Effect of Depression, Stress and Anxiety during Pregnancy on Low Birth Weight: A Prospective Cohort Study in Suburban Communities
Background and Objectives: Pre-natal mental health problems are major causes of disease burden, especially in lower socio-economic groups of population. The present study used data of a prospective cohort study to estimate the risk of mental health problems, including depression, anxiety, and stress...
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| Format: | Article |
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Tehran University of Medical Sciences
2021-09-01
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| Series: | مجله اپیدمیولوژی ایران |
| Subjects: | |
| Online Access: | http://irje.tums.ac.ir/article-1-6988-en.html |
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| author | K Holakoui-Naeini MA Mansournia SH Naderian R Beiranvand M Bidkhori KH Maajani SH Nematollahi |
| author_facet | K Holakoui-Naeini MA Mansournia SH Naderian R Beiranvand M Bidkhori KH Maajani SH Nematollahi |
| author_sort | K Holakoui-Naeini |
| collection | DOAJ |
| description | Background and Objectives: Pre-natal mental health problems are major causes of disease burden, especially in lower socio-economic groups of population. The present study used data of a prospective cohort study to estimate the risk of mental health problems, including depression, anxiety, and stress, on birth weight.
Materials and Methods: This study used data of 398 pregnant women who were participants of the Bandar Abbas Pregnancy Cohort Study (BAPC) during 2017-2020. Data of depression, anxiety, and stress were collected using DASS-21items questionnaire in pregnancy. Low Birth Weight (LBW), as birthwieght below 2500 grams, was calculated according to infant`s vaccination log. Modified Poisson regression models with logarithm link function and significance level of 5% were applied to estimate the effect of depression, anxiety and stress on LBW.
Results: Compared to the subjects without mental health problems, the risk of LBW increased by 8.03 times in the severe depression (95% CIs: 5.55-11.62), by 8.06 times in the moderate stress (95% CIs: 5.64-11.51), by 3.13 times in the severe anxiety (95% CIs: 1.18-8.31), and by 8.43 in the highly severe anxiety (95% CIs: 5.80-12.25).
Conclusions: Severe and moderate levels of depression, anxiety, and stress all had statistically significant effects on LBW. Pre-natal screening services can help mitigate the burden of mental health by timely detection and referral. Moreover, designing and implementing consultation programs for pregnant women and their fsmilies, expecially their spouses, to provide emotional support and to improve marital relationship are amongst the suggestions. |
| first_indexed | 2024-04-11T21:29:34Z |
| format | Article |
| id | doaj.art-813025d73c2c4d76849fd3d8af50c927 |
| institution | Directory Open Access Journal |
| issn | 1735-7489 2228-7507 |
| language | fas |
| last_indexed | 2024-04-11T21:29:34Z |
| publishDate | 2021-09-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | مجله اپیدمیولوژی ایران |
| spelling | doaj.art-813025d73c2c4d76849fd3d8af50c9272022-12-22T04:02:07ZfasTehran University of Medical Sciencesمجله اپیدمیولوژی ایران1735-74892228-75072021-09-0117296104Effect of Depression, Stress and Anxiety during Pregnancy on Low Birth Weight: A Prospective Cohort Study in Suburban CommunitiesK Holakoui-Naeini0MA Mansournia1SH Naderian2R Beiranvand3M Bidkhori4KH Maajani5SH Nematollahi6 Professor of Epidemiology, Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Professor of Epidemiology, Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran PhD Candidate in Epidemiology, Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran PhD Candidate in Epidemiology, Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran PhD Candidate in Epidemiology, Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran PhD Candidate in Epidemiology, Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran PhD in Epidemiology, Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Background and Objectives: Pre-natal mental health problems are major causes of disease burden, especially in lower socio-economic groups of population. The present study used data of a prospective cohort study to estimate the risk of mental health problems, including depression, anxiety, and stress, on birth weight. Materials and Methods: This study used data of 398 pregnant women who were participants of the Bandar Abbas Pregnancy Cohort Study (BAPC) during 2017-2020. Data of depression, anxiety, and stress were collected using DASS-21items questionnaire in pregnancy. Low Birth Weight (LBW), as birthwieght below 2500 grams, was calculated according to infant`s vaccination log. Modified Poisson regression models with logarithm link function and significance level of 5% were applied to estimate the effect of depression, anxiety and stress on LBW. Results: Compared to the subjects without mental health problems, the risk of LBW increased by 8.03 times in the severe depression (95% CIs: 5.55-11.62), by 8.06 times in the moderate stress (95% CIs: 5.64-11.51), by 3.13 times in the severe anxiety (95% CIs: 1.18-8.31), and by 8.43 in the highly severe anxiety (95% CIs: 5.80-12.25). Conclusions: Severe and moderate levels of depression, anxiety, and stress all had statistically significant effects on LBW. Pre-natal screening services can help mitigate the burden of mental health by timely detection and referral. Moreover, designing and implementing consultation programs for pregnant women and their fsmilies, expecially their spouses, to provide emotional support and to improve marital relationship are amongst the suggestions.http://irje.tums.ac.ir/article-1-6988-en.htmllow birth weightmental healthpregnancyprospective cohort study |
| spellingShingle | K Holakoui-Naeini MA Mansournia SH Naderian R Beiranvand M Bidkhori KH Maajani SH Nematollahi Effect of Depression, Stress and Anxiety during Pregnancy on Low Birth Weight: A Prospective Cohort Study in Suburban Communities مجله اپیدمیولوژی ایران low birth weight mental health pregnancy prospective cohort study |
| title | Effect of Depression, Stress and Anxiety during Pregnancy on Low Birth Weight: A Prospective Cohort Study in Suburban Communities |
| title_full | Effect of Depression, Stress and Anxiety during Pregnancy on Low Birth Weight: A Prospective Cohort Study in Suburban Communities |
| title_fullStr | Effect of Depression, Stress and Anxiety during Pregnancy on Low Birth Weight: A Prospective Cohort Study in Suburban Communities |
| title_full_unstemmed | Effect of Depression, Stress and Anxiety during Pregnancy on Low Birth Weight: A Prospective Cohort Study in Suburban Communities |
| title_short | Effect of Depression, Stress and Anxiety during Pregnancy on Low Birth Weight: A Prospective Cohort Study in Suburban Communities |
| title_sort | effect of depression stress and anxiety during pregnancy on low birth weight a prospective cohort study in suburban communities |
| topic | low birth weight mental health pregnancy prospective cohort study |
| url | http://irje.tums.ac.ir/article-1-6988-en.html |
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