Effects of depression, anxiety, self-esteem, and health behaviour on neonatal outcomes in a population-based Hungarian sample

Bödecs, Tamás; Horváth, Beáta; Szilágyi, Enikő; Gonda, Xénia; Rihmer, Zoltán; Sándor, János

doi:10.1016/j.ejogrb.2010.08.021

Cited by 43 publications

(42 citation statements)

References 38 publications

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“…Of the 27 English language studies that examined the relationship between depression during pregnancy and PTB [9–35], 12 found that depression increased risk of PTB (odds ratios range 1.3–4.9) [24,26–34] or decreased GA at birth [25,35] while the remainder found no effect [9,11–23]. All but one [30] were prospective studies.…”

Section: Resultsmentioning

confidence: 99%

Depression during pregnancy: a risk factor for adverse neonatal outcomes? A critical review of the literature

Szegda

Markenson

Bertone‐Johnson

et al. 2013

The Journal of Maternal-Fetal & Neonatal Medicine

140

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Objective We reviewed studies of maternal depression and preterm birth (PTB), low birthweight (LBW) and small-for-gestational-age (SGA) in the context of methodological differences between studies and potential limitations. Methods We conducted a literature search of PubMed (1996–2011) for English-language studies of maternal depression and (1) PTB and gestational age (GA), (2) LBW and birthweight (BW) and (3) SGA. Thirty-six studies met eligibility criteria. Results Elevated depression levels, particularly in early- to mid-pregnancy, appear to increase risk of PTB and SGA. Findings suggest an increased risk for LBW, but were less consistent. Methodological differences and limitations likely contributed to conflicting findings. A wide range of depression measures were used with the majority of studies utilizing measures not designed, or validated, for pregnant women. Studies failed to assess depression at multiple pregnancy time points, thus constraining the ability to assess the impact of duration and pattern of exposure to depression. Antidepressant use and co-morbid psychosocial factors were rarely considered as potential confounders or effect modifiers. Conclusions Studies suggest that depression during pregnancy may be an important risk factor for PTB and SGA, and possibly LBW. Improved study methodology is needed to elucidate the consequence of maternal depression on adverse birth outcomes.

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Section: Resultsmentioning

confidence: 99%

Depression during pregnancy: a risk factor for adverse neonatal outcomes? A critical review of the literature

Szegda

Markenson

Bertone‐Johnson

et al. 2013

The Journal of Maternal-Fetal & Neonatal Medicine

140

View full text Add to dashboard Cite

show abstract

“…Studies have shown that antenatal period is a time of increased liability to mental disorders. The most common psychiatric illnesses during pregnancy and the postpartum period are stress and anxiety disorders (Bödecs et al, 2011). According to Andersson et al, (2004) and Berle et al, (2005), about 10% of pregnant women meet the criteria for anxiety disorders in Sweden and Norway respectively.…”

Section: Introductionmentioning

confidence: 99%

Perceived stress and anxiety among Ghanaian pregnant women

Boakye-Yiadom¹,

Shittu²,

Dutt³

et al. 2015

J. Med. Biomed. Sci.

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The aim of the study was to assess the prevalence of stress and anxiety, as well as the association that exists between stress/anxiety and sociodemographic characteristics, among pregnant women at the Tamale West Hospital in Ghana. This study was conducted among 154 pregnant women visiting the Tamale West hospital for antenatal care, from March to May, 2015. All participants were evaluated using a Self-designed semi-structured questionnaire for socio-demographic information, the Center for Epidemiological Studies Depression Scale (CES-D) for stress assessment and State Trait Anxiety Inventory (STAI) for assessment of anxiety. The response rate was 96.3%, with an age range of 17-42. Whereas 43.5% of the studied population were illiterate, 24.0% had attained basic education, 21.4% had attained secondary education while only 11.0% had attained tertiary education. Most of the studied participants were unemployed (57.8%), with a mean ± s. 1%). The mean ± s.d. of anxiety score as well as stress score from the studied population were 15.3±3.2 and 13.2±4.9 respectively. The prevalence of anxiety was 9.7% whiles that for stress among these studied participants was 28.6%. Higher proportion (26.6%) of educated women had anxiety disorders with a lower (21.9±10.8) mean gestation period being associated with anxiety disorders. Age was higher (28.1±5.8; p=0.0155) in women with pregnancy specific stress than in normal women (25.0±7.9). A higher proportion of women who were married (99.1%; 0.0097) were normal as compared to those who had pregnancy stress (90.9%). Mean number of births was seen to be higher among normal women (4.3±5.9; 0.0054) than those with stress (1.8±1.4). This study reiterates the rising levels of pregnancy specific stress and anxiety, with social and medical factors such as literacy levels, gestational period, age, marital status and parity playing major roles in the determination of pregnancy related stress and anxiety levels.

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“…Population-based studies which have examined the reverse causal effect by looking at antenatal depression as a risk factor for neonatal complications have found antenatal depression was associated with neonatal smallfor-gestational age (AOR=1.19 p=0.02) and low Apgar scores (AOR=1.74 p=0.01) (Goedhart et al, 2010). By contrast another study found that no association existed between maternal antenatal depression, and anxiety and health behaviours and neonatal outcomes (Bodecs et al, 2011). Overall, there was limited, available evidence relating to pregnancy/birth complications and/or neonatal outcomes being risk factors for women's poor mental health in the postnatal period.…”

Section: Birth Outcomesmentioning

confidence: 96%

Women’s mental health following the birth of a child: a life course approach

Kingsbury¹

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Does the experience of being pregnant, giving birth and becoming a mother affect women's mental health over their reproductive life course? Much of the research on maternal mental health has focused on the perinatal period. In recent times, research has extended to patterns of women's mental health over the years following the birth of their baby. In this thesis, associations between women's experiences around pregnancy and giving birth, and patterns of their mental health impairment in the years following the baby's birth, are examined.Participants: Three datasets were used for this thesis. The primary dataset was the Mater and Methods: Six studies are the core contribution of this body of research. These studies, five cohort studies and one cross-sectional study, addressed the thesis' aims and objectives.Studies' outcome measures generally related to women's mental health, rated by the Delusions-Symptoms-States-Inventory: state of Anxiety and Depression (DSSI/sAD) (Bedford et al., 1976) and assessed at time-points post-birth. In three studies, women's DSSI depression measures at various time-points were combined to create depressive-symptoms trajectories. The Mental Disorder Screening Tool (MDST), constructed from women's DSSI/sAD responses (Saiepour et al., 2014) and measuring mental health impairment, was an outcome measure for one study. Another study's outcomes were based on women's reported alcohol consumption before pregnancy and at their first clinic visit. A broad range of predictor and potential confounding variables, taken at different MUSP survey phases, were included in the studies' analyses. Descriptive and inferential analyses were used. Univariate and multivariable regression analysis derived odds ratios and relative risk ratios with 95% confidence intervals. Pregnancy and birth events were found to contribute little to women's experience of depression. Pregnant women who experienced stressful life events (that is, financial, housing and relational events), were at higher risk of having depressive symptoms over the 27-year period. The proportion of women with mental health impairment was higher at 21 years post birth than at six months post birth. Women whose offspring had behaviour problems were themselves at risk of mental health impairment at 21 years post birth. As well, mental health problems in pregnancy; young motherhood; not completing high school and low family income; and having poor social networks around baby's birth, and marital discord in pregnancy, predicted women's poorer mental health over time. Today's pregnant women are more likely to be older and have higher body mass indexes, more likely to be anxious but not depressed, and more are sure about wanting to be pregnant, compared to pregnant women from previous decades. Today's pregnant women are also less likely to be smokers but are more often consuming alcohol prior to pregnancy, though they substantially reduce their alcohol consumption in pregnancy. Socio-economic disadvantage and psychosocial problems in pregnancy ...

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Effects of depression, anxiety, self-esteem, and health behaviour on neonatal outcomes in a population-based Hungarian sample

Cited by 43 publications

References 38 publications

Depression during pregnancy: a risk factor for adverse neonatal outcomes? A critical review of the literature

Depression during pregnancy: a risk factor for adverse neonatal outcomes? A critical review of the literature

Perceived stress and anxiety among Ghanaian pregnant women

Women’s mental health following the birth of a child: a life course approach

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