Multicentre prospective study of perinatal depression in Japan: incidence and correlates of antenatal and postnatal depression

Kitamura, Toshinori; Yoshida, Keiko; Okano, Tadaharu; Kinoshita, Katsuyuki; Hayashi, Momoko; Toyoda, Nagayasu; Ito, Masazumi; Kudo, Naoki; Tada, Kazuhiro; Kanazawa, Kazuki; Sakumoto, Kaoru; Satoh, Shinji; Furukawa, Toshi A; Nakano, Hitoo

doi:10.1007/s00737-006-0122-3

Cited by 160 publications

(142 citation statements)

References 52 publications

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“…Two prospective studies indicated that 1.7% to 4.0% of mothers had new-onset of OCD after childbirth (45,51). When childbearing female patients with OCD attending a clinical setting were retrospectively assessed, the postpartum period was associated with an onset of OCD up to 50% (46)(47)(48)(49)53).…”

Section: Incidencementioning

confidence: 99%

Epidemiology and clinical features of obsessive-compulsive disorder during pregnancy and postpartum period: a review

Uğuz¹,

Ayhan²

2011

JMOOD

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Gebelik ve postpartum dönemde obsesif kompulsif bozukluğun epidemiyolojisi ve klinik öze-likleri: Bir gözden geçirme Bu makale obsesif kompulsif bozukluğun (OKB) gebelik ve postpartum dönemde epidemiyolojisi ve klinik özel-likleri ile ilgili güncel literatürü gözden geçirmektedir. Konu ile ilgili bildiriler önemli sınırlılıklar ve farklı sonuç-lara içermektedir. Bununla birlikte OKB'nin prevalans ve insidans oranları genel toplumda bildirilenlere göre bu iki dönemde daha yüksektir. Gebelik ve puerperiumda en sık obsesyonlar bulaşma ve saldırganlık obsesyonlarıdır. Saldırganlık obsesyonları postpartum dönemdeki kadınlarda bu dönemde olmayan kadınlara göre daha sık gözlenmektedir. Sonuç olarak, gebelik ve postpartum dönemler OKB'nin ortaya çıkmasında riskli dönemler olarak görünmektedir. Dolayısıyla bu dönemde olan kadınlar OKB yönünden taranmalıdır. Epidemiology and clinical features of obsessivecompulsive disorder during pregnancy and postpartum period: a reviewIn this study we reviewed the current literature on the epidemiology and clinical features of obsessive-compulsive disorder (OCD) during pregnancy and postpartum period. The available reports on this topic have significant limitations and heterogenous methods. However, the prevalence and incidence rates of OCD reported during these two reproductive periods are higher than the rates estimated in the general population. The most common obsessions in pregnancy and puerperium were contamination and aggressive obsessions. Aggressive obsessions are observed more frequently in postpartum women compared to non-postpartum women. Pregnancy and postpartum periods appear to be risk periods for new-onset OCD. For this reason, pregnant and postpartum women should be screened with respect to OCD.

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Section: Incidencementioning

confidence: 99%

Epidemiology and clinical features of obsessive-compulsive disorder during pregnancy and postpartum period: a review

Uğuz¹,

Ayhan²

2011

JMOOD

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“…These home visits were primarily geared towards groups prone to child abuse, i.e., women with unwanted pregnancies, pregnant adolescents and low-income families [5][6][7]. On the other hand, several studies have been made on the association between unwanted pregnancies and perinatal depression [8][9][10]. In Japan, a home visiting program, Boshi-AiikuKai, has been sponsored by the Mother-Child Nursing Association since the 1930s.…”

Section: Introductionmentioning

confidence: 99%

Approach to perinatal mental health and child abuse prevention in Japanese prefectural health centers

Sugishita¹,

Kurihara²,

Murayama³

et al. 2013

Health

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The aim of this study was to conduct a nationwide survey in Japan of prefectural health centers, which were responsible for providing guidance to municipalities. The survey was performed in order to clarify the following issues: 1) the current level of support provided by prefectural centers for pre-and post-natal mental health; 2) the structures in place for providing consultation services for an "unwanted pregnancy" and the support available for high-risk cases; and 3) the advice available on postpartum maternal psychological screening, and interpretation of results of such screening. Questionnaires were sent by post to 394 prefectural health centers, of which 277 (70.3%) responded. A total of 32% of prefectural health centers confirmed that they had offered support to high-risk cases during pregnancy, and 72% had offered support post-partum. Regarding offering support to high-risk mothers, those prefectural health centers that did provide consultation services (n = 59) reported providing introductions and information about available facilities (P < 0.001) and conducting case conferences (P < 0.002). This was significantly different than prefectural health centers that did not provide consultation services (n = 198). At the prefectural health centers that "follow up on" the results of the mental health screening, psychiatry consultations were reported twice as often as the prefectural health centers that did "not follow up on" the results of mental health screening. These findings indicate that childcare support systems for postpartum mental health and the prevention of child abuse were established. However, the lack of prenatal health and support systems for the prenatal period remains an issue.

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“…Thus, prevalence rates of depression during pregnancy were significantly higher in low-income countries. The main risk factors associated with these differences are past history of psychiatric disorders, poor antenatal care, poor nutrition, stressful life events, economic deprivation and gender based violence, which are more prevalent in developing countries 4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29 .…”

Section: Introductionmentioning

confidence: 99%

Depression during pregnancy: prevalence and risk factors among women attending a public health clinic in Rio de Janeiro, Brazil

et al. 2009

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Depression is the most prevalent psychiatric disorder during pregnancy and is associated with psychosocial and clinical obstetric factors. Despite being an important public health issue, there are few studies about this issue in Brazil. A cross-sectional study was carried out, involving 331 pregnant women attending a public primary health service over a one-year period in Rio de Janeiro city, Brazil. Participants were interviewed about their socio-demographic status, obstetric/medical conditions, life events and violence during pregnancy. Depression was assessed using the Composite International Development Interview. The prevalence of depression during pregnancy was 14.2% (95%CI: 10.7-18.5) and associated factors included: previous history of depression and any psychiatric treatment, unplanned pregnancy, serious physical illness and casual jobs. These data emphasize the need for screening for depression and its risk factors during pregnancy in settings where care is available. Psychosocial interventions and social policies need to be devised for this population.

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Multicentre prospective study of perinatal depression in Japan: incidence and correlates of antenatal and postnatal depression

Cited by 160 publications

References 52 publications

Epidemiology and clinical features of obsessive-compulsive disorder during pregnancy and postpartum period: a review

Epidemiology and clinical features of obsessive-compulsive disorder during pregnancy and postpartum period: a review

Approach to perinatal mental health and child abuse prevention in Japanese prefectural health centers

Depression during pregnancy: prevalence and risk factors among women attending a public health clinic in Rio de Janeiro, Brazil

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