Depression, anxiety and influencing factors in pregnancy: a study in a Turkish population (original) (raw)
Related papers
Journal of Clinical Nursing, 2010
Prospective study of postpartum depression in eastern Turkey prevalence, socio-demographic and obstetric correlates, prenatal anxiety and early awareness _ Ismet Kirpinar, Sebahat Gö zü m and Tü rkan Pasinliog lu Aims and objectives. The study was undertaken to provide an estimate of the prevalence of postpartum depression and its correlates. Further, we sought to evaluate the predictive power of the Edinburgh Postnatal Depression Scale when administered at postpartum week one for symptoms of depression at postpartum week six. Background. Postpartum depression is a major health issue for women worldwide with well-documented negative health consequences for the mother and family. It is therefore important to evaluate prenatal detection of women at risk for developing postpartum depression. Design. A prospective study. Methods. The study involved 479 pregnant women in Erzurum, Turkey who were evaluated during the third trimester of pregnancy and at one and six weeks postpartum by community midwives. Questionnaires were used for data collection. Anxiety/social support scales were used for baseline evaluation, and the Edinburgh Postpartum Depression Scale was administered at one and six weeks postpartum. Results. The prevalence of depressive symptoms according to the Edinburgh Postpartum Depression Scale was 17AE7% at first week and 14% at sixth week postpartum. The factors that were most predictive of postpartum depression were psychiatric history during pregnancy; prenatal anxiety; poor marital relationship in the first postpartum weeks; lack of health insurance and lack of contraceptive use. The correlation between symptoms of depression at one and six weeks in the postpartum period was significant.
2021
Objective: The aim of an analytic cross-sectional study is to evaluate the relationship of psychological symptoms with socio-demographical and obstetric risk factors in pregnant Turkish women. Methods: This descriptive and cross-sectional study was conducted in 2014 at a State Education and Research Hospital in Ankara, Turkey. Identification Form and Hospital Anxiety and Depression Scale were used in collection of the data. Results: The study group consisted of 297 pregnant women. The prevalence of anxiety was 14.8% and depression was 28.6%. Anxiety or depression scores were found to be higher in those with low education and low income, those who are in the last trimester of pregnancy, those with non-planned pregnancy, those with pre-eclampsia, those who feel they are not ready for motherhood, those suffering fears and concerns related with giving birth, those with poor husband support and marital adjustment and those with inadequate knowledge on pregnancychildcare (p<0.05). Conc...
The Scientific World Journal, 2012
Antepartum anxiety and/or depression is a major public health problem globally. The aim of this study was to estimate the frequency of antepartum anxiety and/or depression among pregnant women. This was a cross-sectional study conducted in a tertiary care hospital among pregnant women. A total of 165 pregnant women were interviewed by a clinical psychologist using HADS for assessing anxiety and/or depression and also collected information regarding sociodemographic, obstetric, family relationships, and home environment. Out of the total of 165 pregnant women about 70 percent of them were either anxious and/or depressed. The increasing age of women (P-value=0.073), not having any live birth (P-value=0.036), adverse pregnancy outcome in past including death of a child, stillbirth or abortion (P-value=0.013), participant’s role in household decision making (P-value=0.013), and domestic violence (verbal or physical abuse towards mother or children by any family member) (P-value=0.123). ...
Prevalence and associated risk factors of depression, anxiety and stress in pregnancy
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2016
Background: Pregnancy is considered as state of emotional well-being. However, pregnancy increases the vulnerability to emotional and psychological conditions such as depression, anxiety, stress and psychoses which have implications to the mother and adverse perinatal outcomes. The objective of this study was to estimate the prevalence and identify the obstetrical and socioeconomic risk factors associated with common mental disorders in the antepartum period by screening and clinical diagnostic interview. Methods: This was a cross sectional study of pregnant women receiving antenatal care in two antenatal health clinics at Malaysia. Pregnant women were screened twice (16-22 weeks and 34-36 weeks) for common mental disorders by administering depression anxiety and stress scale (DASS-21). A detailed structured questionnaire was used to obtain information on socio-demographic and obstetric characteristics of subjects. Women who screened positive for common mental disorders (DASS 21 scores: depression > 10, anxiety >8, stress >15) were clinically assessed by trained clinician using mini international neuropsychiatric interview (MINI). Results: Among 288 women screened, the overall prevalence of antenatal depression, anxiety and stress was 23.6% (n=68) in the second trimester and 24.7% (n=71) in third trimester. The commonest mental health problems are anxiety, 18.8% depression 6.9% and stress 4.2%. Diagnostic clinical interview with MINI diagnosed 34% with adjustment disorder, 23% with anxiety spectrum conditions (panic and GAD) and 8.5% major depressive illness. There was no significant difference in developing common mental disorders between second and third trimester (p>0.05). The socio-demographic factors associated with mental health disorders were low socioeconomic status (p<0.02), lack of family support (p<0.028), partner violence (p<0.002) and obstetrics factors include unplanned pregnancy (p<0.01). Conclusions: Anxiety, depression and stress are associated with identifiable socioeconomic and obstetric risk factors.
Depression and anxiety during pregnancy: The influence of maternal characteristics
Birth-issues in Perinatal Care, 2018
Introduction: Depression and anxiety during pregnancy are associated with adverse health outcomes for both mother and child. This study aimed to investigate the occurrence of symptoms of depression and anxiety in early and late pregnancy, the longitudinal changes from early to late pregnancy, and factors associated with symptoms of depression and anxiety in pregnant women in the Netherlands. Methods: We studied 2897 women participating in the PRegnancy and Infant DEvelopment (PRIDE) Study. To assess symptoms of depression and anxiety, web-based questionnaires including the Hospital Anxiety and Depression Scale (HADS) and multiple questions on maternal characteristics, including demographics, health, and lifestyle factors, were completed in early and late pregnancy. Cross-sectional and longitudinal multivariable linear regression analyses were conducted. Results: According to the HADS, the prevalence of depression in our population increased from 5.4% in early pregnancy to 10.0% in late pregnancy (p < 0.001), whereas the prevalence of anxiety decreased from 17.9% to 14.2% (p < 0.001). Several maternal characteristics, such as level of education, multiparity, a history of depression, severe nausea, extreme fatigue, lack of physical exercise, and negative life events were associated with symptoms of depression and/or anxiety throughout pregnancy. Being non-Dutch, not living with a partner, and having an unplanned pregnancy or a prolonged time to pregnancy influenced the depression and/or anxiety scores in early pregnancy only. Conclusions: Depression and anxiety are common disorders in both early and late pregnancy. Screening for risk factors for these disorders in early pregnancy is important, since prenatal depression and anxiety may be related to adverse maternal and child health outcomes.
The depression in women in pregnancy and postpartum period: A follow-up study
International Journal of Social Psychiatry, 2014
Aim: This was a follow-up study to determine postpartum depression (PPD) and its causes in a population previously evaluated in the first trimester of pregnancy. Methods: The study sample consisted of pregnant women who were evaluated in the first trimester and 360 women who were re-evaluated in the postpartum period. Detailed sociodemographic data were obtained from the women, and depression was assessed with the Edinburgh Postpartum Depression scale (EPDS) and Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders (DSM) Axis I Disorders (SCID-I).
Journal of Affective Disorders, 2020
When anxiety and depression are comorbid (CAD), symptoms are more severe and the response to treatments is worse. Given the links between mood disorders and poor perinatal outcomes, CAD and its correlates deserve special clinical attention during pregnancy. The main objective of this study was to learn about the prevalence of comorbid anxiety and depression (CAD) in early stages of the pregnancy analyzing the relationship between CAD and cultural and sociodemographic factors. Methods: : We have studied a multicultural sample of 514 Turkish and Spanish pregnant women (264 in Málaga, 102 in Istambul and 148 in Antalya) recruited at the moment of their first pregnancy medical checkup between 10 and 12 weeks of pregnancy. These women completed a questionnaire that included the Turkish or Spanish validated versions of the Edinburg postnatal depression scale (EDS), the state and trait anxiety scale (STAI) and a series of questions related to health status, general mood, and sociodemographic variables. Results: We found a CAD prevalence rate of 26.9% and a significant higher prevalence rate among Turkish women (47.6%) when compared to Spanish participants (9.5%) (p<0.001). The multivariate analysis showed that the lack of someone who provided emotional support was the variable that best predicted CAD symptoms. Conclusion: : The CAD prevalence rate was high and significant differences were found depending on the geographic and cultural context.
Comparison of Depression, Anxiety and Stress with Quality of Life among Pregnant Women
Pakistan Journal of Medical and Health Sciences
The study aimed to find the correlation and prediction of depression, anxiety, stress and quality of life in pregnant women in a local setup. Co-relational research design and purposive sampling were used. Data included 106 pregnant women with an average age of 31 years. Co relational analysis revealed that depression, anxiety and stress were significantly negatively related to the quality of life. Moreover, regression analysis found that depression inversely predicted quality of life. Study has significant implications for couple counseling and marital therapy in order to increase the psychological health of females and to protect newborn babies and pregnant mothers from the effects of psychological distress. Keywords: depression stress, anxiety, quality of life, pregnant women