Social capital and antenatal depression among Chinese primiparas: A cross-sectional survey

Zhou, Changli; Ogihara, Atsushi; Chen, Hao; Wang, Weijue; Huang, Liu; Zhang, Baodan; Zhang, Xueni; Xu, Liangwen; Yang, Lei

doi:10.1016/j.psychres.2017.07.058

Cited by 13 publications

(15 citation statements)

References 26 publications

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“…Thirdly, it was beyond our expectation that the lowest SC level was at T1. It may be the case that pregnant women at this time-point are too clumsy to move around [ 40 , 41 ]. This will limit their social activities, and result in loss of face-to-face contacts with friends and acquaintances [ 40 , 41 ].…”

Section: Discussionmentioning

confidence: 99%

Associations between social capital and maternal depression: results from a follow-up study in China

Zhou

Zheng

Yuan

et al. 2018

BMC Pregnancy Childbirth

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BackgroundThis study aims to investigate the association between social capital (SC) and depressive symptoms among Chinese primiparas at different time-points from their late pregnancy to postpartum.MethodsA total of 450 primiparas were recruited for the current study. The assessments were conducted at three different time-points: T1 – while the participants were recruited at their 30–36 weeks of pregnancy in the antenatal clinic in the maternity hospital in Zhejiang, China; T2 – at their 2nd or 3rd days in the wards after delivery; T3 – at week 6 to 8 after the delivery in the postpartum examination clinic. SC was measured by the 29-item SC scale; while depressive symptoms were measured by the Edinburgh Postnatal Depression Scale. The relationships between SC and depressive symptoms were explored separately at each of the three time-points.ResultsThe prevalence of depression among the primiparas was 25% at T1, 13.5% at T2 and 20.8% at T3, respectively. However, the score of SC and its components at three time-points followed an opposite ‘V’ direction, with the highest score at T2, following by T3 and T1. At T1, the analysis suggested that depressive symptoms among the primiparas were negatively correlated with their social trust and social network levels. At T2, only social trust was negatively associated with depression. While at T3, it is social trust and social participations that were significantly negatively associated with depression.ConclusionsSC was associated with depression at all three time-points during and after pregnancy. More attention should be given to SC in the maternal health promotion programs of community pregnancy health care management.Electronic supplementary materialThe online version of this article (10.1186/s12884-018-1673-9) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Associations between social capital and maternal depression: results from a follow-up study in China

Zhou

Zheng

Yuan

et al. 2018

BMC Pregnancy Childbirth

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“…Social capital has been reported to explain many variations in the health status of communities and societies including the mental health status [4]. Several studies have also examined associations between social capital and depression in various settings such as among older populations [5, 6], fragile families [7], and pregnant mothers [8].…”

Section: Introductionmentioning

confidence: 99%

Does your neighborhood protect you from being depressed? A study on social trust and depression in Indonesia

et al. 2019

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BackgroundPrevalence of depression in Indonesia is estimated at about 3.7% of the total population, although the actual may be higher. Studies worldwide have linked the environment where people live to their mental health status. However, little research is found in Indonesia regarding this link. We examined the association between individuals’ perception towards their neighborhood and their depression symptoms.MethodsSocial trust was measured at the individual (level 1) and community (level 2) levels based on the Indonesian Family Life Survey 5 (IFLS5) in 2014. Depression was measured using the 10-item Center for Epidemiologic Studies-Depression Scale Revised (CESD-R-10) and the scores were transformed into logit form using the Rasch model. Multilevel regression was used to determine correlations.ResultsOf the total sample of 14,227 respondents in this study, about 19.4% had experienced severe depression symptoms in the past week. Social trust was found to be significantly associated with severe depression symptoms. The weaker the individuals’ social trust towards their neighbourhood, the higher the probability of experiencing severe depression symptoms would be.ConclusionsThis study shows that social trust is associated with the severity of depression symptoms: the higher the social trust, the lower the probability of having severe depression symptoms is. Depression symptoms may also be attributed to significant differences between communities.

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“…Antenatal depression (AD) is a prevalent mental disorder that affects approximately 5–15% of pregnant women [1, 2], and as reported in one previous study, the incidence even reached 26–28% in China [2, 3]. Caesarean section is one of the most commonly used ways of maternal delivery, and the global caesarean section rate was 27.3% in 2008 according to a WHO survey [4].…”

Section: Introductionmentioning

confidence: 99%

Biomarker screening for antenatal depression in women who underwent caesarean section: a matched observational study with plasma Lipidomics

Zhao

Long

et al. 2019

BMC Psychiatry

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Background Antenatal depression is a prevalent mental disorder in women who have undergone caesarean section, and it often presages adverse postoperative outcomes. Because of the lack of a laboratory-based diagnostic strategy, antenatal depression is mainly determined by a psychologist’s subjective judgment based on a structured clinical interview for established diagnostic criteria. However, the diagnostic accuracy rate for depression by non-psychiatrists is relatively low. Thus, this study aimed to use lipidomics to identify potential biomarkers related to antenatal depression in women who have undergone caesarean section. Methods The study was designed as a matched prospective observational study. Singleton pregnant women scheduled to receive elective caesarean section, were screened for eligibility. Women diagnosed with major antenatal depression were matched with non-antenatal depression controls in terms of age (±1 year) and BMI (±1 kg/m 2 ), and blood samples of the included matched pairs were collected. Subsequently, lipidomics of the plasma samples were performed using Ultra Performance Liquid Chromatography-mass spectrometry analysis to explore the differentially expressed lipids in women with or without antenatal depression. Results In total, 484 pregnant women were screened; 66 subjects were recruited, including 33 subjects with major antenatal depression and 33 matched controls without antenatal depression. Thirty-five differentially expressed lipid metabolites were identified ( P < 0.05). The area under the receiver operating characteristic curve of these lipid metabolites was 0.7 or larger; the area under curve for cholesterol sulfate was 0.823 (95% CI: 0.716–0.930), and that of PC (18:2 (2E, 4E)/0:0) was 0.778 (95%CI: 0.662–0.895). In the conditional logistic stepwise regression analysis, cholesterol sulfate ( P = 0.009) and PC (18:2 (2E, 4E)/0:0) ( P = 0.035) were also identified as effective predictive risk factors for antenatal depression. Conclusions Women who had undergone caesarean section and experienced antenatal depression presented a significantly differentially expressed profile of plasma lipidomics compared to those who did not experience antenatal depression. Cholesterol sulfate and PC (18:2 (2E, 4E)/0:0) may be effective and specific lipidic biomarkers for the prediction of antenatal depression. Trial registration China Clinical Trial Registration Center registration number: ChiCTR1800016230 ; date of registration: 21/05/2018.

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Social capital and antenatal depression among Chinese primiparas: A cross-sectional survey

Cited by 13 publications

References 26 publications

Associations between social capital and maternal depression: results from a follow-up study in China

Associations between social capital and maternal depression: results from a follow-up study in China

Does your neighborhood protect you from being depressed? A study on social trust and depression in Indonesia

Biomarker screening for antenatal depression in women who underwent caesarean section: a matched observational study with plasma Lipidomics

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