Prevalence, Course, and Risk Factors for Antenatal Anxiety and Depression

Lee, Antoinette M.; Lam, S.K.; Lau, Stephanie Marie Sze Mun; Chong, Catherine Shiu‐yin; Chui, Hang Wai; Fong, Daniel Yee Tak

doi:10.1097/01.aog.0000287065.59491.70

Cited by 598 publications

(515 citation statements)

References 21 publications

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“…International studies performed with the same screening scale (EPDS), cutoff point (≥10) and postpartum period, have found lower prevalence, ranging from 13% to 24.2%. (15,16) Although studies have shown the ≥10 cut-off point of the EPDS as the best to detect PPD in public health services, we found only two studies adopting this recommendation, both of which showed a prevalence (26.9%) lower than that found in this study. (17,18) The prevalence of depressive symptomatology found in national studies that adopted cutoff points of 11/12 in the EPDS reveals indices between 28% and 39.4%, which is a reality closer to that found among the puerperal women investigated in this study.…”

Section: Discussioncontrasting

confidence: 55%

Depressão pós-parto e autoeficácia materna para amamentar: prevalência e associação

et al. 2016

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Objective: To identify the prevalence of postpartum depression symptoms and the level of self-efficacy to breastfeed among puerperal women assisted at a Breastfeeding Incentive Center, and to analyze possible associations. Methods: A cross-sectional study with 208 women up to 60 days postpartum submitted to the Edinburgh Postpartum Depression Scale and the Self-Efficacy Scale for Breastfeeding. Results: Postpartum depression symptoms were present in 31.25% of women who presented medium (39.9%) and high (36.06%) levels of breastfeeding self-efficacy. The medium or high self-efficacy decreased the depression score by 27.4% or 38.8% respectively, while the high score on the postpartum depression scale reduced the self-efficacy score in breastfeeding by 11.84 points. Conclusion: The high prevalence of postpartum depression symptoms and self-efficacy for breastfeeding were evident in the studied population. The levels of postpartum depression symptoms and self-efficacy revealed a cause and effect association between themselves. ResumoObjetivo: Identificar a prevalência de sintomas de depressão pós-parto e o nível de autoeficácia para amamentar, entre puérperas atendidas num Centro de Incentivo ao Aleitamento Materno, e analisar possíveis associações. Métodos: Estudo transversal com 208 mulheres, até 60 dias pós-parto, submetidas à Escala de Depressão Pós-parto de Edinburgo e à Escala de Autoeficácia para Amamentar. Resultados: Sintomas de depressão pós-parto estiveram presentes em 31,25% das mulheres, que apresentaram níveis de autoeficácia para amamentar médio (39,9%) e alto (36,06%). Ter média ou alta autoeficácia diminui em 27,4% ou 38,8%, respectivamente, o escore de depressão, enquanto a elevada pontuação na escala de depressão pós-parto reduz em 11,84 pontos o escore da autoeficácia na amamentação. Conclusão: Prevalência elevada de sintomas de depressão pós-parto e de autoeficácia para amamentar foram evidenciados na população estudada. Os níveis de sintomas de depressão pós-parto e de autoeficácia revelaram associação de causa e efeito entre si.

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Section: Discussioncontrasting

confidence: 55%

Depressão pós-parto e autoeficácia materna para amamentar: prevalência e associação

et al. 2016

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“…daily hassles), and each type of stress has varying degrees of severity. Depression and anxiety are mood disorders, which are also relatively common during pregnancy [8]. They are considered stress-related disorders, with repeat or chronic stress a risk factor and similar disruption of the underlying physiologic stress response [9,10].…”

Section: Physiology Of Maternal Distress During Pregnancymentioning

confidence: 99%

The impact of psychological distress during pregnancy on the developing fetus: biological mechanisms and the potential benefits of mindfulness interventions

Isgut

Smith

Reimann

et al. 2017

Journal of Perinatal Medicine

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Abstract:The in utero environment plays an essential role in shaping future growth and development. Psychological distress during pregnancy has been shown to perturb the delicate physiological milieu of pregnancy, and has been associated with negative repercussions in the offspring, including adverse birth outcomes, long-term defects in cognitive development, behavioral problems during childhood and high baseline levels of stress-related hormones. Fetal epigenetic programming, involving epigenetic processes, may help explain the link between maternal prenatal stress and its negative effects on the child. Given the potential long-term effects of early-life stress on a child's health, it is crucial to minimize maternal distress during pregnancy. A number of recent studies have examined the usefulness of mindfulness-based programs to reduce prenatal psychological stress and improve maternal psychological health, and these are reviewed here. Overall, the findings are promising, but more research is needed with large studies using randomized controlled study designs. It remains unclear whether or not such interventions could also improve child health outcomes, and whether these changes are modulated at the epigenetic level during fetal development. Further studies in this area are needed.

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“…1 Pregnancy in adolescents is considered a risk factor for symptoms of depression, considering that Vanessa Polina Pereira COSTA (a) Marcos Britto CORREA (b) Marília Leão GOETTEMS (b) Ricardo Tavares PINHEIRO (c) Flávio Fernando DEMARCO (b) pregnant adolescents present a higher prevalence of depressive symptoms than nonpregnant adolescents (16-44% vs 5-20%). 2 High levels of anxiety symptoms are also common during pregnancy 3 and in the first year postpartum. 4 Moreover, continuous exposure to maternal symptoms of depression/anxiety has long-term negative consequences for child development, regardless of the contextual risk.…”

Section: Introductionmentioning

confidence: 99%

Maternal depression and anxiety associated with dental fear in children: a cohort of adolescent mothers in Southern Brazil

et al. 2017

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Exposure to maternal symptoms of depression/anxiety has long-term negative consequences for child development, regardless of the contextual risk. The objective of this study was to investigate the relationship of the symptomatology of persistent maternal depression and anxiety with child dental fear. This study was nested in a cohort of adolescent mothers in southern Brazil. Symptomatology of maternal depression and anxiety was assessed during pregnancy and postpartum, when the mothers' children were 24-36 months old, using Beck Depression Inventory and Beck Anxiety Inventory. The mothers answered a questionnaire to assess dental fear in their children, and to obtain socioeconomic and demographic data. Both mothers and their children were submitted to clinical oral examination (n= 540 dyads) to obtain oral health data. Multivariate hierarchical Poisson regression analysis was used to determine associations (p < 0.05). At data collection, the prevalence of maternal depressive symptoms was 39.1%, and anxiety was observed in 27.8% of the mothers, whereas 21.6% of the children presented dental fear. In the adjusted analysis, children's dental fear was positively associated with mothers' presenting depressive symptomatology and caries experience. The depression symptomatology trajectory was not associated with dental fear, whereas mothers with persistent symptoms of anxiety reported higher prevalence of dental fear toward their offspring. The findings of symptomatology of maternal depression observed at data collection and persistence of anxiety may negatively impact the child's perception of dental fear. Mothers are the main caregivers and primary models responsible for transmitting health-related behaviors; consequently, mental disorders affecting mothers may negatively impact their children.

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Prevalence, Course, and Risk Factors for Antenatal Anxiety and Depression

Abstract: II.

Cited by 598 publications

References 21 publications

Depressão pós-parto e autoeficácia materna para amamentar: prevalência e associação

Depressão pós-parto e autoeficácia materna para amamentar: prevalência e associação

The impact of psychological distress during pregnancy on the developing fetus: biological mechanisms and the potential benefits of mindfulness interventions

Maternal depression and anxiety associated with dental fear in children: a cohort of adolescent mothers in Southern Brazil

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