Obstetric and psychosocial risk factors for depressive symptoms during pregnancy

Dudás, Róbert B.; Csatordai, Sarolta; Devosa, Iván; Töreki, Annamária; Andó, Bálint; Barabás, Katalin; Pál, Attila; Kozinszky, Zoltán

doi:10.1016/j.psychres.2012.04.017

Cited by 30 publications

(40 citation statements)

References 27 publications

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“…Depression during pregnancy is a risk factor for adverse outcomes for mothers and children [8]. In addition, there is an increased risk of depression during pregnancy [9][10][11][12][13]. In a study from Iran, the total depression prevalence was 16% [3].…”

Section: Introductionmentioning

confidence: 99%

The relationship between alexithymia and general symptoms of pregnant women

Gilanifar

Delavar

2017

Romanian Journal of Internal Medicine

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Introduction. Alexithymia is related to poor emotion regulation strategies as well as higher rates of somatic disorders. The aim of the present study was to assess the relationship between alexithymia and the general symptoms experienced by the pregnant women.Material and Methods. In a cross-sectional study, a total number of 350 pregnant women, attending the antenatal clinics, were randomly selected. A standardized Toronto Alexithymia Scale (TAS-20) was used to elicit responses from participants with alexithymia. The general symptoms scores were measured using the Iranian version of the Symptom Checklist-90-Revised, 90 items. The statistical associations between alexithymia and the general symptoms were then investigated through liner regression.Results. A total number of 186 of pregnant women with alexithymia were compared with the 164 cases without alexithymia. The high scores on Total Toronto Alexithymia Scale-20 and the difficulties to identify feelings emerged as major predictors for the current psychopathology on all SCL-90-R subscales. The difficulty in describing feelings features of alexithymia is positively associated with interpersonal sensitivity and paranoid ideation, but it is inversely associated with the phobic anxiety dimension.Conclusion. This study showed that the pregnant women with difficulty in describing feelings features of alexithymia are likely to show a broad range of psychopathology. Therefore, it is necessary to emphasize the benefits of specific psychotherapeutic techniques to improve self-differentiation so that we can reduce the likelihood of mental illnesses in pregnant women.

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Section: Introductionmentioning

confidence: 99%

The relationship between alexithymia and general symptoms of pregnant women

Gilanifar

Delavar

2017

Romanian Journal of Internal Medicine

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“…Török eredményei [14] szerint 8,12 az EPDS-átlag a szülés utáni harmadik napon, 7,93 pedig 3-9 hónap múlva, összevetve a mi mintánk 3,66 és 3,74 pontjával. Az eltéréseket okozhatja a minták közötti elemszámkü-lönbség, valamint, hogy a jelenlegi vizsgálatban nagyobb arányban volt tervezett a várandósság, amely protektív faktor lehet a tünetekkel szemben [11][12][13]. Az eltérést okozhatta továbbá a kérdőív felvételének eltérő ideje.…”

Section: Megbeszélésunclassified

“…Ilyen a nem tervezett várandósság, amely esetén eredményeink szerint mind a négy mérési időpontban szignifikánsan magasabbak voltak az EPDS-átlagpontszámok, akárcsak korábbi vizsgálatokban [11][12][13]. Török [14] eredménye alapján pedig a patológiás pontértékű csoportban nagyobb arányban van a nem tervezett várandósságok ará-nya a tervezetthez képest.…”

Section: Megbeszélésunclassified

“…Rizikófaktor lehet a támogatás hiánya, egyedülálló családi állapot is [11,15]. A mi eredményeink szerint, akik egyedül éltek, azoknál a harmadik trimeszter kivéte-lével mindhárom mérési alkalom esetén magasabb volt az EPDS-átlagpontszám, bár csak a második trimeszterben volt szignifikáns.…”

Section: Megbeszélésunclassified

“…A perinatalis depresszió kialakulásának több rizikófak-tora is van, többek között a nem tervezett várandósság [11][12][13][14], a fiatalabb életkor [1,13,15], illetve, ha egyedülálló vagy özvegy az illető [11,14,15]. Ugyanakkor a primiparitás rizikócsökkentő hatású lehet [11].…”

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A hangulati állapot alakulásának kockázati tényezői a perinatalis időszakban

et al. 2017

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Bevezetés: 2011 áprilisában bevezetésre került Szegeden a perinatalis depressziószűrés. Célkitűzés: A depresszív tüne-tek mértékének felderítése, illetve a perinatalis hangulati állapotváltozás kockázati tényezőinek vizsgálata. Módszer: Az Edinburgh Postnatal Depression Scale kérdőívet védőnők adtak át négy alkalommal a 3849 résztvevőnek. Eredmé-nyek: Az első trimeszterben a legmagasabb az átlagpontszám (3,74), amely szignifikánsan eltér a többi mérési alkalométól. A patológiás arány is ebben az időszakban volt a legmagasabb (10,8%). Pozitív, közepes erősségű korreláció volt a mérési alkalmak depressziópontjai között, illetve összefüggést találtunk a magasabb szűréspontszámok és az alacsonyabb születési súly között. A magasabb átlagpontszámokkal tendenciaszerű összefüggés mutatkozott az epiduralis érzéstelenítés esetén, szignifikáns pedig a nem tervezettség, a 26 év alatti vagy 34 év fölötti életkor, egyedül-álló családi állapot és a multiparitás függvényében. Következtetések: Az első trimeszterben már kimutatható pszichés változások vannak, valamint összefüggés van a különböző szociodemográfiai faktorok és a pszichés mutatók között. Ennek elkerülése érdekében fontos a depressziószűrés és a pszichológiai intervenció. Orv. Hetil., 2017, 158(4), 139-146. Kulcsszavak: depressziószűrés, várandósgondozás, védőnők The risk factors of mood changing during the perinatal periodIntroduction: The screening of perinatal depression was introduced in Szeged in April 2011. Aim: Our aim was to assess the extent of perinatal mood changing and to explore the risk factors of it. Method: Perinatal nurses gave the Edinburgh Postnatal Depression Scale to the 3849 participants four times. Results: In the first trimester were the highest average scores (3.74) and pathological rate (10.8%) compared to the other measurement occasions. There was a positive correlation between the scores of the measurement occasions. The higher average scores related to the epidural anesthesia almost significantly, but significantly to the low birth weight, unplanned pregnancies, younger and older age, single marital status and multiparity of the participant. Conclusions: Even the first trimester is sensitive to pathological mood changes, which besides with other factors could be risk factors to postpartum depression. To avoid this it is important to continue the screening and provide adequate help.

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Associations of Unintended Pregnancy With Maternal and Infant Health Outcomes

Nelson

Darney

Ahrens

et al. 2022

JAMA

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ImportanceUnintended pregnancy is common in the US and is associated with adverse maternal and infant health outcomes; however, estimates of these associations specific to current US populations are lacking.ObjectiveTo evaluate associations of unintended pregnancy with maternal and infant health outcomes during pregnancy and post partum with studies relevant to current clinical practice and public health in the US.Data SourcesCochrane Central Register of Controlled Trials and Database of Systematic Reviews, PsycINFO, SocINDEX, and MEDLINE databases (January 1, 2000, to June 15, 2022) and manual review of reference lists.Study SelectionEpidemiologic studies relevant to US populations that compared key maternal and infant health outcomes for unintended vs intended pregnancies and met prespecified eligibility criteria were included after investigators’ independent dual review of abstracts and full-text articles.Data Extraction and SynthesisInvestigators abstracted data from publications on study methods, participant characteristics, settings, pregnancy intention, comparators, confounders, and outcomes; data were validated by a second investigator. Risk of bias was independently dual rated by investigators using criteria developed by the US Preventive Services Task Force. Results of studies controlling for confounders were combined by using a profile likelihood random-effects model.Main Outcomes and MeasuresPrenatal depression, postpartum depression, maternal experience of interpersonal violence, preterm birth, and infant low birth weight.ResultsThirty-six studies (N = 524 522 participants) were included (14 cohort studies rated good or fair quality; 22 cross-sectional studies); 12 studies used large population-based data sources. Compared with intended pregnancy, unintended pregnancy was significantly associated with higher odds of depression during pregnancy (23.3% vs 13.9%; adjusted odds ratio [aOR], 1.59 [95% CI, 1.35-1.92]; I2 = 85.0%; 15 studies [n = 41 054]) and post partum (15.7% vs 9.6%; aOR, 1.51 [95% CI, 1.40-1.70]; I2 = 7.1%; 10 studies [n = 82 673]), interpersonal violence (14.6% vs 5.5%; aOR, 2.22 [95% CI, 1.41-2.91]; I2 = 64.1%; 5 studies [n = 42 306]), preterm birth (9.4% vs 7.7%; aOR, 1.21 [95% CI, 1.12-1.31]; I2 = 1.7%; 10 studies [n = 94 351]), and infant low birth weight (7.3% vs 5.2%; aOR, 1.09 [95% CI, 1.02-1.21]; I2 = 0.0%; 8 studies [n = 87 547]). Results were similar in sensitivity analyses based on controlling for history of depression for prenatal and postpartum depression and on study design and definition of unintended pregnancy for relevant outcomes. Studies provided limited sociodemographic data and measurement of confounders and outcomes varied.Conclusions and RelevanceIn this systematic review and meta-analysis of epidemiologic observational studies relevant to US populations, unintended pregnancy, compared with intended pregnancy, was significantly associated with adverse maternal and infant outcomes.Trial RegistrationPROSPERO Identifier: CRD42020192981

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Obstetric and psychosocial risk factors for depressive symptoms during pregnancy

Cited by 30 publications

References 27 publications

The relationship between alexithymia and general symptoms of pregnant women

The relationship between alexithymia and general symptoms of pregnant women

A hangulati állapot alakulásának kockázati tényezői a perinatalis időszakban

Associations of Unintended Pregnancy With Maternal and Infant Health Outcomes

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