Rates and risk factors associated with depressive symptoms during pregnancy and with postpartum onset

被引:108
|
作者
Verreault, Nancy [1 ,2 ]
Da Costa, Deborah [1 ,3 ]
Marchand, Andre [2 ]
Ireland, Kierla [1 ]
Dritsa, Maria [1 ]
Khalife, Samir [4 ]
机构
[1] McGill Univ, Ctr Hlth, Div Clin Epidemiol, Montreal, PQ H3A 1A2, Canada
[2] Univ Quebec, Dept Psychol, Montreal, PQ H3C 3P8, Canada
[3] McGill Univ, Dept Med, Montreal, PQ H3A 1A2, Canada
[4] McGill Univ, Jewish Gen Hosp, Dept Obstet & Gynecol, Montreal, PQ H3T 1E2, Canada
基金
加拿大健康研究院;
关键词
Depressed mood; perinatal period; prevalence; risk factors; POSTNATAL DEPRESSION; ANXIETY SENSITIVITY; PERINATAL DEPRESSION; MATERNAL DEPRESSION; POSTTRAUMATIC-STRESS; PRENATAL DEPRESSION; MAJOR DEPRESSION; PREVALENCE RATES; SOCIAL SUPPORT; PREDICTORS;
D O I
10.3109/0167482X.2014.947953
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The objectives of this study were to evaluate the prevalence of depressive symptoms in the third trimester of pregnancy and at 3 months postpartum and to prospectively identify risk factors associated with elevated depressive symptoms during pregnancy and with postpartum onset. About 364 women attending antenatal clinics or at the time of their ultrasound were recruited and completed questionnaires in pregnancy and 226 returned their questionnaires at 3 months postpartum. Depressed mood was assessed by the Edinburgh Postnatal Depression Scale (EPDS; score of >= 10). The rate of depressed mood during pregnancy was 28.3% and 16.4% at 3 months postpartum. Among women with postpartum depressed mood, 6.6% were new postpartum cases. In the present study, belonging to a non-Caucasian ethnic group, a history of emotional problems (e. g. anxiety and depression) or of sexual abuse, comorbid anxiety, higher anxiety sensitivity and having experienced stressful events were associated with elevated depressed mood during pregnancy. Four risk factors emerged as predictors of new onset elevated depressed mood at 3 months postpartum: higher depressive symptomatology during pregnancy, a history of emotional problems, lower social support during pregnancy and a delivery that was more difficult than expected. The importance of identifying women at risk of depressed mood early in pregnancy and clinical implications are discussed.
引用
收藏
页码:84 / 91
页数:8
相关论文
共 50 条
  • [21] Depressive symptoms during pregnancy: associated factors and association with exclusive breastfeeding
    Nunes, Mariana Salvadego Aguila
    Ichisato, Sueli Mutsumi Tsukuda
    Silva, Bianka Sousa Martins
    Dos Santos, Luciano Marques
    Rossa, Roberta
    Takemoto, Angelica Yukari
    de Oliveira Toso, Beatriz Rosana Gonsalves
    Silva Marcon, Sonia
    ACTA PAULISTA DE ENFERMAGEM, 2024, 37
  • [22] Cerebrospinal Fluid CRH Levels in Late Pregnancy Are Not Associated With New-Onset Postpartum Depressive Symptoms
    Zaconeta, Alberto Moreno
    Amato, Angelica Amorim
    Barra, Gustavo Barcelos
    Casulari da Motta, Lucilia Domingues
    de Souza, Vincius Carolino
    de Oliveira Karnikowski, Margo Gomes
    Casulari, Luiz Augusto
    JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2015, 100 (08): : 3159 - 3164
  • [23] Depressive symptoms during pregnancy and postpartum: a prospective cohort study
    Sahin, Eda
    Seven, Memnun
    PERSPECTIVES IN PSYCHIATRIC CARE, 2019, 55 (03) : 430 - 437
  • [24] Depressive symptoms during pregnancy and the postpartum period in women with epilepsy
    Holley, DK
    Pennell, PB
    Newman, M
    Newport, DJ
    Koganti, A
    Beach, A
    Stowe, ZN
    NEUROLOGY, 2006, 66 (05) : A387 - A388
  • [25] Folic acid supplementation during pregnancy and postpartum depressive symptoms
    Lutz, Barbara Heather
    dos Santos, Ina da Silva
    Domingues, Marlos Rodrigues
    Murray, Joseph
    da Silveira, Mariangela Freitas
    Avena Miranda, Vanessa Irribarem
    Telis Silveira, Marysabel Pinto
    Mengue, Sotero Serrate
    dal Pizzol, Tatiane da Silva
    Bertoldi, Andrea Damaso
    REVISTA DE SAUDE PUBLICA, 2023, 57
  • [26] INCIDENCE AND FACTORS ASSOCIATED WITH POSTPARTUM DEPRESSIVE SYMPTOMS: A LITERATURE REVIEW
    Caldeira, Daniela Marcia Rodrigues
    Moncao, Rafael Ataide
    Cordeiro, Paulo Eduardo Guimaraes
    de Pinho, Lucineia
    Silva, Rosangela Ramos Veloso
    Brito, Maria Fernanda Santos Figueiredo
    REVISTA DE PESQUISA-CUIDADO E FUNDAMENTAL ONLINE, 2024, 16
  • [27] Obstetric, somatic, and demographic risk factors for postpartum depressive symptoms
    Josefsson, A
    Angelsiöö, L
    Berg, G
    Ekström, CM
    Gunnervik, C
    Nordin, C
    Sydsjö, G
    OBSTETRICS AND GYNECOLOGY, 2002, 99 (02): : 223 - 228
  • [28] Circadian Phase-Delay During Pregnancy Predicts the Severity of Postpartum Depressive Symptoms in Women at Risk for Postpartum Depression
    Simpson, William
    Frey, Benicio N.
    Hidalgo, Maria Paz
    Steiner, Meir
    BIOLOGICAL PSYCHIATRY, 2015, 77 (09) : 390S - 390S
  • [29] Depressive symptoms in pregnancy and associated factors: longitudinal study
    Pimentel Lima, Marlise de Oliveira
    Tsunechiro, Maria Alice
    Bonadio, Isabel Cristina
    Murata, Marcella
    ACTA PAULISTA DE ENFERMAGEM, 2017, 30 (01) : 39 - 46
  • [30] Depressive Symptoms during Pregnancy and the Postpartum Period: A Tertiary Hospital Experience
    Mladenovic, Danilo
    Kostic, Sanja
    Ivanovic, Katarina
    Jovanovic, Ivana
    Petronijevic, Milos
    Petronijevic, Milica
    Petronijevic, Svetlana Vrzic
    MEDICINA-LITHUANIA, 2024, 60 (08):