Path analysis of influencing factors for prenatal depressive symptoms in pregnant women

Jiang, Ting; Tuxunjiang, Xiabidan; Wumaier, Gulijianati; Li, Xue; Li, Ling

doi:10.1016/j.jad.2022.08.076

Cited by 1 publication

(6 citation statements)

References 25 publications

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“…In a Chinese study using the same depression scale, the detection rate was lower than that recorded in Beijing (24.3%) ( 27 ) and higher than that reported in Shenzhen (6.9%) ( 12 ). Compared with studies that used the same depression assessment scale in other countries, the incidence of depressive symptoms in this study was comparable to that in Urumqi (13.6%) ( 1 ). This may be attributed to differences in study design, cultural context, economic conditions, and regions.…”

Section: Discussionsupporting

confidence: 56%

“…Therefore, a cut-off value of 10 points was adopted in the present study. The PHQ-9 has been widely used to assess depressive symptoms in pregnant women in many countries, including China, and has high internal consistency ( 1 , 12 , 27 , 28 ). Herein, the Cronbach's α was 0.857.…”

Section: Methodsmentioning

confidence: 99%

“…Depression is a common mental health problem worldwide, affecting >30 million people of all ages ( 1 ). Pregnant women are at an especially high risk of developing depression ( 2 ).…”

Section: Introductionmentioning

confidence: 99%

“…Previous research regarding maternal depression during the COVID-19 pandemic has revealed that several biological, psychological, and social factors are associated with maternal depression. The biological factors include cervical insufficiency and a history of psychiatric illness ( 8 , 19 ) and the psychological factors include psychological preparation for pregnancy, anxiety, pregnancy stress, and fear related to COVID-19 ( 1 , 11 ). The social factors include occupation, total monthly income, living status, pregnancy knowledge, intimate partner violence, and critical health literacy ( 1 , 12 , 22 ).…”

Section: Introductionmentioning

confidence: 99%

“…The biological factors include cervical insufficiency and a history of psychiatric illness ( 8 , 19 ) and the psychological factors include psychological preparation for pregnancy, anxiety, pregnancy stress, and fear related to COVID-19 ( 1 , 11 ). The social factors include occupation, total monthly income, living status, pregnancy knowledge, intimate partner violence, and critical health literacy ( 1 , 12 , 22 ). However, most studies have simply analyzed the influencing factors of depression in pregnant women from several aspects, and a more comprehensive analysis is needed.…”

Section: Introductionmentioning

confidence: 99%

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Effect of biological, psychological, and social factors on maternal depressive symptoms in late pregnancy: a cross-sectional study

Chen,

Liu,

Min

et al. 2023

Front. Psychiatry

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IntroductionDepression commonly occurs during pregnancy and has become a major public health concern. Depression not only affects the individual but also causes adverse consequences for families and children. However, little is known regarding the depression status and its influencing factors in women during late pregnancy in China. This study aimed to assess the prevalence of maternal depressive symptoms in late pregnancy during the coronavirus disease 2019 (COVID-19) pandemic and further explore the effect of biological, psychological, and social factors on depressive symptoms.MethodsAn institution-based cross-sectional survey was conducted among eligible women in the late pregnancy stage and underwent prenatal examination at Lianyungang Maternal and Child Health Hospital in Jiangsu Province, Eastern China from December 2022 to February 2023. Data regarding depressive symptoms and biological, psychological, and social factors of the pregnant women were collected via a structured questionnaire. Chi-square test, Fisher's exact tests, and binary logistics regression were used to analyze the data.ResultsIn total, 535 women in the late pregnancy stage were included in this study, 75 (14.0%) of whom exhibited depressive symptoms. A binary logistic regression analysis revealed that pregnant women who were multiparous (OR: 2.420, 95% CI: 1.188–4.932) and had moderate or severe insomnia symptoms (OR: 4.641, 95% CI: 1.787–12.057), anxiety (OR: 8.879, 95% CI: 4.387–17.971), high fear of COVID-19 (OR: 2.555, 95% CI: 1.255–5.199), moderate or severe family dysfunction (OR: 2.256, 95% CI: 1.141–4.461), and poor social support (OR: 2.580, 95% CI: 1.050–6.337) tended to show depressive symptoms. Conversely, pregnant women who received regular prenatal care (OR: 0.481, 95% CI: 0.243–0.951) and had good drinking water quality at home (OR: 0.493, 95% CI: 0.247–0.984) were more likely to avoid developing depressive symptoms.ConclusionThis study found that the prevalence of maternal depressive symptoms during late pregnancy was high and had multiple influencing factors. Thus, screening for depressive symptoms in women in the late pregnancy stage and providing special intervention programs are necessary, especially for those with risk factors.

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Section: Discussionsupporting

confidence: 56%

Section: Methodsmentioning

confidence: 99%

“…Depression is a common mental health problem worldwide, affecting >30 million people of all ages ( 1 ). Pregnant women are at an especially high risk of developing depression ( 2 ).…”

Section: Introductionmentioning

confidence: 99%