Depression and Suicidality During Pregnancy

Mikšić, Štefica; Miškulin, Maja; Juranić, Brankica; Rakošec, Željko; Včev, Aleksandar; Degmečić, Dunja

doi:10.24869/psyd.2018.85

Cited by 41 publications

(23 citation statements)

References 21 publications

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“…Due to hormonal and anatomical changes and other factors including heavier care burdens, pregnant and postnatal women are more likely to suffer from psychological disturbances, particularly depression [25]. In this study, the prevalence of depression was 7.45% (95%CI: 5.87-9.04%) among pregnant and postpartum women, a rate that was lower than estimates from recent China-based meta-analyses [11,12].…”

Section: Discussioncontrasting

confidence: 68%

WITHDRAWN: The Prevalence of Depression and Its Association With Quality of Life Among Pregnant and Postnatal Women in China: A Multicenter Study

Yang

Zhang

et al. 2020

Preprint

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Background: This study examined the prevalence of depressive symptoms (depression hereafter) and its association with quality of life (QOL) among pregnant and postnatal women in China.Methods: In this multicenter, cross-sectional study, 1,060 pregnant and postnatal women from eight hospitals were assessed. Depression and QOL were measured using standardized instruments.Results: The prevalence of depression was 7.45% (95%CI: 5.87%-9.04%) in the sample. Women with depression had lower QOL in physical, psychological, social and environmental domains compared to those without. Women with physical comorbidities were more likely to suffer from depression (OR=2.391, 95%CI=1.384-4.130, P=0.002).Conclusion: Due to its negative association with QOL, increased attention should be paid to depression in pregnant and postnatal women. Regular screening assessment and preventive measures should be adopted to reduce risk of depression in this population.

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Section: Discussioncontrasting

confidence: 68%

WITHDRAWN: The Prevalence of Depression and Its Association With Quality of Life Among Pregnant and Postnatal Women in China: A Multicenter Study

Yang

Zhang

et al. 2020

Preprint

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“…A literatura internacional reporta prevalência aproximada de 25% 2 , com aumento ligeiro no terceiro trimestre de gestação [23][24] . Estudos recentes referem prevalência de sintomatologia depressiva pré-natal de 23,4% 25 no termo da gestação (entre 37 e 39 semanas), valores inferiores à prevalência obtida neste estudo. Diferentes estudos apontam para o aumento de alterações do sono durante a gestação 26 .…”

Section: Discussionunclassified

“…No presente estudo, a avaliação da consistência interna da PDSS 24 demonstrou que a confiabilidade aumentava com a exclusão do item F4 -"Dificuldades em dormir". Isso revela uma associação plausível entre a prevalência da sintomatologia depressiva pré-natal obtida (superior à da literatura internacional e nacional 2,[22][23][24][25] ) e a elevada prevalência de alterações do padrão de sono no período final da gravidez. Essa associação traduz-se, possivelmente, numa sobrestimação da prevalência de sintomatologia depressiva pré-natal, neste estudo.…”

Section: Discussionunclassified

Sintomatologia depressiva no termo da gestação, em mulheres de baixo risco

Silva

Ferreira

Basílio

et al. 2019

J. bras. psiquiatr.

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RESUMO Objetivos Calcular a prevalência de sintomatologia depressiva pré-natal em grávidas de baixo risco, no termo da gestação, avaliar seus preditores e desfechos materno-fetais. Para tal, avaliar-se-á a aplicabilidade da Escala de Rastreio de Depressão Pós-Parto (PDSS 24) nessa fase da gravidez. Métodos A PDSS 24 e um questionário sociodemográfico, psicossocial e médico (antecedentes obstétricos e patológicos) foram autoaplicados a 403 grávidas (37-40 semanas de gestação), com idade média de 30,5 anos (DP = 4,67). Por meio do processo clínico, foram recolhidos dados de resultados materno-fetais. Resultados A PDSS 24 possui propriedades psicométricas adequadas para a deteção de sintomatologia depressiva pré-natal. A prevalência de sintomatologia depressiva pré-natal foi de 41,7%. Grávidas com níveis de escolaridade inferiores, não casadas, cuja gravidez não foi planejada e com antecedentes de acontecimentos de vida significativos apresentam risco duas vezes superior de sintomatologia depressiva no período pré-natal. Grávidas cujo apoio social percebido ao longo da gravidez não correspondeu ao desejado e com história prévia de depressão apresentam cerca de três vezes maior risco sintomatologia depressiva no período pré-natal. Para desfechos materno-fetais (pré-eclâmpsia, restrição de crescimento fetal, Apgar 1º/5º minuto, tipo de parto, percentil de peso, oligoâminos e necessidade de cuidados intensivos), as diferenças foram não significativas. Conclusão O rastreio da depressão pré-natal deve ser realizado na gravidez. Porém, no termo da gestação o uso da PDSS 24 como ferramenta de deteção de sintomatologia depressiva deve ser feito com cautela. A elevada prevalência de sintomas relacionados com o sono nessa fase da gestação pode conduzir ao sobre diagnóstico, usando a PDSS 24.

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“…Mothers who suffer from PPD are also more likely to develop depression in the future 3,4 . PPD is often associated with a high risk of suicide, poor marital relationships, infanticide, and poor child development 5–8 . Accumulative evidence suggests that domestic violence, history of depression, stressful life events, marital dissatisfaction, lack of emotional or social support, anger experience and expression, and foetal or neonatal health problems increase the risk of developing PPD 9–13 .…”

Section: Introductionmentioning

confidence: 99%

Dysmenorrhea increased the risk of postpartum depression in Chinese Han parturients

Meng

Cheng

et al. 2019

Sci Rep

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Several studies have shown that dysmenorrhea increased the risk of depression. However, the association between dysmenorrhea and postpartum depression (PPD) is unclear. The purpose of this study is to evaluate the effects of dysmenorrhea on the development of PPD among Chinese women. A case-control study was performed on parturients who delivered from January 1, 2016, to December 31, 2016, at Bao an Maternal and Child Health Hospital in Shenzhen, China. The Edinburgh Postnatal Depression Scale (EPDS) was used to screen for maternal postpartum depression. Logistic regression models were used to examine the association between dysmenorrhea and the risk of PPD. A total of 360 women including 120 cases and 240 controls were enrolled. Our study showed that parturients with PPD had a higher percentage of dysmenorrhea than women without PPD (64.2% vs 47.9%, P = 0.004). In univariate analysis, we observed that dysmenorrhea increased the risk for PPD (OR = 1.95; 95% CI: 1.24–3.06; P = 0.004). In the fully adjusted model, dysmenorrhea was still significantly associated with an increased risk of PPD (OR = 2.45; 95% CI: 1.36–4.54; P = 0.003). Our data confirmed that dysmenorrhea may be a risk factor for PPD. Therefore, screening for postpartum depression should be considered in parturients with a history of dysmenorrhea.

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Depression and Suicidality During Pregnancy

Cited by 41 publications

References 21 publications

WITHDRAWN: The Prevalence of Depression and Its Association With Quality of Life Among Pregnant and Postnatal Women in China: A Multicenter Study

WITHDRAWN: The Prevalence of Depression and Its Association With Quality of Life Among Pregnant and Postnatal Women in China: A Multicenter Study

Sintomatologia depressiva no termo da gestação, em mulheres de baixo risco

Dysmenorrhea increased the risk of postpartum depression in Chinese Han parturients

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