Partner support for women's antidepressant treatment and its association with depressive symptoms in pregnant women, mothers, and women planning pregnancy.

PURPOSE: To examine the association between partner support for women's antidepressant treatment and depressive symptoms in pregnant women, those planning pregnancy, and mothers who ever used antidepressants. METHODS: We included 334 women (n=44 planners, n=182 pregnant, n=108 mothers) ever treated with antidepressants within the HEALTHx2 study, a web-based cross-sectional study conducted across Norway in June 2020 to June 2021. The Edinburgh Postnatal Depression Scale and two questions of the Patient Health Questionnaire measured depressive symptoms, by degree of severity and for depressed mood, anxiety, and anhedonia sub-dimensions. Partner support was measured using one item from the Antidepressant Compliance Questionnaire. Association was estimated via unadjusted and adjusted linear and logistic regression models. RESULTS: Being unsupported by the partner was associated with increased odds of reporting moderate-to-very-severe depressive symptoms in mothers (adjusted odds ratio (aOR), 3.57; 95% confidence interval (CI), 1.04-12.19) and pregnant women (aOR, 3.26; 95% CI, 0.95-11.14), relative to being supported. Pregnant women (adjusted mean difference (ß), 0.76; 95% CI, 0.14-1.38) and mothers (ß, 0.93; 95% CI, 0.23-1.64) with no support for their antidepressant treatment presented greater symptoms of anhedonia; for women planning pregnancy, this association emerged in relation to anxiety symptoms (ß among non-users of antidepressant, 2.58; 95% CI, 1.04-4.13). CONCLUSIONS: Partner support for women's antidepressant treatment may play a key role in depressive symptoms severity and the subtypes of anhedonia and anxiety, among women planning pregnancy, pregnant women, and mothers. This highlights the importance of partner inclusion in the complex decision-making process for antidepressant treatment around the time of pregnancy.

Wetland health assessment using DPSI framework: a case study in Kolkata Metropolitan Area.

Wetlands are among the most valuable components of the ecosystem, playing an important role in preventing floods, maintaining the hydrological cycle, protecting against natural hazards, and controlling local weather conditions and ecological restoration. The Kolkata Metropolitan Area (KMA) is considered one of the most ecologically valuable regions in terms of wetland ecosystem, but due to haphazard development and human activities, the wetlands of the city are under constant threat of degradation. Therefore, this study aims to assess the factors responsible for wetland health and their dynamics using Driving Force-Pressure-State-Impact (DPSI) framework. To assess wetland health during 2011-2020, seventeen indicators and four sub-indicators were selected to calculate weights using the analytic hierarchy process (AHP). The results showed that most of the municipalities in the healthy category were in the pressure (P) section in 2011, while fluctuations were observed in the impact (I) section in several wards during 2011-20. The condition section (S) showed the overall change in the water, vegetation, and built-up categories from 2011 to 2020, so the most dominant category was "healthy," followed by "unhealthy" and "poor." The highly significant factors worsening wetland health were population density (B1), road density (B3), per capita wastewater generation (B5), per capita solid waste generation (B7), biological oxygen demand (D1a), dissolved oxygen (D1b), pH (D1c), and total coliform (D1d). The results of the study can help develop sustainable conservation and management of the wetland ecosystem in the KMA urban area and at the global level with similar geographical conditions.