Depression and anxiety in early pregnancy and risk for preeclampsia

Kurki, Tapio; Hiilesmaa, Vilho; Raitasalo, Raimo; Mattila, Hannu; Ylikorkala, Olavi

doi:10.1016/s0029-7844(99)00602-x

Cited by 391 publications

(230 citation statements)

References 31 publications

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“…Our Wnding regarding the association between depression and preeclampsia is consistent with some other studies in this area [12,13]. From physiological aspects, this association has at least three reasons.…”

Section: Discussionsupporting

confidence: 91%

“…There have been only two longitudinal studies in this regard [12,13] but these studies reported diVerent results; therefore, it seems that more longitudinal studies are required to reexamine the correlation between maternal depression and the risk of preeclampsia in diVerent populations. The diabetic patients were excluded from the control group in this study; however, it could be regarded as our study weakness and its eVect needs to be reviewed in future studies.…”

Section: Limitationsmentioning

confidence: 99%

“…Very few studies have examined the correlation between preeclampsia and depression and have yielded diVerent results. Kurki et al [12] observed that depression and anxiety or both were associated with an increased risk of preeclampsia among Finnish women. Qiu et al [13] illustrated that depression and depressive symptoms were related to an increased risk of preeclampsia among Peruvian women.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Preeclampsia and depression: a case–control study in Tehran

Kharaghani

Geranmaye

Janani

et al. 2012

Arch Gynecol Obstet

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Section: Discussionsupporting

confidence: 91%

Section: Limitationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Preeclampsia and depression: a case–control study in Tehran

Kharaghani

Geranmaye

Janani

et al. 2012

Arch Gynecol Obstet

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“…Effects of antenatal depression on the mother and the child health Depression during pregnancy has been linked to numerous suboptimal outcomes for the mother, including increased substance use (alcohol, illicit drugs, and tobacco), inadequate prenatal care, preeclampsia, postnatal depression, and suicide (Horrigan et al 2000;Kurki et al 2000;Najman et al 2000).…”

Section: Introductionmentioning

confidence: 99%

Are women with a history of abuse more vulnerable to perinatal depressive symptoms? A systematic review

Alvarez-Segura

García-Esteve

Torres

et al. 2014

Arch Womens Ment Health

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The objective of this paper is to examine the association between maternal lifetime abuse and perinatal depressive symptoms. Papers included in this review were identified through electronic searches of the following databases: Pubmed Medline and Ovid, EMBASE, PsycINFO, and the Cochrane Library. Each database was searched from its start date through 1 September 2011. Keywords such as "postpartum," "perinatal," "prenatal," "depression," "violence," "child abuse," and "partner abuse" were included in the purview of MeSH terms. Studies that examined the association between maternal lifetime abuse and perinatal depression were included. A total of 545 studies were included in the initial screening. Forty-three articles met criteria for inclusion and were incorporated in this review. Quality of articles was evaluated with the Newcastle-Ottawa-Scale (NOS). This systematic review indicates a positive association between maternal lifetime abuse and depressive symptoms in the perinatal period.

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“…One study has shown that women with anxiety or depressive disorder prior to pregnancy have a 1.7 higher risk of the hypertensive disorder preeclampsia (Qiu et al 2009). Accordingly, Kurki et al (2000) showed a significantly increased chance for pre-eclampsia if women were affected by depression (odds ratio [OR]=2.5), anxiety (OR=3.2), or both (OR=3.1) during early pregnancy. However, results of further studies on the association of anxiety and depression with pre-eclampsia (Andersson et al 2004;Banhidy et al 2006;Jablensky et al 2005) were heterogeneous due to differing methods and the fact that mental disorder diagnoses were mostly ascertained from medical records as opposed to being diagnosed by structured clinical interviews, leaving many women with undiagnosed mental disorders (Wittchen et al 2011).…”

Section: Introductionmentioning

confidence: 99%

Associations of anxiety disorders, depressive disorders and body weight with hypertension during pregnancy

Winkel

Einsle

Pieper

et al. 2014

Arch Womens Ment Health

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The purpose of this study was to prospectively examine the relationships between maternal DSM-IV-TR anxiety disorders, depressive disorders, and body mass index (BMI) with arterial hypertension and blood pressure during pregnancy. In the Maternal Anxiety in Relation to Infant Development (MARI) study, N = 306 women were enrolled in early pregnancy and repeatedly assessed during peripartum period. DSM-IV-TR anxiety and depressive disorders prior to pregnancy, lifetime anxiety/depression liability, and BMI during early pregnancy were assessed with the Composite International Diagnostic Interview for Women (CIDI-V). Based on their prepregnancy status, all participants were assigned to one of the following initial diagnostic groups: no anxiety nor depressive disorder (no AD), pure depressive disorder (pure D), pure anxiety disorder (pure A), and comorbid anxiety and depressive disorder (comorbid AD). Blood pressure measurements were derived from medical records. Arterial hypertension during pregnancy was defined by at least two blood pressure values ≥140 mmHg systolic and/or ≥90 mmHg diastolic. N = 283 women with at least four documented blood pressure measurements during pregnancy were included in the analyses. In this sample, N = 47 women (16.6 %) were identified with arterial hypertension during pregnancy. Women with comorbid AD (reference group: no AD) had a significantly higher blood pressure after adjustment for age, parity, smoking, occupation, household income, and education (systolic: linear regression coefficient [β] = 3.0, 95 % confidence interval [CI] = 0.2-5.7; diastolic, β = 2.3, 95 % CI = 0.1-4.4). Anxiety liability was associated with an increased risk of hypertension (odds ratio [OR] = 1.1, 95 % CI = 1.0-1.3) and a higher systolic blood pressure (β = 0.4, 95 % CI = 0.0-0.7). The adjusted interaction model revealed a significant interaction between the diagnostic group pure A and BMI for hypertension (ORIT = 1.5, 95 % CI = 1.1-2.1). Especially, women with a lifetime history of comorbid anxiety and depression and obese pregnant women with a lifetime history of pure anxiety disorder should be informed about their heightened risk of hypertension, monitored with regular blood pressure measurements, and provided with strategies for prevention and early intervention such as changes in diet and physical activity.

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Depression and anxiety in early pregnancy and risk for preeclampsia

Abstract: Depression and anxiety in early pregnancy are associated with risk for subsequent preeclampsia, a risk further increased by bacterial vaginosis.

Cited by 391 publications

References 31 publications

Preeclampsia and depression: a case–control study in Tehran

Preeclampsia and depression: a case–control study in Tehran

Are women with a history of abuse more vulnerable to perinatal depressive symptoms? A systematic review

Associations of anxiety disorders, depressive disorders and body weight with hypertension during pregnancy

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