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Prevalence of anxiety and depression and their associated risk factors throughout pregnancy and postpartum: a prospective cross-sectional descriptive multicentred study.
Jimènez-Barragan, Marta; Falguera-Puig, Gemma; Curto-Garcia, Jorge Juan; Monistrol, Olga; Coll-Navarro, Engracia; Tarragó-Grima, Mercè; Ezquerro-Rodriguez, Olga; Ruiz, Anna Carmona; Codina-Capella, Laura; Urquizu, Xavier; Pino Gutierrez, Amparo Del.
Afiliação
  • Jimènez-Barragan M; Universitat de Barcelona, Fundació Assistencial Mútua Terrassa, (Terrassa), Research Group on Sexual and Reproductive Healthcare (GRASSIR), (2021-sgr-01489), Barcelona, 08221, Spain. marta.jim@gmail.com.
  • Falguera-Puig G; ASSIR Fundació Assistencial Mútua Terrassa, Universitat de Barcelona, Plaça Dr. Robert 5, Barcelona, 08221, Spain. marta.jim@gmail.com.
  • Curto-Garcia JJ; Atenció a la Salut Sexual i Reproductiva Metropolitana Nord, Direcció d'Atenció Primària Metropolitana Nord, Institut Català de la Salut, Barcelona, Spain.
  • Monistrol O; Research Group on Sexual and Reproductive Healthcare (GRASSIR), (2021-sgr-01489), Barcelona, 08007, Spain.
  • Coll-Navarro E; Institut Universitari d'Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, Spain.
  • Tarragó-Grima M; AstraZeneca F, Barcelona, Spain.
  • Ezquerro-Rodriguez O; Faculty of Nursing and Physiotherapy, University of Lleida, Iguada, Spain.
  • Ruiz AC; Head of Midwifery, Fundació Assistencial Mútua Terrassa, Terrassa, Spain.
  • Codina-Capella L; Midwife, Sexual and Reproductive Health Clinic (ASSIR) CAP Rambla Terrassa, Mollet, Spain.
  • Urquizu X; Midwife, Sexual and Reproductive Health Clinic (ASSIR) CAP Rambla Terrassa, Mollet, Spain.
  • Pino Gutierrez AD; Department of Obstetrics and Gynaecology, Fundació Sanitària Mollet, Mollet, Spain.
BMC Pregnancy Childbirth ; 24(1): 500, 2024 Jul 25.
Article em En | MEDLINE | ID: mdl-39054429
ABSTRACT

OBJECTIVE:

To assess the prevalence of anxiety and depression and their associated risk factors throughout the pregnancy and postpartum process using a new screening for the early detection of mental health problems.

DESIGN:

A prospective cross-sectional descriptive multicentred study. Participants were consecutively enrolled at ≥ 12 weeks' gestation and followed at three different time points at 12-14 weeks of pregnancy, at 29-30 weeks of pregnancy, and 4-6 weeks postpartum. All women completed a mental screening at week 12-14 of pregnancy consisting of two questions from the Generalised Anxiety Disorder Scale (GAD-2) and the two Whooley questions. If this screening was positive, the woman completed the Edinburgh Postnatal Depression Scale (EPDS).

SETTING:

Seven primary care centres coordinated by a Gynaecology and Obstetrics Department in the city of Terrassa (Barcelona) in northern Spain.

PARTICIPANTS:

Pregnant women (N = 335, age 18-45 years), in their first trimester of pregnancy, and receiving prenatal care in the public health system between July 2018 and July 2020.

FINDINGS:

The most relevant factors associated with positive screening for antenatal depression or anxiety during pregnancy, that appear after the first trimester of pregnancy, are systematically repeated throughout the pregnancy, and are maintained in the postpartum period were a history of previous depression, previous anxiety, abuse, and marital problems. In weeks 12-14 early risk factors for positive depression and anxiety screening and positive EPDS were age, smoking, educational level, employment status, previous psychological/psychiatric history and treatment, suicide in the family environment, voluntary termination of pregnancy and current planned pregnancy, living with a partner and partner's income. In weeks 29-30 risk factors were being a skilled worker, a history of previous depression or anxiety, and marital problems. In weeks 4-6 postpartum, risk factors were age, a history of previous depression or anxiety or psychological/psychiatric treatment, type of treatment, having been mistreated, and marital problems.

CONCLUSIONS:

Early screening for anxiety and depression in pregnancy may enable the creation of more effective healthcare pathways, by acting long before mental health problems in pregnant women worsen or by preventing their onset. Assessment of anxiety and depression symptoms before and after childbirth and emotional support needs to be incorporated into routine practice.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Ansiedade / Complicações na Gravidez / Depressão Limite: Adolescent / Adult / Female / Humans / Middle aged / Pregnancy País/Região como assunto: Europa Idioma: En Revista: BMC Pregnancy Childbirth / BMC pregnancy and childbirth / BMC pregnancy childbirth Assunto da revista: OBSTETRICIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Espanha País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Ansiedade / Complicações na Gravidez / Depressão Limite: Adolescent / Adult / Female / Humans / Middle aged / Pregnancy País/Região como assunto: Europa Idioma: En Revista: BMC Pregnancy Childbirth / BMC pregnancy and childbirth / BMC pregnancy childbirth Assunto da revista: OBSTETRICIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Espanha País de publicação: Reino Unido