A key for perinatal depression early diagnosis: The body dissatisfaction

Riquin, Élise; Lamas, C.; Nicolas, Isabelle; Lebigre, Corinne Dugre; Curt, Florence; Cohen, Henri; Legendre, Guillaume; Corcos, Maurice; Godart, Nathalie

doi:10.1016/j.jad.2018.11.032

Cited by 45 publications

(43 citation statements)

References 27 publications

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“…It translates to over 300,000 women in Russia facing perinatal depressive disorders each year. Women suffering from prenatal and postnatal depression are at risk for suicide [ 2 ], eating disorders, and body dissatisfaction [ 3 ]. They tend to have lower self-efficacy and poor self-esteem [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Perinatal Depression, Birth Experience, Marital Satisfaction and Childcare Sharing: A Study in Russian Mothers

Yakupova

Liutsko

2021

IJERPH

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Background: Over 300,000 women in Russia face perinatal depressive disorders every year, according to the data for middle-income countries. This study is the first attempt to perform a two-phase study of perinatal depressive disorders in Russia. The paper examines risk factors for perinatal depressive symptoms, such as marital satisfaction, birth experience, and childcare sharing. Methods: At 15–40 gestational weeks (M = 30.7, SD = 6.6), 343 Russian-speaking women, with a mean age of 32 years (SD = 4.4), completed the Edinburgh Postnatal Depression Scale, Couples Satisfaction Index, Birth Satisfaction Scale, and provided socio-demographic data. Two months after childbirth, 190 of them participated in the follow-up. Results: The follow-up indicated that 36.4% of participants suffered from prenatal depression and 34.3% of participants had postnatal depression. Significant predictors of prenatal depression were physical well-being during pregnancy (β = −0.25; p = 0.002) and marital satisfaction during pregnancy (β = −0.01; p = 0.018). Birth satisfaction (β = −0.08; p = 0.001), physical well-being at two months after delivery (β = −0.36; p < 0.01), and marital satisfaction during pregnancy (β = 0.01; p = 0.016) and after delivery (β = −0.02; p < 0.01) significantly predicted postnatal depression at 2 months after delivery. Conclusion: Our study identified that physical well-being during pregnancy and marital satisfaction during pregnancy significantly predicted prenatal depression. Birth satisfaction, physical well-being at 2 months after delivery, and marital satisfaction during pregnancy and after delivery significantly predicted postnatal depression. To our knowledge, this is the first study of perinatal depressive disorders in the context of marital satisfaction and birth satisfaction in the Russian sample. The problem of unequal childcare sharing is widely spread in Russia. Adjusting spousal expectations and making arrangements for childcare may become the focus of psychological work with the family. The availability of psychological support during pregnancy and labor may be important in the context of reducing perinatal depression risks.

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Section: Introductionmentioning

confidence: 99%

Perinatal Depression, Birth Experience, Marital Satisfaction and Childcare Sharing: A Study in Russian Mothers

Yakupova

Liutsko

2021

IJERPH

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“…In this study, for every one unit increase in body image score, a 33% decreased odds of EGWG was observed [ 21 ]. The rapid physiological changes that occur for body shape, weight and size during pregnancy and an evident bi-directional relationship between body image and depression (i.e., body image dissatisfaction increases the risks of depression and depression increases the risks of body image dissatisfaction) indicate the need to broaden current psychosocial screening to include satisfaction with body image [ 16 , 26 , 48 ]. Moreover, Dryer et al [ 26 ] assert that given the rapid physiological changes to body shape, weight and size that occur during pregnancy, health professionals need to evaluate body image to increase their awareness and responsiveness to women’s psychosocial needs, so as to not exacerbate or contribute to the development of pregnancy-specific anxiety, depression or disordered eating, particularly given that weight shame is still prevalent amongst health professionals [ 26 , 49 ].…”

Section: Discussionmentioning

confidence: 99%

Translation of the Weight-Related Behaviours Questionnaire into a Short-Form Psychosocial Assessment Tool for the Detection of Women at Risk of Excessive Gestational Weight Gain

Fealy

Leigh

Hazelton

et al. 2021

IJERPH

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The identification and measurement of psychosocial factors that are specific to pregnancy and relevant to gestational weight gain is a challenging task. Given the general lack of availability of pregnancy-specific psychosocial assessment instruments, the aim of this study was to develop a short-form psychosocial assessment tool for the detection of women at risk of excessive gestational weight gain with research and clinical practice applications. A staged scale reduction analysis of the weight-related behaviours questionnaire was conducted amongst a sample of 159 Australian pregnant women participating in the Women and Their Children’s Health (WATCH) pregnancy cohort study. Exploratory factor analysis, univariate logistic regression, and item response theory techniques were used to derive the minimum and most predictive questions for inclusion in the short-form assessment tool. Of the total 49 questionnaire items, 11 items, all 4 body image items, n = 4 attitudes towards weight gain, and n = 3 self-efficacy items, were retained as the strongest predictors of excessive gestational weight gain. These within-scale items were highly correlated, exhibiting high item information function value statistics, and were observed to have high probability (p < 0.05) for excessive gestational weight gain, in the univariate analysis. The short-form questionnaire may assist with the development of tailored health promotion interventions to support women psychologically and physiologically to optimise their pregnancy weight gain. Confirmatory factor analysis is now required.

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“…Furthermore, we will explore variables associated with depression (72)(73)(74) or that have shown to predict treatment outcome for depression and anxiety (75). Clinical characteristics that shall be investigated include depressive symptom severity (76), lifetime history of MDD or any mental disorder (77)(78)(79)(80), past or present suicidal thoughts or plans (35,(79)(80)(81), experience with psychotherapy (82), treatment motivation (83), treatment preference (84)(85)(86), family history of mental illness (77, 87-89) (chronic) illness, self-perceived health and energy (61,78,(90)(91)(92)(93)(94)(95), traumatic or adverse childhood experience (abuse, parental death, or divorce) (80,87,88,(96)(97)(98)(99)(100)(101), body satisfaction and eating disorder (94,(102)(103)(104)(105)(106)(107), sleep quality (44,90,94,108,…”

Section: Other Assessmentsmentioning

confidence: 99%

Clinical and Cost-Effectiveness of Personalized Tele-Based Coaching for Farmers, Foresters and Gardeners to Prevent Depression: Study Protocol of an 18-Month Follow-Up Pragmatic Randomized Controlled Trial (TEC-A)

et al. 2020

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Background: Farmers show high levels of depressive symptoms and mental health problems in various studies. This study is part of a nationwide prevention project carried out by a German social insurance company for farmers, foresters, and gardeners (SVLFG) to implement internet-and tele-based services among others to improve mental health in this population. The aim of the present study is to evaluate the (cost-)effectiveness of personalized tele-based coaching for reducing depressive symptom severity and preventing the onset of clinical depression, compared to enhanced treatment as usual.Methods: In a two-armed, pragmatic randomized controlled trial (N = 312) with follow-ups at post-treatment (6 months), 12 and 18 months, insured farmers, foresters, and gardeners, collaborating family members and pensioners with elevated depressive symptoms (PHQ-9 ≥ 5) will be randomly allocated to personalized tele-based coaching or enhanced treatment as usual. The coaching is provided by psychologists and consists of up to 34 tele-based sessions for 25-50 min delivered over 6 months. Primary outcome is depressive symptom severity at post-treatment. Secondary outcomes include depression onset, anxiety, stress, and quality of life. A health-economic evaluation will be conducted from a societal perspective.Discussion: This study is the first pragmatic randomized controlled trial evaluating the (cost-)effectiveness of a nationwide tele-based preventive service for farmers. If proven effective, the implementation of personalized tele-based coaching has the potential to reduce disease burden and health care costs both at an individual and societal level.

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A key for perinatal depression early diagnosis: The body dissatisfaction

Cited by 45 publications

References 27 publications

Perinatal Depression, Birth Experience, Marital Satisfaction and Childcare Sharing: A Study in Russian Mothers

Perinatal Depression, Birth Experience, Marital Satisfaction and Childcare Sharing: A Study in Russian Mothers

Translation of the Weight-Related Behaviours Questionnaire into a Short-Form Psychosocial Assessment Tool for the Detection of Women at Risk of Excessive Gestational Weight Gain

Clinical and Cost-Effectiveness of Personalized Tele-Based Coaching for Farmers, Foresters and Gardeners to Prevent Depression: Study Protocol of an 18-Month Follow-Up Pragmatic Randomized Controlled Trial (TEC-A)

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