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Psychological distress in pregnancy and postpartum: a cross-sectional study of Babol pregnancy mental health registry.
Barat, Shahnaz; Ghanbarpour, Azita; Mirtabar, Seyyedeh Mahboubeh; Kheirkhah, Farzan; Basirat, Zahra; Shirafkan, Hoda; Hamidia, Angela; Khorshidian, Faezeh; Hosseini Talari, Davood; Pahlavan, Zeynab; Esmaelzadeh, Sedigheh; Buzari, Zinatosadat; Zeynalzadeh, Mahtab; Charati, Shahla Yazdani; Shafizade, Fatemeh; Adnani, Mahsima; Amirkhanloo, Fatemeh; Mollaalipour, Maedeh; Kani, Atieh Chale; Amiri, Mania; Khazaei, Razieh; Mehdinia, Seyedeh Shabnam; Basirat, Fatemeh; Asadollahi, Simin; Khodami, Asieh; Azizi, Alireza; Nasiri-Amiri, Fatemeh; Fatery, Nooshin; Shahrokhi, Shirin; Zarinkamar, Banafshe; Aligoltabar, Sajedeh; Faramarzi, Mahbobeh.
Afiliação
  • Barat S; Department of Obstetrics and Gynecology, Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
  • Ghanbarpour A; Department of Obstetrics and Gynecology, Health Research Institute, Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran.
  • Mirtabar SM; Research Clinical Psychology, Student Research Committee, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
  • Kheirkhah F; Department of Psychiatry, Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
  • Basirat Z; Department of Obstetrics and Gynecology, Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
  • Shirafkan H; Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
  • Hamidia A; Department of Psychiatry, Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
  • Khorshidian F; Department of Psychiatry, Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
  • Hosseini Talari D; Department of Psychiatry, Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
  • Pahlavan Z; Department of Midwifery, School of Nursing and Midwifery,Infertility and Reproductive Health Research Center, Reproductive Health, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
  • Esmaelzadeh S; Department of Obstetrics and Gynecology, Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
  • Buzari Z; Department of Obstetrics and Gynecology, Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
  • Zeynalzadeh M; Department of Obstetrics and Gynecology, Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
  • Charati SY; Department of Obstetrics and Gynecology, Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
  • Shafizade F; Department of Obstetrics and Gynecology, Health Research Institute, Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran.
  • Adnani M; Department of Obstetrics and Gynecology, Health Research Institute, Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran.
  • Amirkhanloo F; Department of Obstetrics and Gynecology, Health Research Institute, Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran.
  • Mollaalipour M; Department of Obstetrics and Gynecology, Health Research Institute, Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran.
  • Kani AC; Department of Obstetrics and Gynecology, Health Research Institute, Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran.
  • Amiri M; Department of Obstetrics and Gynecology, Health Research Institute, Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran.
  • Khazaei R; Department of Obstetrics and Gynecology, Health Research Institute, Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran.
  • Mehdinia SS; Department of Obstetrics and Gynecology, Health Research Institute, Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran.
  • Basirat F; Department of Obstetrics and Gynecology, Health Research Institute, Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran.
  • Asadollahi S; Department of Obstetrics and Gynecology, Health Research Institute, Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran.
  • Khodami A; Department of Obstetrics and Gynecology, Health Research Institute, Rouhani Hospital, Babol University of Medical Sciences, Babol, Iran.
  • Azizi A; Department of Psychiatry, Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
  • Nasiri-Amiri F; Department of Midwifery, School of Nursing and Midwifery,Infertility and Reproductive Health Research Center, Reproductive Health, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
  • Fatery N; Midwifery, Clinical Research Development Unit of Rohani Hospital, Health Research, Institute, Babol University of Medical Sciences, Babol, Iran.
  • Shahrokhi S; Clinical Psychology, Student Reasearch Committee, Behshahr Azad University, Behshahr, Iran. shirin.sh2225@gmail.com.
  • Zarinkamar B; Clinical Psychology, Clinical Research Development Unit of Shahid Yahya Nejad, Health Research Institute, Babol University of Medical Sciences, HospitalBabol, Iran.
  • Aligoltabar S; Midwifery, Student Reasearch Committee, Babol University of Medical Sciences, Babol, Iran.
  • Faramarzi M; Department of General Courses, Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran. mahbob330@yahoo.com.
BMC Pregnancy Childbirth ; 23(1): 793, 2023 Nov 14.
Article em En | MEDLINE | ID: mdl-37964209
ABSTRACT

BACKGROUND:

Psychological distress (PD) is a significant issue during pregnancy and postpartum, adversely affecting both children and mothers. This study aims to determine PD's prevalence and risk factors in a large Iranian population sample during pregnancy and postpartum.

METHODS:

A cross-sectional study was conducted using data from the Babol Pregnancy Mental Health Registry (located in the north of Iran) between June 2020 and March 2021. A total of 2305 women were included, with 1639 during pregnancy and 666 during postpartum. Psychological distress was assessed using the Brief Symptoms Inventory (BSI-18), and data were analyzed using independent t-tests and multiple logistic regressions.

RESULTS:

The prevalence of psychological distress, defined by a cut-off score of BSI ≥ 13, was 19% during pregnancy and 15% during postpartum. Multivariate logistic analysis revealed that high-risk pregnancy was the leading risk factor for psychological distress during the antenatal period (ß = 1.776, P < 0.001), as well as its three subscales somatization (ß = 1.355, P = 0.019), anxiety symptoms (ß = 2.249, P < 0.001), and depressive symptoms (ß = 1.381, P = 0.028). Additionally, women with a gestational age < 20 weeks had a higher risk of psychological distress (ß = 1.344, P = 0.038) and the somatization subscale (ß = 1.641, P < 0.001). During the postpartum period, women residing in urban areas were at higher risk of psychological distress (ß = 1.949, P = 0.012), as well as two subscales anxiety symptoms (ß = 1.998, P = 0.012) and depressive symptoms (ß = 1.949, P = 0.020).

CONCLUSION:

The high prevalence of psychological distress emphasizes detecting and treating PD during pregnancy and postpartum, particularly in women with high-risk pregnancies. This study suggests that obstetricians and midwives should implement programs to identify women experiencing psychological distress during early pregnancy through postpartum visits.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Depressão Pós-Parto / Angústia Psicológica Limite: Child / Female / Humans / Infant / Pregnancy País/Região como assunto: Asia Idioma: En Revista: BMC Pregnancy Childbirth Assunto da revista: OBSTETRICIA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Irã
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Depressão Pós-Parto / Angústia Psicológica Limite: Child / Female / Humans / Infant / Pregnancy País/Região como assunto: Asia Idioma: En Revista: BMC Pregnancy Childbirth Assunto da revista: OBSTETRICIA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Irã