Your browser doesn't support javascript.
loading
Different patterns of depressive symptoms during pregnancy.
Truijens, Sophie E M; Spek, Viola; van Son, Maarten J M; Guid Oei, S; Pop, Victor J M.
Afiliação
  • Truijens SEM; Department of Obstetrics and Gynaecology, Máxima Medical Centre Veldhoven, and Eindhoven University of Technology, Veldhoven/Eindhoven, The Netherlands. s.truijens@mmc.nl.
  • Spek V; Department of Obstetrics and Gynaecology, Máxima Medical Centre Veldhoven, and Eindhoven University of Technology, Veldhoven/Eindhoven, The Netherlands.
  • van Son MJM; Department of Clinical and Health Psychology, Utrecht University, Utrecht, The Netherlands.
  • Guid Oei S; Department of Obstetrics and Gynaecology, Máxima Medical Centre Veldhoven, and Eindhoven University of Technology, Veldhoven/Eindhoven, The Netherlands.
  • Pop VJM; Department of Medical and Clinical Psychology, Tilburg University, Tilburg, The Netherlands.
Arch Womens Ment Health ; 20(4): 539-546, 2017 08.
Article em En | MEDLINE | ID: mdl-28593361
ABSTRACT
Recently, the US Preventive Services Task Force has advocated to screen pregnant and postpartum women for depression. However, we questioned the meaning of a single elevated depression score does it represent just one episode of depression or do these symptoms persist throughout the entire pregnancy? This study assessed depressive symptoms at each trimester in a cohort of 1813 pregnant women and evaluated whether women with different patterns of depressive symptoms showed other characteristics. Depending on the trimester, elevated depression scores were prevalent in 10-15% of the pregnant women. Up to 4% reported persistent symptoms of depression throughout pregnancy. Different patterns of depressive symptoms were observed, for which persistent symptoms were related to other characteristics than incidentally elevated symptoms. Besides a previous history of mental health problems as best overall predictor, incidentally elevated depression scores were related to major life events. Furthermore, persistently depressive symptoms were related to unplanned pregnancy and multiparity. An EDS assessment at 12 weeks of gestation including three additional items (history of mental health problems, unplanned pregnancy and multiparity) enabled us to identify 83% of the women with persistent depressive symptoms. A depression screening strategy in pregnant women should take into account the potential chronicity of depressive symptoms by repeated assessments in order to offer an intervention to the most vulnerable women.
Assuntos
Palavras-chave

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Complicações na Gravidez / Trimestres da Gravidez / Gestantes / Depressão Tipo de estudo: Diagnostic_studies / Etiology_studies / Evaluation_studies / Incidence_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Limite: Adolescent / Adult / Female / Humans / Pregnancy País/Região como assunto: Europa Idioma: En Revista: Arch Womens Ment Health Assunto da revista: PSICOLOGIA / SAUDE DA MULHER Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Holanda

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Complicações na Gravidez / Trimestres da Gravidez / Gestantes / Depressão Tipo de estudo: Diagnostic_studies / Etiology_studies / Evaluation_studies / Incidence_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Limite: Adolescent / Adult / Female / Humans / Pregnancy País/Região como assunto: Europa Idioma: En Revista: Arch Womens Ment Health Assunto da revista: PSICOLOGIA / SAUDE DA MULHER Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Holanda