level of care and ethnicity in the association between general and pregnancy-related anxiety, and the progression of birth.…”

Section: Introductionmentioning

confidence: 99%

Possible relationship between general and pregnancy-related anxiety during the first half of pregnancy and the birth process: a prospective cohort study

2017

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ObjectivesThe rate of interventions during childbirth has increased dramatically during the last decades. Maternal anxiety might play a role in the progress of the labour process and interventions during labour. This study aimed to identify associations between anxiety in the first half of pregnancy and the birth process, including any interventions required during labour. In addition, differences in the associations by parity and ethnicity were explored.DesignProspective cohort study.SettingPrimary care midwifery practices and secondary/tertiary care obstetric practices in Amsterdam, participating in the multiethnic ABCD (Amsterdam Born Children and their Development) study (participation rate 96%; response 8266/12 373 (67%)).ParticipantsIncluded were women with singletons, alive at labour start, with a gestational age ≥24 weeks (n=6443).Independent variableGeneral anxiety (State-Trait Anxiety Inventory state) and pregnancy-related anxiety (Pregnancy-Related Anxieties Questionnaire (PRAQ)) were self-reported in the first half of pregnancy.OutcomesAssociations between both forms of anxiety and several indicators of the birth process were analysed. Subgroup analyses were performed for parity and ethnicity.ResultsThe prevalence of high general anxiety (State-Trait Anxiety Inventory score ≥43) and pregnancy-related anxiety (PRAQ score ≥P90) were 30.9% and 11.0%, respectively. After adjustment, in nulliparae, both general anxiety and pregnancy-related anxiety were associated with pain relief and/or sedation (OR for general anxiety 1.23; 95% CI 1.02 to 1.48; OR for pregnancy-related anxiety 1.45; 95% CI 1.14 to 1.85). In multiparae, general anxiety was associated with induction of labour (OR 1.53; 95% CI 1.16 to 2.03) and pregnancy-related anxiety was associated with primary caesarean section (OR 1.66; 95% CI 1.02 to 2.70). Associations were largely similar for all ethnicities.ConclusionsHigh levels of general and pregnancy-related anxiety in early pregnancy contribute modestly to more interventions during the birth process with similar associations between ethnic groups, but with some differences between nulliparae and multiparae.

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Section: Introductionmentioning

confidence: 99%

Possible relationship between general and pregnancy-related anxiety during the first half of pregnancy and the birth process: a prospective cohort study

2017

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“…Mean scores differed significantly between ethnic groups. Depression (assessed either by CIDI or SCL-90-R) was equally associated with functional impairment across ethnic groups, since the interaction terms with ethnicity were not significant 16 .…”

Section: E) Association Of Depression and Functional Impairmentsmentioning

confidence: 91%

“…The odds ratio of anxiety for depressive severity in Dutch natives is 2.6 (95% CI: 1.6-4.2). Compared to native Dutch subjects as reference group (OR set to 1), the unadjusted odds ratio of the presence of an anxiety disorders for depressive disorder severity was 1.1 (p = 0.849) in Turkish-Dutch and 1.6 (p = 0.221) in Moroccan-Dutch subjects 16 .…”

Section: B) Co-morbidity Of Anxiety Disorders and Depressive Disordersmentioning

confidence: 93%

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Similarities in manifestations of depression in Turkish-Dutch, Moroccan-Dutch and native Dutch citizens of Amsterdam

Schrier¹,

de²,

Verhoeff³

et al. 2013

OA Epidemiology

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“…When looking more specifically at the Netherlands, previous studies found that individuals of Turkish and Moroccan origin have a poorer self-perceived health (Stronks et al 2001) and report more physical and psychological health problems, more missed days due to health problems, and more long-term health limitations (Reijneveld 1998). Moreover, individuals of Turkish and Moroccan backgrounds have a higher prevalence of depressive symptoms (de Wit et al 2008;Ikram et al 2014;Klaufus et al 2014;Levecque and Van Rossem 2015;Missinne and Bracke 2012;Schrier et al 2012). This higher incidence of health problems is particularly worrisome when considering the negative impact of health problems on employment.…”

Section: Introductionmentioning

confidence: 99%

Ethnic Minority Health and Employment: Ethnic Differences in the Protective Effect of Close Social Ties

Slootjes

Keuzenkamp

Saharso

2018

Int. Migration & Integration

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First-and second-generation Turkish and Moroccan migrants living in the Netherlands have a disproportionate incidence of health problems and relatively low employment rates. Health problems are an obstacle to employment, yet there is no one-to-one correspondence between health problems and capability to work. Social ties can reduce the negative impact of health problems on employment by providing social support and providing the comfort of feeling embedded in a close social circle. In this study, we examine whether the assumed negative impact of health problems on employment is reduced by the number of close social ties, the quantity of contact, and the proportion of co-ethnics among close social ties, and whether this protective effect varies across ethnic groups. Using survey data from the Netherlands Longitudinal Lifecourse Study (N = 3911), we find that close social ties reduce the negative impact of health problems on employment. However, this protective effect depends on both the aspect of social ties which is considered and ethnic background of the individual. Quantity of contact has a protective effect for native Dutch individuals; number of social ties and a higher proportion of co-ethnics had a protective effect for Moroccan individuals, and social ties have no protective effect for Turkish individuals.

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Comorbidity of anxiety and depressive disorders: A comparative population study in Western and non-Western inhabitants in the Netherlands

Cited by 14 publications

References 33 publications

Possible relationship between general and pregnancy-related anxiety during the first half of pregnancy and the birth process: a prospective cohort study

Possible relationship between general and pregnancy-related anxiety during the first half of pregnancy and the birth process: a prospective cohort study

Similarities in manifestations of depression in Turkish-Dutch, Moroccan-Dutch and native Dutch citizens of Amsterdam

Ethnic Minority Health and Employment: Ethnic Differences in the Protective Effect of Close Social Ties

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