Socioeconomic status and depression during and after pregnancy in the Franconian Maternal Health Evaluation Studies (FRAMES)

Hein, Alexander; Rauh, Claudia; Engel, Anne; Häberle, Lothar; Dammer, Ulf; Voigt, F; Fasching, Peter A.; Faschingbauer, Florian; Burger, Peter; Beckmann, Matthias W.; Kornhuber, Johannes; Goecke, Tamme W.

doi:10.1007/s00404-013-3046-y

Cited by 42 publications

(35 citation statements)

References 48 publications

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“…Similar to other studies in the literature, lower age (Bottino et al 2012; Räisänen et al 2014; Siegel & Brandon, 2014) and inferior per capita income (Abdollahi et al 2014; Hein et al 2014; Alfayumi-Zeadna et al 2015) were associated with mental disorders in the postpartum period. According to Bottino et al (2012), maternal age was significantly associated with PPD.…”

Section: Discussionsupporting

confidence: 83%

Mental disorders in pregnancy and 5–8 years after delivery

et al. 2016

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Background.Even though mental disorders represent a major public health problem for women and respective children, there remains a lack of epidemiological longitudinal studies to assess the psychological status of women throughout pregnancy and later in life. This epidemiological cohort study assessed the relationship between mental disorders of 409 Brazilian women in pregnancy and 5–8 years after delivery.Methods.The women were followed from 1997 to 2000 at 17 health services, and subsequently from 2004 to 2006 at their homes. Mental disorders were investigated by the Perceived Stress Scale-PSS, General Health Questionnaire-GHQ and State-Trait Anxiety Inventories-STAI. The relationship between scores of the PSS, GHQ and STAI 5–8 years after delivery and in pregnancy was assessed by multivariate linear regression analysis, controlling for the following confounders: maternal age, education, per capita income, family size, work, marital status and body mass index.Results.Scores of the PSS, GHQ and STAI 5–8 years after delivery were positively associated with scores of the PSS, GHQ and STAI in the three trimesters of pregnancy, and inversely associated with maternal age and per capita income (adj. R2 varied from 0.15 to 0.37). PSS, GHQ and STAI scores in the 3rd trimester of pregnancy were positively associated with scores of the PSS, GHQ and STAI in the 1st and 2nd trimesters of pregnancy (adj. R2 varied from 0.31 to 0.65).Conclusions.The results of this study reinforce the urgency to integrate mental health screening into routine primary care for pregnant and postpartum women.

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Section: Discussionsupporting

confidence: 83%

Mental disorders in pregnancy and 5–8 years after delivery

et al. 2016

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“…20 Similarly, according to study done by Hein et al, parity, and education status, income, and partnership status were found to be predictive factors for depression during pregnancy. 21 Most of the previously established risk factors were identified as predictor of antenatal depression in this study.…”

Section: Correlates Of Depression In Pregnancymentioning

confidence: 68%

Depression In Pregnancy: Prevalence And Clinical Correlates

Sharma

Thapa

Chakrabortty

et al. 2019

J Psychiatr Assoc Nepal

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Introduction: Pregnancy increases the risk of various psychiatric illness including depression. Such illness can result in prematurity, low birth weight and mother-child bonding. Depression is more common in women who have had negative experiences in previous pregnancies, have prior history of psychiatric disorder or are experiencing stressful life events. Unfortunately, psychiatric disorders among pregnant women are still undiagnosed and untreated, especially in developing country like Nepal. The aim of this study was to find out the prevalence and correlates of depression in pregnancy. Material and Method: A cross-sectional, hospital based, descriptive study was conducted among 135 pregnant women attending Manipal Teaching Hospital’s antenatal clinic. Sociodemographic data and relevant clinical variables were collected using a predesigned proforma after obtaining informed written consent. The subjects were interviewed with Beck’s Depression Inventory (BDI). For the assessment of correlates, regression analysis was carried out. All statistical analyses were done using SPSS v 20.0. P values < 0.05 were considered significant. Results: The prevalence of depression was 13.3 % according to BDI with additional 19% fulfilling criteria of mild mood disturbance. Factors such as history of sub fertility, pregnancy-induced illness and presence of domestic violence were found to be statistically significant predictors of depression during pregnancy. Conclusion: Depression can occur frequently among pregnant women. Certain factors can be identified, which further increase the risk of such mental illnesses. Thus, pregnant women who are at high risk such as with pregnancy induced illness, have history of sub fertility, exposed to domestic violence etc., must be identified and diagnosed so that they can be treated timely.

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“…By contrast, having an unplanned pregnancy and a lack of social support (both real and perceived) are well‐known significant risk factors for the development of PND. The correlation between a lack of partner support and PND is similarly well established . However, there is uncertainty regarding the specific effect of partner support in the setting of an unplanned pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Mode of birth and early postnatal psychological morbidity

Hanlon

Beckmann

2015

Aust NZ J Obst Gynaeco

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Mode of birth does not appear to be associated with the reporting of symptoms of psychological morbidity in the early postnatal period. However, these symptoms may be associated with nulliparity and in the context of an unplanned pregnancy, a lack of partner support. These findings highlight the ongoing need for antenatal screening with respect to pregnancy intention and the presence of a social support system, to facilitate the implementation of interventions for women at risk of postnatal depression.

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Socioeconomic status and depression during and after pregnancy in the Franconian Maternal Health Evaluation Studies (FRAMES)

Cited by 42 publications

References 48 publications

Mental disorders in pregnancy and 5–8 years after delivery

Mental disorders in pregnancy and 5–8 years after delivery

Depression In Pregnancy: Prevalence And Clinical Correlates

Mode of birth and early postnatal psychological morbidity

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