Mental vulnerability before and depressive symptoms during pregnancy and postpartum: a prospective population-based cohort study from general practice
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Mental vulnerability before and depressive symptoms during pregnancy and postpartum : a prospective population-based cohort study from general practice. / Ertmann, Ruth K.; Lyngsøe, Bente K.; Nicolaisdottir, Dagny R.; Kragstrup, Jakob; Siersma, Volkert.
In: Nordic Journal of Psychiatry, Vol. 76, No. 4, 2022, p. 243-249.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Mental vulnerability before and depressive symptoms during pregnancy and postpartum
T2 - a prospective population-based cohort study from general practice
AU - Ertmann, Ruth K.
AU - Lyngsøe, Bente K.
AU - Nicolaisdottir, Dagny R.
AU - Kragstrup, Jakob
AU - Siersma, Volkert
PY - 2022
Y1 - 2022
N2 - Purpose The aim was to investigate and compare the prevalence of symptoms of depression throughout pregnancy and postpartum among women who at the first pregnancy consultation had (1) record of mental disease, (2) self-reported psychological difficulties but no record of mental disease, or (3) no mental vulnerability. Materials and methods Prospective cohort study. An electronic questionnaire containing the Major Depression Inventory (MDI) was e-mailed to 1494 pregnant women after the first, second and third prenatal care consultation and eight weeks postpartum. High depression score was considered present with MDI scores of 21 or more. Information on sociodemographic, somatic comorbidities and previous psychiatric disorders was collected. We used logistic regression to estimate odds ratios with 95% confidence intervals. Results The overall prevalence of symptoms of depression (MDI >= 21) dropped throughout pregnancy. At the first prenatal care consultation the prevalence was 15.3%, 10.7% in the second trimester, 9.3% in the third trimester and 5.6% postpartum. Logistic regression showed increased risk of symptoms of depression throughout pregnancy and postpartum for both women with mental disease and psychological difficulties. For each outcome, the increase in odds for the psychological difficulties group was about one third of the increase in odds for the mental illness group. Conclusions Self-reported psychological difficulties may indicate higher odds of depressive symptoms. The healthcare staff meeting the pregnant women in early pregnancy have a good opportunity to identify this subgroup of vulnerable women by means of the Pregnancy Health Records and additional questions exploring women's experiences with previous psychological difficulties.
AB - Purpose The aim was to investigate and compare the prevalence of symptoms of depression throughout pregnancy and postpartum among women who at the first pregnancy consultation had (1) record of mental disease, (2) self-reported psychological difficulties but no record of mental disease, or (3) no mental vulnerability. Materials and methods Prospective cohort study. An electronic questionnaire containing the Major Depression Inventory (MDI) was e-mailed to 1494 pregnant women after the first, second and third prenatal care consultation and eight weeks postpartum. High depression score was considered present with MDI scores of 21 or more. Information on sociodemographic, somatic comorbidities and previous psychiatric disorders was collected. We used logistic regression to estimate odds ratios with 95% confidence intervals. Results The overall prevalence of symptoms of depression (MDI >= 21) dropped throughout pregnancy. At the first prenatal care consultation the prevalence was 15.3%, 10.7% in the second trimester, 9.3% in the third trimester and 5.6% postpartum. Logistic regression showed increased risk of symptoms of depression throughout pregnancy and postpartum for both women with mental disease and psychological difficulties. For each outcome, the increase in odds for the psychological difficulties group was about one third of the increase in odds for the mental illness group. Conclusions Self-reported psychological difficulties may indicate higher odds of depressive symptoms. The healthcare staff meeting the pregnant women in early pregnancy have a good opportunity to identify this subgroup of vulnerable women by means of the Pregnancy Health Records and additional questions exploring women's experiences with previous psychological difficulties.
KW - Pregnancy
KW - psychological difficulties
KW - mental vulnerability
KW - depression
KW - general practitioner
KW - RISK-FACTORS
KW - PERINATAL DEPRESSION
KW - ANXIETY
KW - DISORDERS
KW - RATES
KW - WOMEN
KW - PREDICTORS
KW - OUTCOMES
KW - PARENTS
U2 - 10.1080/08039488.2021.1953583
DO - 10.1080/08039488.2021.1953583
M3 - Journal article
C2 - 34355638
VL - 76
SP - 243
EP - 249
JO - Nordisk Psykiatrisk Tidsskrift
JF - Nordisk Psykiatrisk Tidsskrift
SN - 0803-9496
IS - 4
ER -
ID: 276156133