Somatic complaints among pregnant women cared for in obstetrics: normal pregnancy or depressive and anxiety symptom amplification revisited?

Kelly, Rosemary; Russo, Joan; Katon, Wayne

doi:10.1016/s0163-8343(01)00129-3

Cited by 139 publications

(112 citation statements)

References 32 publications

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“…Psychological and emotional stress and fatigue were identified as factors that compromised the quality-of-life domains. 25 Perinatal loss has long-term effects. 1 Pregnancy loss occurs at a time at which a new life is expected, and there may be no visible child, memories or shared experiences.…”

Section: Discussionmentioning

confidence: 99%

“…Physical symptoms were found to be associated with occurrences of depression and anxiety during pregnancy, thus leading to the suggestion that affective disorders may increase somatic symptoms. 25 Few studies to this date have evaluated the relationships between anxiety, depression and quality of life among pregnant women. Armstrong and Hutti found greater rates of anxiety during pregnancy among women who had had a previous perinatal loss.…”

Section: Discussionmentioning

confidence: 99%

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Quality of life, depression and anxiety among pregnant women with previous adverse pregnancy outcomes

et al. 2009

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CONTEXT AND OBJECTIVE: Previous adverse pregnancy outcomes (recurrent spontaneous abortion, fetal death, preterm birth or early neonatal death) can affect the quality of life of pregnant women. The objective of this study was to compare the quality of life and the prevalence of symptoms of anxiety and depression among pregnant women with and without these antecedents. DESIGN AND SETTING:An analytical cross-sectional study was performed in four settings (two high-risk and two low-risk prenatal clinics) in the city of Campinas, São Paulo, Brazil. METHODS:A total of 240 women were interviewed by a single investigator between the 18 th and 24 th weeks of gestation: 120 women with prior adverse pregnancy outcomes (group 1) and 120 women with no such history (group 2), matched according to their numbers of living children. Sociodemographic variables were collected and two questionnaires were used: the Short Form-36 quality-of-life questionnaire and the Depression and Anxiety Scale. RESULTS:The women in group 1 had lower scores in all the items on the quality-of-life questionnaire. Depression and anxiety were more frequent in group 1 (P < 0.0001). An inverse correlation was found between the Short Form-36 domains and anxiety and depression.CONCLUSIONS: Women with histories of recurrent spontaneous abortion, fetal death, preterm birth or early neonatal death seem to have poorer quality of life and more symptoms of anxiety and depression during their subsequent pregnancy, compared with those without such antecedents.RESUMO CONTEXTO E OBJETIVO: O antecedente de resultados gestacionais adversos (aborto espontâneo recorrente, óbito fetal, prematuridade ou óbito neonatal precoce) pode afetar a qualidade de vida das gestantes. O objetivo deste estudo foi comparar a qualidade de vida e a prevalência de sintomas de ansiedade e depressão em gestantes com e sem estes antecedentes. TIPO DE ESTUDO E LOCAL:Um estudo transversal analítico foi realizado em quatro locais (duas clínicas de pré-natal de alto risco e duas de pré-natal de baixo risco), na cidade de Campinas, São Paulo, Brasil.MÉTODOS: Duzentas e quarenta mulheres foram entrevistadas por um único investigador entre 18 e 24 semanas de gestação: 120 tinham antecedentes gestacionais adversos (grupo 1) e 120 não tinham tal história (grupo 2), pareadas por número de filhos vivos. Variáveis sócio-demográficas foram coletadas e dois questionários foram usados: o de qualidade de vida (Questionário Short Form-36) e a Escala de Depressão e Ansiedade. RESULTADOS:As mulheres do grupo 1 obtiveram escores mais baixos em todos os itens do questionário de qualidade de vida. Depressão e ansiedade foram mais frequentes no grupo 1 (P < 0,0001). Foi encontrada uma correlação inversa entre os domínios do Short Form-36 e ansiedade e depressão.CONCLUSÕES: Mulheres com antecedente de aborto espontâneo recorrente, óbito fetal, prematuridade ou óbito neonatal precoce parecem ter pior qualidade de vida e mais sintomas de ansiedade e depressão durante a gestação subsequente quando comparadas c...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Quality of life, depression and anxiety among pregnant women with previous adverse pregnancy outcomes

et al. 2009

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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: 95%

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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“…(9) There are still other studies which have evaluated for the prevalence of psychiatric morbidity among antenatal women and their estimates range from 15% to 29%. (10)(11)(12)(13)(14)(15)(16)(17)(18) The wide variation in the prevalence of depression and anxiety could be due to the different scales used in various studies. The figures of 66% (women who reported having one or more mental health problem), 64% (women found to have clinically significant depression) and 46% (women found to have clinically significant anxiety) are significantly higher than those reported in the literature that was reviewed.…”

Section: Discussionmentioning

confidence: 99%