Point prevalence of psychiatric disorders during the second trimester of pregnancy: A population-based study

Andersson, Linda; Sundström‐Poromaa, Inger; Bixo, Marie; Wulff, Marianne; Bondestam, Karin; Åström, Maria

doi:10.1067/mob.2003.336

Cited by 388 publications

(291 citation statements)

References 21 publications

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“…Research has shown that amplification of certain somatic symptoms among pregnant women may be associated with prenatal depressive disorders (Kelly et al 2001;Anderson et al 2003). Thus, the current study adds to existing research by charting the patterns of depressive symptoms and associated features over the entire course of pregnancy in a large, non-selected group of pregnant women.…”

Section: Introductionmentioning

confidence: 94%

Associated symptoms of depression: patterns of change during pregnancy

Castro

Anderman

Glover

et al. 2017

Arch Womens Ment Health

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Little is known about the natural course of depressive symptoms and associated features throughout pregnancy. We examined the course of some psychological and somatic symptoms in each month of pregnancy in a normative sample. A consecutive, unselected sample of women (N = 374) were interviewed retrospectively at 6 weeks postpartum with the Structured Clinical Interview (DSM-IV). Women were asked whether they had experienced each symptom at any time during pregnancy and the occurrence of the symptom for each month of pregnancy. Associated symptoms of depression showed complex changes across pregnancy. Depressed mood (F(df) = 5.15(1); p = 0.02) showed a quadratic pattern with elevations at the beginning and end of pregnancy. Both linear increases ( a ) and quadratic ( b ) changes over time were observed for sensitivity to criticism (F a (df) = 20.9(1), p a = 0.00; F b (df) = 7.02(1), p b = 0.00), lack of concentration (F a (df) = 37.0(1), p a = 0.00; F b (df) = 10.3(1); p b = 0.00), decreased energy (F a (df) = 13.4(1); p a = 0.00; F b (df) = 62.6(1); p b = 0.00) and feelings of heavy limbs (F a (df) = 92.9(1); p a = 0.00; F b (df) = 67.7(1); p b = 0.00). Only guilt (F(df) = 0.00(1); p = 0.93) showed no significant change over pregnancy. Psychological symptoms changed throughout pregnancy as much as somatic symptoms. A linear increase was found for most symptoms, but significant non-linear changes were also found. The discrepancy between the patterns of depressed mood and most somatic and psychological symptoms suggest complex interactions and potentially important implications for assessment and monitoring treatment.

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Section: Introductionmentioning

confidence: 94%

Associated symptoms of depression: patterns of change during pregnancy

Castro

Anderman

Glover

et al. 2017

Arch Womens Ment Health

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“…A study of 1,795 pregnant women aged 2965 years in the second trimester of gestation showed that 14% had one or more psychiatric disorders, and depression was observed in 10% of the participants. 5 Adolescence is a transitional developmental period, which is plastic from neurobiological, behavioral, and psychological perspectives. There is a high prevalence of depressive, emotional, and behavioral disorders, including substance abuse, among adolescents.…”

Section: Introductionmentioning

confidence: 99%

Depression during gestation in adolescent mothers interferes with neonatal neurobehavior

Barros

Mitsuhiro

Chalem

et al. 2013

Rev. Bras. Psiquiatr.

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Objective: To compare the neurobehavior of neonates born to adolescent mothers with and without depression during gestation. Methods: This prospective cross-sectional study included healthy term neonates born to adolescent mothers with untreated depression during gestation, without exposure to legal or illicit drugs, and compared them with infants born to adolescent mothers without psychiatric disorders. Maternal psychiatric diagnoses were assessed by the Composite International Diagnostic Interview (CIDI 2.1) and neonatal neurobehavior by the Neonatal Intensive Care Unit Network Neurobehavioral Scale (NNNS) at 24 to 72 hours of life. Neurobehavioral outcomes were analyzed by ANOVA adjusted for confounders. Results: 37 infants born to mothers with depression during gestation were compared to 332 infants born to mothers without psychiatric disorders. Infants of mothers with depression had smaller head circumferences. Significant interactions of maternal depression and male gender, gestational age . 40 weeks, regional anesthesia during delivery, vaginal delivery, and infant head circumference o 34 cm were found. Worse performance was noted in the following neonatal neurobehavioral parameters: arousal, excitability, lethargy, hypotonicity, and signs of stress and abstinence. Conclusion: Infants born to adolescent mothers with depression exhibit some behavioral changes in the first days of life. These changes are associated with infant sex, gestational age, type of anesthesia, mode of delivery, and head circumference.

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“…A study in Sweden on pregnant adult women 13 found that Psychiatric disorders were present in 14.1%, Depression in 10.2% and Anxiety disorders in 6.6% of patients. In nonpregnant teenagers, prevalence of Depression found in another study that took place in France 14 was 5.0%.…”

mentioning

confidence: 99%

Teenage pregnancy: use of drugs in the third trimester and prevalence of psychiatric disorders

Mitsuhiro

Chalem

Barros

et al. 2006

Rev. Bras. Psiquiatr.

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A b s t r a c t Objective: To determine the prevalence of psychiatric disorders during pregnancy, the prevalence of cocaine and marijuana use during the third trimester of gestation and the socio-demographic characteristics of a population of low-income teenagers. Method: One thousand pregnant teenagers were evaluated using the Composite International Diagnostic Interview, and a sociodemographic and socio-economic questionnaire at the obstetric center of a public hospital in São Paulo, Brazil. Hair sample was collected for analysis. Results: Of the 1000 pregnant teenagers interviewed, 53.6% were poor, 90.4% were unemployed, 92.5% were financially dependant and 60.2% dropped out of school. Those using drugs during the third trimester of pregnancy were equal to 6% (marijuana: 4%, cocaine: 1.7%, both: 0.3%). Those having at least one psychiatric disorder equaled 27.6%. The most frequent diagnoses were depression (12.9%), posttraumatic stress disorder (10.0%) and anxiety disorders (5.6%). Discussion: Unstructured families, dropping out of school, unemployment and a low level of professional training are all contributing factors to the maintenance of an unfavorable socio-economic environment in which there is a high prevalence of cocaine and marijuana use during the third trimester of pregnancy and an abnormally high incidence of psychiatric disorders.Keywords: Pregnancy in adolescence; Substance-related disorders; Mental disorders; Psychosis substance-induced; Perinatal mortality (Public Health) Resumo Objetivo: Determinar, em adolescentes de baixa renda, a prevalência de transtornos psiquiátricos durante a gravidez, a prevalência de uso de cocaína e maconha no terceiro trimestre de gestação e descrever suas características sociodemográficas. Método: Mil adolescentes grávidas foram avaliadas por meio do Composite International Diagnostic Interview e de um questionário sociodemográfico e socioeconômico no centro obstétrico de um hospital público de São Paulo. Dessas, foi colhida amostra para análise de fios de cabelo. Resultados: Das mil pacientes entrevistadas, 53,6% têm baixa renda, 60,2% abandonaram a escola, 90,4% estão desempregadas e 92,5% são financeiramente dependentes, 6% usaram drogas durante o terceiro trimestre da gravidez (maconha: 4%, cocaína: 1,7%, ambos: 0,3%) e 27,6% tiveram ao menos um transtorno psiquiátrico. Os diagnósticos mais freqüentes foram: depressão (12,9%), transtorno de estresse pós-traumático (10,0%) e ansiedade (5,6%). Discussão: Famílias desestruturadas, evasão escolar, desemprego e baixa capacitação profissional são fatores que contribuem para a manutenção desta situação socioeconômica desfavorável, cenário no qual são elementos importantes a alta prevalência de uso de cocaína e maconha no 3º trimestre da gravidez e de transtornos psiquiátricos.Descritores: Gravidez na adolescência; Transtornos relacionados ao uso de substâncias; Transtornos mentais; Psicoses induzidas por substâncias; Mortalidade perinatal (Saúde Pública)

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Point prevalence of psychiatric disorders during the second trimester of pregnancy: A population-based study

Cited by 388 publications

References 21 publications

Associated symptoms of depression: patterns of change during pregnancy

Associated symptoms of depression: patterns of change during pregnancy

Depression during gestation in adolescent mothers interferes with neonatal neurobehavior

Teenage pregnancy: use of drugs in the third trimester and prevalence of psychiatric disorders

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