Depressive symptoms and comorbid problems in pregnancy - results from a population based study

Pampaka, Despina; Papatheodorou, Stefania; AlSeaidan, Mohammad; Wotayan, Rihab Al; Wright, Rosalind John; Buring, Julie E.; Dockery, Douglas W.; Christophi, Christopher

doi:10.1016/j.jpsychores.2018.06.011

Cited by 45 publications

(36 citation statements)

References 40 publications

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“…The prevalence of pregnancy-related anxiety in our sample is similar to the reported prevalence in Saudi Arabia (n = 195,23.6%) ( Alqahtani et al., 2018 ). Our results suggest that the prevalence of pregnancy-related anxiety reported in Qatar is higher than in a neighbouring Arab country, Kuwait (n = 279,15%) ( Pampaka et al., 2018 ) as well as being higher than Tanzania (n = 53, 25%) ( Wall et al., 2018 ). The comparison is relevant as both studies used the same measurement tool and representative sample.…”

Section: Discussionmentioning

confidence: 50%

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Generalized and pregnancy-related anxiety prevalence and predictors among pregnant women attending primary health care in Qatar, 2018–2019

Naja

Kubaisi

Singh

et al. 2020

Heliyon

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Background Cumulative evidence suggests that early identification of anxiety in pregnancy is important, given that antenatal anxiety has been linked to morbid outcomes in expecting mothers and their offspring. However, the burden of antenatal anxiety is not yet known in Qatar. This research aims to measure the prevalence and determinants of generalized and pregnancy-related anxiety among pregnant women. Methods Eight hundred pregnant women completed a structured interview and self-administrated questionnaires after being selected through probability sampling from nine primary healthcare centers distributed across Qatar. We subjected the data to Binary and Multiple Logistic Regression Analysis. Furthermore, we conducted a Confirmatory Factor Analysis for the utilized scales. Results Out of eight hundred participants, 26.5% reported high pregnancy-related anxiety, while 16.4% had a generalized anxiety disorder. A high level of perceived social support and resilience was shown to mitigate generalized and pregnancy-related anxiety. However, we revealed that different determinants influence the two types of anxiety. Limitations There is no recognized optimal cut-off point to distinguish ‘high risk’ in pregnancy-related anxiety scales. Conclusions Pregnancy-related anxiety is more prevalent than generalized anxiety among pregnant women in Qatar, indicating that stakeholders must include screening for pregnancy-related anxiety in Qatar's clinical guidelines. Tailored interventional studies could focus on increasing resilience and social support to decrease the burden of antenatal anxiety.

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Section: Discussionmentioning

confidence: 50%

“…Nevertheless, limited studies have investigated pregnancy-related anxiety. Pampaka et al. (2018) reported that 15% of pregnant women had a high level of pregnancy-related anxiety in Kuwait.…”

Section: Introductionmentioning

confidence: 99%

Generalized and pregnancy-related anxiety prevalence and predictors among pregnant women attending primary health care in Qatar, 2018–2019

Naja

Kubaisi

Singh

et al. 2020

Heliyon

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“…In this respect, although differences have been reported across studies due to the methodological approaches used, the prevalence of anxiety disorders among pregnant women has been found to be approximately 15% (Dennis et al, 2017). Antenatal depression, on its side, has been reported to affect 10-20% of expectant mothers-depending on the different cut-off scores used in the studies (Zaers et al, 2008;Pampaka et al, 2018;Sunnqvist et al, 2018).…”

Section: Psychological Well-being Of Expectant Mothersmentioning

confidence: 99%

“…Research on postpartum women has identified a wide range of clinical conditions that may impact on their well-being following childbirth: from the more common baby blues, that is a physiological and transitory condition (Rezaie-Keikhaie et al, 2020), to more severe conditions, such as anxiety and mood disorders, puerperal psychosis, and post-traumatic stress disorder (Paulson and Bazemore, 2010;Meltzer-Brody et al, 2017;Mohamied, 2019;Pellowski et al, 2019). Specifically, the prevalence of anxiety spectrum disorders has been found to be around 10% (15% for anxiety symptoms) (Dennis et al, 2017), whilst depressive symptoms have been reported in 10-22% of mothers, depending on the different cut-off scores used in the studies (Zaers et al, 2008;Pampaka et al, 2018;Sunnqvist et al, 2018). Moreover, a considerable number of women have been reported to have had a negative childbirth experience, specifically, the study by King et al (2017) reported that about one-third of the women in the sample described their childbirth as very negative or traumatic.…”

Section: Psychological Well-being Of Postpartum Womenmentioning

confidence: 99%

Motherhood in the Time of Coronavirus: The Impact of the Pandemic Emergency on Expectant and Postpartum Women’s Psychological Well-Being

2020

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The birth of a child is a critical and potentially stressful experience for women, entailing several changes both at the individual and interpersonal level. This event can lead to different forms of distress, ranging in intensity and duration. Many studies highlighted medical, psychological, and social variables as risk factors potentially influencing the onset or aggravation of perinatal maternal conditions. The current pandemic emergency and the restrictive measures adopted by local governments to prevent the spread of the coronavirus infection may negatively affect mothers-to-be and new mothers potentially increasing the likelihood of anxiety, depressive or post-traumatic symptoms to develop. Moreover, the forced quarantine combined with the limited access to professional or family support may increase feelings of fatigue and isolation. The present study aims to investigate women's psychological well-being during pregnancy and in the first months after childbirth, integrating the evaluation of some traditionally studied variables with the specificities of the current situation. 575 Italian women have been administered an online self-report questionnaire assessing the presence of anxiety disorders, depressive and post-traumatic symptoms as well as the expectations toward childbirth (for mothersto-be) or the subjective experience of childbirth (for postpartum women). Findings revealed a higher percentage of women than that reported in the literature scored above the clinical cutoff both during pregnancy and postpartum on a series of measures of psychological well-being, thus demonstrating that this period was perceived as particularly challenging and stressful and had significant impact on the women's wellbeing. Moreover, some socio-demographic, medical, and pandemic-related variables, especially the lack of presence and support from one's partner during labor and delivery as well as in the first days postpartum was found to predict women's mental health. These findings suggest the need for developing specific interventions targeted at women who cannot benefit from the support of their partners or family.

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“…In particular, in the postpartum period, an increasing level of social support provision has a positive effect on decreasing depression risk [16,17]. During the antenatal period, depressive symptoms are indeed as prevalent amongst pregnant women [18], and its risk has similarly been shown to be reduced with having good social support [19]. Antenatal events and social circumstances, such as disease during pregnancy, family dissatisfaction or social isolation, have also been identi ed as risk factors for postnatal depression [11,20].…”

Section: Introductionmentioning

confidence: 99%

Psychosocial Stratification of Antenatal Indicators to Guide Population-Based Programs in Perinatal Depression

Eastwood

Wang

Khanlari

et al. 2020

Preprint

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Background: There is increasing awareness that perinatal psychosocial adversity experienced by mothers, children, and their families, may influence health and well-being across the life course. To maximise the impact of population-based interventions for optimising perinatal wellbeing, health services can utilise empirical methods to identify subgroups at highest risk of poor outcomes relative to the overall population. Methods: This study sought to identify sub-groups using latent class analysis within a population of mothers in Sydney, Australia, based on their differing experience of self-reported indicators of psychosocial adversity. Subgroups differences in antenatal and postnatal depressive symptoms were then assessed, as measured by Edinburgh Postnatal Depression Scale scores recorded at antenatal booking and early postnatal assessments, respectively.Results: Latent class analysis identified four distinct subgroups within the cohort, who were distinguished empirically on the basis of their native language, current smoking status, previous involvement with Family-and-Community Services (FaCS), history of child abuse, presence of a supportive partner, and a history of intimate partner psychological violence. One group consisted of socially supported ‘local’ women who speak English as their primary language (Group L), another of socially supported ‘migrant’ women who speak a language other than English as their primary language (Group M), another of socially stressed ‘local’ women who speak English as their primary language (Group Ls), and socially stressed ‘migrant’ women who speak a language other than English as their primary language (Group Ms). Compared to local and not socially stressed residents (L group), the odds of antenatal depression were nearly three times higher for the socially stressed groups (Ls OR: 2.87 95%CI 2.10-3.94) and nearly nine times more in the Ms group (Ms OR: 8.78, 95%CI 5.13-15.03). Antenatal symptoms of depression were also higher in the not socially stressed migrant group (M OR: 1.70 95%CI 1.47-1.97) compared to non-migrants. In the postnatal period, Group M was 1.5 times more likely, while Ms group was over five times more likely, to experience suboptimal mental health compared to Group L (OR 1.50, 95%CI 1.22-1.84; and OR 5.28, 95%CI 2.63-10.63, for M and Ms respectively). Conclusions: This study demonstrates that it is possible to stratify pregnant women into subpopulations using their demographic and psychosocial characteristics, to identify those at greatest risk of suboptimal mental health in the antenatal and postnatal periods. The application of empirical subgrouping analysis permits an informed approach to targeted resource allocation for optimising perinatal maternal wellbeing.

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Depressive symptoms and comorbid problems in pregnancy - results from a population based study

Cited by 45 publications

References 40 publications

Generalized and pregnancy-related anxiety prevalence and predictors among pregnant women attending primary health care in Qatar, 2018–2019

Generalized and pregnancy-related anxiety prevalence and predictors among pregnant women attending primary health care in Qatar, 2018–2019

Motherhood in the Time of Coronavirus: The Impact of the Pandemic Emergency on Expectant and Postpartum Women’s Psychological Well-Being

Psychosocial Stratification of Antenatal Indicators to Guide Population-Based Programs in Perinatal Depression

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