Prevalence of common mental disorder and associated factors among pregnant women in South-East Ethiopia, 2017: a community based cross-sectional study

Abstract

BackgroundMothers suffering from common mental disorder (CMD), such as anxiety and depression may not be able to function properly, which could adversely affect the mother-infant bond and even result in increased infant morbidity and mortality. The purpose of this study was to assess the prevalence of CMD and its determinants among pregnant women in Southeast Ethiopia.MethodsData was collected from 743 pregnant women via interview-administered, standardised questionnaires during Dec–Jan 2017. The WHO Self-Reported Questionnaire (SRQ) was used to screen CMD. Multivariate logistic regression was conducted and ORs and 95% confidence intervals were calculated.ResultsThe prevalence of CMD during pregnancy was 35.8% (95% CI: 34–38%) and the main determinants of CMD were: illiteracy, presence of health risk, financial instability, physical or emotional abuse, having sexual intercourse without her willingness, family history of psychiatric illness and history of chronic medical illness.ConclusionCMD prevalence during pregnancy was high, indicating a need to regularly screen pregnant women for CMD and its determinants as part of routine obstetric care.

Comorbid anxiety and depression: Prevalence and associated factors among pregnant women in Arba Minch zuria district, Gamo zone, southern Ethiopia

“…The odds of facing CAD were nearly four times higher among participants with co-existing medical illnesses. This is supported by previous studies, where the history of chronic medical illness increases the occurrence of mental disorders [ 11 , 12 ]. Moreover, the presence of pregnancy danger signs increases the odds of CAD by threefold.…”

“…The data collection instrument was organized after reviewing previous literature [ 5 , 12 , 17 , 24 , 40 ]. The tool comprises socio-demographic information (age, marital status, religion, residence, educational status, occupation and husband education and occupation), socioeconomic status (assessed using locally available assets), obstetric characteristics (gravidity, parity, age at marriage, pregnancy status, ANC visit, gestational age, pregnancy danger signs), psychological problems and psychosocial relationships (social support, interpersonal relationship and experience of life-threatening events), medical illness (hypertension, diabetes, asthma, cardiac and renal disease), household food security status, substance abuse, anxiety and depression.…”

“…illness increases the occurrence of mental disorders [11,12]. Moreover, the presence of pregnancy danger signs increases the odds of CAD by threefold.…”

“…Previously published evidences consistently reported that low socioeconomic status, adverse events in life, poor social support, intimate partner violence (IPV), previous episode of CMDs, history of chronic medical illness, unmarried status and unplanned pregnancy increases the odds of perinatal mental disorders [ 2 , 3 , 11 , 12 ]. Also, Premji and associates reported that a high level of perceived stress, having ≥ 3 children and adverse childhood experience increases the odds of CAD [ 6 ].…”

Risk factors and experiences of prepartum depression among pregnant women in urban- low income in Nairobi Kenya: a mixed-method study

“…Global prevalence indicates that at least one in ten women in developed countries and two in five women in the developing world develop depression during pregnancy 8 . The prevalence rates of prepartum depression range between 12.5-42% of women screened for depression symptoms in low and lower middleincome countries 9, 10 . Systematic reviews that determined the occurrence and determinants of prepartum depression found prevalence rates that range from 15% to 65% globally 4,11 .…”