Volume 8, Issue 4 (2020)
Health Educ Health Promot 2020, 8(4): 189-195 |
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Mirsalimi F, Montazeri A, Noroozi A. The Prevalence of Depression and Associated Factors among Primigravid Women. Health Educ Health Promot 2020; 8 (4) :189-195
URL: http://hehp.modares.ac.ir/article-5-44378-en.html
URL: http://hehp.modares.ac.ir/article-5-44378-en.html
1- Department of Health Education and Promotion, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran , f.mirsalimi@modares.ac.ir
2- Population Health Research Group, Health Metrics Research Center, Iranian Institute for Health Sciences Research (ACECR), Tehran, Iran
3- Department of Health Education and Promotion, Faculty of Health, Bushehr University of Medical Sciences, Bushehr, Iran
2- Population Health Research Group, Health Metrics Research Center, Iranian Institute for Health Sciences Research (ACECR), Tehran, Iran
3- Department of Health Education and Promotion, Faculty of Health, Bushehr University of Medical Sciences, Bushehr, Iran
Abstract: (1767 Views)
Aims: Depression during pregnancy has a significant impact on both mother and fetus. This study aimed to determine the frequency of depression and associated factors among primigravid women.
Materials & Methods: This was a cross-sectional study involving 255 pregnant women attending a hospital in Tehran from October 2017 to February 2018. A demographic and clinical questionnaire, the Postpartum Depression Literacy Scale (PoDLiS) and the Edinburgh Postnatal Depression Scale (EPDS), given to a convenient sample of primigravid women attending the antenatal clinic, were completed. chi-square test, t-test and logistic regression analysis were used to analyze the data and SPSS version 22.0 was used for its analysis (p<0.05).
Findings: The prevalence of depression during pregnancy was 17.3% (n=255). The results of the t-test and chi-square test showed that depression was significantly associated with age (p=0.008), marriage age (p=0.018), economic status (p=0.050), family history of depression (p<0.001), marital satisfaction (p<0.001), ability to recognize postpartum depression (p=0.019) and attitudes about postpartum depression (p=0.042). Further analysis by logistic regression analysis revealed that family history of depression [AOR=7.89, 95% CI, p=0.002] and less satisfaction with husband [AOR=3.24, 95% CI, p=0.021] was significantly associated with depression.
Conclusion: The findings showed that a high percentage of women were depressed. Also, having a family history of depression and less satisfied with the husband were the strongest factors related to depression. It seems that educational interventions and counseling may need to be conducted on high-risk mothers to promote their mental health status.
Materials & Methods: This was a cross-sectional study involving 255 pregnant women attending a hospital in Tehran from October 2017 to February 2018. A demographic and clinical questionnaire, the Postpartum Depression Literacy Scale (PoDLiS) and the Edinburgh Postnatal Depression Scale (EPDS), given to a convenient sample of primigravid women attending the antenatal clinic, were completed. chi-square test, t-test and logistic regression analysis were used to analyze the data and SPSS version 22.0 was used for its analysis (p<0.05).
Findings: The prevalence of depression during pregnancy was 17.3% (n=255). The results of the t-test and chi-square test showed that depression was significantly associated with age (p=0.008), marriage age (p=0.018), economic status (p=0.050), family history of depression (p<0.001), marital satisfaction (p<0.001), ability to recognize postpartum depression (p=0.019) and attitudes about postpartum depression (p=0.042). Further analysis by logistic regression analysis revealed that family history of depression [AOR=7.89, 95% CI, p=0.002] and less satisfaction with husband [AOR=3.24, 95% CI, p=0.021] was significantly associated with depression.
Conclusion: The findings showed that a high percentage of women were depressed. Also, having a family history of depression and less satisfied with the husband were the strongest factors related to depression. It seems that educational interventions and counseling may need to be conducted on high-risk mothers to promote their mental health status.
Article Type: Original Research |
Subject:
Family Health Education/Promotion
Received: 2020/07/11 | Accepted: 2020/10/25 | Published: 2020/12/20
Received: 2020/07/11 | Accepted: 2020/10/25 | Published: 2020/12/20
References
1. Fisher J, Tran T, Kriitmaa K, Rosenthal D, Tran T. Common perinatal mental disorders in northern Viet Nam: Community prevalence and health care use. Bull World Health Organ. 2010;88(10):737-45. [Link] [DOI:10.2471/BLT.09.067066]
2. Comasco E, Sylvén SM, Papadopoulos FC, Oreland L, Sundström-Poromaa I, Skalkidou A. Postpartum depressive symptoms and the BDNF Val66Met functional polymorphism: Effect of season of delivery. Arch womens Ment Health. 2011;14(6):453-63. [Link] [DOI:10.1007/s00737-011-0239-x]
3. Boyd RC, Mogul M, Newman D, Coyne JC. Screening and referral for postpartum depression among low-income women: A qualitative perspective from community health workers. Depres Res Treat. 2011(2011): 320605. [Link] [DOI:10.1155/2011/320605]
4. Centers for Disease Control and Prevention. Pregnancy Complications. Atlanta: Centers for Disease Control and Prevention; 2020 [Cited 2020 Oct 20]. Available from: http//www.cdc.gov/reproductivehealth/maternalinfanthealth/pregnancy-complications.html. [Link]
5. Rahman A, Patel V, Maselko J, Kirkwood B. The neglected 'm' in MCH programmes--why mental health of mothers is important for child nutrition. Trop Med Int Health. 2008;13(4):579-83. [Link] [DOI:10.1111/j.1365-3156.2008.02036.x]
6. Bowen A, Muhajarine N. Antenatal depression. Can Nurse. 2006;102(9):26-30. [Link]
7. Eberhard-Gran M, Tambs K, Opjordsmoen S, Skrondal A, Eskild A. Depression during pregnancy and after delivery: A repeated measurement study. J Psychosom Obstet Gynecol. 2004;25(1):15-21. [Link] [DOI:10.1080/01674820410001737405]
8. Ghasemi A, Taghipoor Anvari R, Birashk B, Moradi Lakeh M. Assessing psychological state of pregnant women admitted to health centers in Tehran (2002). Razi J Med Sci. 2003;10(36):585-98. [Persian] [Link]
9. Lalooei A, Kashanizadeh N. The frequency of depression among pregnant women admitted to Baqiyatallah and Najmieh hospitals. J Med Counc Iran. 2007;25(3):317-23. [Persian] [Link]
10. Moshki M, Armanmehr V, Cheravi K. The relationship between depression during pregnancy with social support and some demographic variables in pregnant women. Iran J Obstet Gynecol Infertil. 2015;18(142):12-20. [Persian] [Link]
11. Baghi V, Ghanei R, Roohi M, Ghoreishi H, Moradi N. The relationship between antenatal depression and sleep apnea. Iran J Obstet Gynecol Infertil. 2013;16(52):18-24. [Persian] [Link]
12. Hejrati P, Jenabi E. The study of relationship between depression with the type of pregnancy (wanted and unwanted) in Tamine Ejtemaee Hospital in Iran. Proced Soc Behav Sci. 2011;28:87-91. [Link] [DOI:10.1016/j.sbspro.2011.11.018]
13. Kheirabadi GR, Maracy MR. Perinatal depression in a cohort study on Iranian women. J Res Med Sci. 2010;15(1):41-9. [Link]
14. Grote NK, Bridge JA, Gavin AR, Melville JL, Iyengar S, Katon WJ. A meta-analysis of depression during pregnancy and the risk of preterm birth, low birth weight, and intrauterine growth restriction. Arch Gen Psychiatry. 2010;67(10):1012-24. [Link] [DOI:10.1001/archgenpsychiatry.2010.111]
15. Accortt EE, Cheadle ACD, Schetter CD. Prenatal depression and adverse birth outcomes: An updated systematic review. Matern Child Health J. 2015;19(6):1306-37. [Link] [DOI:10.1007/s10995-014-1637-2]
16. Van den Bergh BRH, Mulder EJH, Mennes M, Glover V. Antenatal maternal anxiety and stress and the neurobehavioural development of the fetus and child: Links and possible mechanisms. A review. Neurosci Biobehav Rev. 2005.29(2):237-58. [Link] [DOI:10.1016/j.neubiorev.2004.10.007]
17. Plant DT, Pawlby S, Sharp D, Zunszain PA, Pariante CM. Prenatal maternal depression is associated with offspring inflammation at 25 years: A prospective longitudinal cohort study. Trans Psychiatry. 2016;6(11):e936. [Link] [DOI:10.1038/tp.2015.155]
18. Harvey ST, Pun PKK. Analysis of positive Edinburgh depression scale referrals to a consultation liaison psychiatry service in a two-year period. Int J Ment Health Nurs. 2007;16(3):161-7. [Link] [DOI:10.1111/j.1447-0349.2007.00463.x]
19. Eberhard-Gran M, Slinning K. Depressed mood and depression associated with the birth. Oslo: Nasjonalt Folkehelseinstitutt; 2007. [Norwegian] [Link]
20. Fisher J, Cabral de Mello M, Patel V, Rahman A, Tran T, Holton S, et al. Prevalence and determinants of common perinatal mental disorders in women in low- and lower-middle-income countries: A systematic review. Bull World Health Organ. 2012;90(2):139-49. [Link] [DOI:10.2471/BLT.11.091850]
21. Roomruangwong C, Epperson CN. Perinatal depression in Asian women: Prevalence, associated factors, and cultural aspects. Asian Biomed. 2011;5(2):179-93. [Link] [DOI:10.5372/1905-7415.0502.024]
22. Dayan J, Creveuil C, Dreyfus M, Herlicoviez M, Baleyte JM, O'Keane V. Developmental model of depression applied to prenatal depression: Role of present and past life events, past emotional disorders and pregnancy stress. PLoS ONE. 2010;5(9):e12942. [Link] [DOI:10.1371/journal.pone.0012942]
23. Marcus SM, Flynn HA, Blow FC, Barry KL. Depressive symptoms among pregnant women screened in obstetrics settings. J Womens health. 2003;12(4):373-80. [Link] [DOI:10.1089/154099903765448880]
24. Rubertsson C, Waldenström U, Wickberg B. Depressive mood in early pregnancy: Prevalence and women at risk in a national Swedish sample. J Reprod Infant Psychol. 2003;21(2):113-23. [Link] [DOI:10.1080/0264683031000124073]
25. Dennis CL, Allen K. Interventions (other than pharmacological, psychosocial or psychological) for treating antenatal depression. Cochrane Database Syst Rev. 2008;(4):CD006795. [Link] [DOI:10.1002/14651858.CD006795.pub2]
26. Jarahi L, Zavar A, Neamat Shahi M. Evaluation of depression and related factors in pregnant women referred to urban and rural health centers of Sarakhs. J Midwifery Reprod Health. 2015;3(2):343-8. [Link]
27. Noury R, Karimi N, Mohammadi M. Relationship between prenatal depression with social support and marital satisfaction. Sarem J Reprod Med. 2017;2(3):153-7. [Persian] [Link] [DOI:10.29252/sjrm.1.4.153]
28. Stewart D, Milis L, Misri N. Depression during pregnancy. Can Fam Physician. 2005; 51(8):1061-3. [Link]
29. Ko JY, Farr SL, Dietz PM, Robbins CL. Depression and treatment among U.S. pregnant and nonpregnant women of reproductive age, 2005-2009. J Womens Health. 2012;21(8):830-6. [Link] [DOI:10.1089/jwh.2011.3466]
30. Dennis CL, Chung‐Lee L. Postpartum depression help‐seeking barriers and maternal treatment preferences: A qualitative systematic review. Birth. 2006;33(4):323-31. [Link] [DOI:10.1111/j.1523-536X.2006.00130.x]
31. Fonseca A, Gorayeb R, Canavarro MC. Women׳ s help-seeking behaviours for depressive symptoms during the perinatal period: Socio-demographic and clinical correlates and perceived barriers to seeking professional help. Midwifery. 2015;31(12):1177-85. [Link] [DOI:10.1016/j.midw.2015.09.002]
32. O'Mahen HA, Flynn HA. Preferences and perceived barriers to treatment for depression during the perinatal period. J womens Health. 2008;17(8):1301-9. [Link] [DOI:10.1089/jwh.2007.0631]
33. Jorm AF, Korten AE, Jacomb PA, Christensen H, Rodgers B, Pollitt P. "Mental health literacy": A survey of the public's ability to recognise mental disorders and their beliefs about the effectiveness of treatment. Med J Aust. 1997;166(4):182-6. [Link] [DOI:10.5694/j.1326-5377.1997.tb140071.x]
34. Letourneau NL, Dennis CL, Benzies K, Duffett-Leger L, Stewart M, Tryphonopoulos PD, et al. Postpartum depression is a family affair: Addressing the impact on mothers, fathers, and children. Issues Ment Health Nurs. 2012;33(7):445-57. [Link] [DOI:10.3109/01612840.2012.673054]
35. Recto P, Champion JD. Assessment of mental health literacy among perinatal Hispanic adolescents. Issues Ment Health nurs. 2017;38(12):1030-8. [Link] [DOI:10.1080/01612840.2017.1349224]
36. Azami M, Badfar G, Shohani M, Mansouri A, Soleymani A, Beigom Bigdeli Shamloo M, YektaKooshali MH, Parizad Nasirkandy M. The prevalence of depression in pregnant Iranian women: A systematic review and meta-analysis. Iran J Psychiatry Behav Sci. 2018;12(3):e9975. [Link] [DOI:10.5812/ijpbs.9975]
37. Mirsalimi F, Ghofranipour F, Noroozi A, Montazeri A. The postpartum depression literacy scale (PoDLiS): Development and psychometric properties. BMC Pregnancy Childbirth. 2020;20:1-3. [Link] [DOI:10.1186/s12884-019-2705-9]
38. Moshki M, Cheravi K. Relationships among depression during pregnancy, social support and health locus of control among Iranian pregnant women. Int J Soc Psychiatry. 2016;62(2):148-55. [Link] [DOI:10.1177/0020764015612119]
39. Ghaffarzadeh Khoei M, Lamyaian M, Lotfi R, Montazeri A. The relationship between postpartum depression and health literacy among nulliparous women. PAYESH. 2017;16(6):797-805. [Persian] [Link]
40. Montazeri A, Torkan B, Omidvari S. The Edinburgh Postnatal Depression Scale (EPDS): Translation and validation study of the Iranian version. BMC Psychiatry. 2007;7:11. [Link] [DOI:10.1186/1471-244X-7-11]
41. Patel V, Kleinman A. Poverty and common mental disorders in developing countries. Bull World Health Organ. 2003;81(8):609-15. [Link]
42. Lee DTS, Kleinman J, Kleinman A. Rethinking depression: An ethnographic study of the experiences of depression among Chinese. Harv Rev Psychiatry. 2007;15(1):1-8. [Link] [DOI:10.1080/10673220601183915]
43. Lancaster CA, Gold KJ, Flynn HA, Yoo H, Marcus SM, Davis MM. Risk factors for depressive symptoms during pregnancy: A systematic review. Am J Obstet Gynecol. 2010;202(1):5-14. [Link] [DOI:10.1016/j.ajog.2009.09.007]
44. Gelaye B, Rondon MB, Araya R, Williams MA. Epidemiology of maternal depression, risk factors, and child outcomes in low-income and middle-income countries. Lancet Psychiatry. 2016;3(10):973-82. [Link] [DOI:10.1016/S2215-0366(16)30284-X]
45. Dahlberg KM, Waern M, Runeson B. Mental health literacy and attitudes in a Swedish community sample-investigating the role of personal experience of mental health care. BMC Public Health. 2008;8:8. [Link] [DOI:10.1186/1471-2458-8-8]
46. Robertson E, Grace S, Wallington T, Stewart DE. Antenatal risk factors for postpartum depression: A synthesis of recent literature. Gen Hosp Psychiatry. 2004;26(4):289-95. [Link] [DOI:10.1016/j.genhosppsych.2004.02.006]
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