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"Social support and stressful life events: risk factors for antenatal depression in nulliparous and multiparous women".
Rodríguez-Muñoz, María F; Marcos-Nájera, Rosa; Amezcua, Maria Dolores; Soto-Balbuena, Cristina; Le, Huynh-Nhu; Al-Halabí, Susana.
Afiliação
  • Rodríguez-Muñoz MF; Department of Psychology, Universidad Nacional de Educación a Distancia (UNED), Madrid, Spain.
  • Marcos-Nájera R; Department of Psychology, Universidad Nacional de Educación a Distancia (UNED), Madrid, Spain.
  • Amezcua MD; Department of Psychology, Universidad de Oviedo, Spain.
  • Soto-Balbuena C; Department of Obstetrics and Gynecology, Central University Hospital of Asturias, Oviedo, Spain.
  • Le HN; Department of Psychological and Brain Sciences, George Washington University, Washington, DC, 3USA.
  • Al-Halabí S; Department of Psychology, Universidad de Oviedo, Spain.
Women Health ; 64(3): 216-223, 2024 03.
Article em En | MEDLINE | ID: mdl-38297821
ABSTRACT
Nulliparous (pregnant women who are giving birth for the first time) and multiparous (women who have multiple children) may have different concerns, which may be associated with risk of antenatal depression. This study aims to examine the role of social support and stressful life events as risk factors for antenatal depression in nulliparous and multiparous women. The sample included 1,524 pregnant women recruited from an obstetrics setting at the end of the first trimester of pregnancy from two Spanish tertiary-care public hospitals. The sample completed the Patient Health Questionnaire (PHQ-9), and the "social support" and "stressful life events" subscales of the Postpartum Depression Predictor Inventory-Revised (PDPI-R). Nulliparous women reported a lower prevalence of depressive symptoms (15.6 percent) compared to multiparous mothers (20.1 percent). In both groups, marriage/partner problems (NP ß = 0.178, p < .01 vs MP ß = 0.164, p < .01) and a perceived lack of instrumental support from friends (NP ß = -0.154, p < .01 vs MP ß = -0.154, p < .01) were significant risk factors for antenatal depression. However, nulliparous women have more risk factors such as unemployment (ß = 0.096, p < .05), job change (ß = 0.127, p < .01), financial problems (ß = 0.145, p < .01) and lack of instrumental support from partner (ß = -0187, p < .01). For multiparous women, moving (ß = 0.080, p < .05) and lack of instrumental support from family (ß = -0.151, p < .01) were risk factors. These results suggest the critical need for screening and designing preventive interventions adapted and taking into consideration parity to provide more effective health care during pregnancy.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Gestantes / Depressão Tipo de estudo: Etiology_studies / Prognostic_studies / Risk_factors_studies Limite: Child / Female / Humans / Pregnancy Idioma: En Revista: Women & health / Women Health / Women health Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Espanha

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Gestantes / Depressão Tipo de estudo: Etiology_studies / Prognostic_studies / Risk_factors_studies Limite: Child / Female / Humans / Pregnancy Idioma: En Revista: Women & health / Women Health / Women health Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Espanha