Dimensions of depressive symptomatology in mothers derived from factor analyses

Saldaña, Kathryn S.; Shaffer, Jonathan A.; Everhart, Kevin D.; Kim, Susan L; Kaplan, Peter S.

doi:10.1007/s00404-021-06318-x

Cited by 4 publications

(4 citation statements)

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“…Mood symptoms during pregnancy and the postpartum period have been linked and are often screened for but still underdiagnosed [ 28 ]. The most common symptoms during pregnancy—especially postpartum—are anxiety in its variations, excessive worry for fetal or newborn health, cognitive-affective depressive symptoms, suicidal or self-judgmental thoughts, and somatic symptoms such as sleep, fatigue, and appetite changes [ 29 ]. In a large systematic review article by Grigoriadis et al [ 30 ] that included 29 original articles, anxiety during pregnancy was associated with adverse newborn outcomes such as preterm delivery, as well as lower birth weight and a smaller head circumference.…”

Section: Introductionmentioning

confidence: 99%

Sleep disturbances and depressive and anxiety symptoms during pregnancy: associations with delivery and newborn health

Peltonen

Paavonen

Saarenpää‐Heikkilä

et al. 2022

Arch Gynecol Obstet

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Background Sleep disturbances and mood symptoms are common in late pregnancy; according to the literature, they can affect delivery and newborn outcomes. This study evaluated the effect of sleep and mood symptoms on delivery and newborn health, because there are insufficient and partly contradictory studies on the topic. Methods A cohort of 1414 mothers in their third trimester was enrolled in this prospective cross-sectional questionnaire study. Validated questionnaires were assessed for the measurement of sleep disturbances and depressive and anxiety symptoms. The data on delivery and newborn outcomes were obtained from hospital medical records. Results Sleep disturbances were very common. A higher insomnia score (β = − 0.06, p = 0.047) and longer sleep need (β = 0.07, p = 0.047) were related to delivery at a lower gestational age. In addition, a higher insomnia score (β = − 28.30, p = 0.010) and lower general sleep quality (β = − 62.15, p = 0.025) were associated with lower birth weight, but longer sleep duration and longer sleep need with a higher birth weight (β = 28.06, p = 0.019; β = 27.61, p = 0.028, respectively). However, the findings regarding birth weight lost their significance when the birth weight was standardized by gestational weeks. Concerning Apgar scores and umbilical artery pH, no associations were found. Snoring was associated with a shorter duration of the first phase of delivery (β = − 78.71, p = 0.015) and total duration of delivery (β = − 79.85, p = 0.016). Mothers with higher insomnia, depressive, or anxiety symptoms were more often treated with oxytocin (OR 1.54 95% CI 1.00–2.38, p = 0.049, OR 1.76, 95% CI 1.02–3.04, p = 0.049 and OR 1.91, CI 95% 1.28–2.84, p < 0.001, respectively) and those with higher depressive and anxiety symptoms were delivered more often with elective cesarean section (OR 4.67, 95% CI 2.04–12.68, p < 0.001 and OR 2.22, 95% CI 1.03–4.79, p = 0.042). Conclusions Maternal sleep disturbances and mood symptoms during pregnancy are associated with delivery and newborn health. However, nearly, all the outcomes fell within a normal range, implying that the actual risks are low.

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Section: Introductionmentioning

confidence: 99%

Sleep disturbances and depressive and anxiety symptoms during pregnancy: associations with delivery and newborn health

Peltonen

Paavonen

Saarenpää‐Heikkilä

et al. 2022

Arch Gynecol Obstet

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“…Depression Screening Scale, and Hamilton Depression Rating Scale) in their studies, identi ed distinct subtypes demonstrating comorbid anxiety and cognitive symptoms. Both these studies also identi ed a symptom dimension exhibiting insomnia symptoms (22,29).…”

Section: Eastwood Et Al Considered Psychosocial Strati Cation Of Ante...mentioning

confidence: 99%

“…Six studies (21,22,(27)(28)(29)(30) reported clinical phenotypes of PND based on symptoms of perinatal depression, utilizing a mixture of techniques: LCA, k-means cluster analysis, two-step cluster analysis, factor analysis, and logistic regression and mixed model analyses. These studies presented three to ve distinct subtypes of perinatal depression.…”

Section: Eastwood Et Al Considered Psychosocial Strati Cation Of Ante...mentioning

confidence: 99%

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Exploring Heterogeneity in perinatal depression: a systematic review

Ahmed

Nadeem

Rahman

2023

Preprint

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Perinatal depression (PND) is a significant contributor to maternal morbidity globally. Recognized as a major cause of poor infant development, epidemiological and interventional research on it has increased over the last decade. Recently, studies have pointed out that PND is a heterogeneous condition, not a homogenous latent entity and a concrete diagnosis, as previously conceptualized in psychometric literature and diagnostic systems. Therefore, it is pertinent that researchers recognize this to progress in elucidating its aetiology and developing efficacious interventions. This systematic review aims to provide an updated and comprehensive account of research on heterogeneity in PND and its implications in research, public health, and clinical practice. It provides a synthesis and quality assessment of studies reporting heterogeneity in PND using cutting-edge statistical techniques and machine learning algorithms. After reporting the heterogeneous trajectories and symptom profiles of PND, it also elucidates the risk factors associated with severe forms of PND, followed by robust evidence for adverse child outcomes. Furthermore, recommendations are made to improve public health and clinical practice in screening, diagnosis, and treatment of PND.

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