A prospective registry analysis of psychosocial and metabolic health between women with and without metabolic syndrome after a complicated pregnancy
Abstract Purpose Pregnancy complications affect over one quarter of Australian pregnancies, and this group of mothers is vulnerable and more likely to experience adverse cardiometabolic health outcomes in the postpartum period. Metabolic syndrome is common in this population and may be associated wi...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-11-01
|
| Series: | BMC Women's Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12905-022-02035-y |
| _version_ | 1797986865469456384 |
|---|---|
| author | Emily Aldridge K. Oliver Schubert Maleesa Pathirana Susan Sierp Shalem Y. Leemaqz Claire T. Roberts Gustaaf A. Dekker Margaret A. Arstall |
| author_facet | Emily Aldridge K. Oliver Schubert Maleesa Pathirana Susan Sierp Shalem Y. Leemaqz Claire T. Roberts Gustaaf A. Dekker Margaret A. Arstall |
| author_sort | Emily Aldridge |
| collection | DOAJ |
| description | Abstract Purpose Pregnancy complications affect over one quarter of Australian pregnancies, and this group of mothers is vulnerable and more likely to experience adverse cardiometabolic health outcomes in the postpartum period. Metabolic syndrome is common in this population and may be associated with postpartum mental health issues. However, this relationship remains poorly understood. To compare the differences in psychosocial parameters and mental health outcomes between women with metabolic syndrome and women without metabolic syndrome 6 months after a complicated pregnancy. Methods This study is prospective registry analysis of women attending a postpartum healthy lifestyle clinic 6 months following a complicated pregnancy. Mental health measures included 9-item Patient Health Questionnaire (PHQ-9), 7-item Generalised Anxiety Disorder questionnaire (GAD-7), self-reported diagnosed history of depression, anxiety and/or other psychiatric condition, and current psychotropic medication use. Results Women with metabolic syndrome reported significantly more subjective mental health concerns, were more likely to have a history of depression and other psychiatric diagnoses and were more likely prescribed psychotropic medications. However, there were no significant differences in PHQ-9 and GAD-7 scores. Conclusion Amongst new mothers who experienced complications of pregnancy, those with metabolic syndrome represent a particularly vulnerable group with regards to psychosocial disadvantage and mental health outcomes. These vulnerabilities may not be apparent when using common standardised cross-sectional mental health screening tools such as PHQ-9 and GAD-7. |
| first_indexed | 2024-04-11T07:39:43Z |
| format | Article |
| id | doaj.art-82ff800f983247db8e97fee70a61184c |
| institution | Directory Open Access Journal |
| issn | 1472-6874 |
| language | English |
| last_indexed | 2024-04-11T07:39:43Z |
| publishDate | 2022-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Women's Health |
| spelling | doaj.art-82ff800f983247db8e97fee70a61184c2022-12-22T04:36:38ZengBMCBMC Women's Health1472-68742022-11-012211910.1186/s12905-022-02035-yA prospective registry analysis of psychosocial and metabolic health between women with and without metabolic syndrome after a complicated pregnancyEmily Aldridge0K. Oliver Schubert1Maleesa Pathirana2Susan Sierp3Shalem Y. Leemaqz4Claire T. Roberts5Gustaaf A. Dekker6Margaret A. Arstall7Adelaide Medical School, University of AdelaideAdelaide Medical School, University of AdelaideAdelaide Medical School, University of AdelaideDepartment of Cardiology, Northern Adelaide Local Health NetworkFlinders Health and Medical Research Institute, Flinders UniversityAdelaide Medical School, University of AdelaideAdelaide Medical School, University of AdelaideAdelaide Medical School, University of AdelaideAbstract Purpose Pregnancy complications affect over one quarter of Australian pregnancies, and this group of mothers is vulnerable and more likely to experience adverse cardiometabolic health outcomes in the postpartum period. Metabolic syndrome is common in this population and may be associated with postpartum mental health issues. However, this relationship remains poorly understood. To compare the differences in psychosocial parameters and mental health outcomes between women with metabolic syndrome and women without metabolic syndrome 6 months after a complicated pregnancy. Methods This study is prospective registry analysis of women attending a postpartum healthy lifestyle clinic 6 months following a complicated pregnancy. Mental health measures included 9-item Patient Health Questionnaire (PHQ-9), 7-item Generalised Anxiety Disorder questionnaire (GAD-7), self-reported diagnosed history of depression, anxiety and/or other psychiatric condition, and current psychotropic medication use. Results Women with metabolic syndrome reported significantly more subjective mental health concerns, were more likely to have a history of depression and other psychiatric diagnoses and were more likely prescribed psychotropic medications. However, there were no significant differences in PHQ-9 and GAD-7 scores. Conclusion Amongst new mothers who experienced complications of pregnancy, those with metabolic syndrome represent a particularly vulnerable group with regards to psychosocial disadvantage and mental health outcomes. These vulnerabilities may not be apparent when using common standardised cross-sectional mental health screening tools such as PHQ-9 and GAD-7.https://doi.org/10.1186/s12905-022-02035-yMaternal healthMetabolic syndromePregnancy complicationsMaternal mental health |
| spellingShingle | Emily Aldridge K. Oliver Schubert Maleesa Pathirana Susan Sierp Shalem Y. Leemaqz Claire T. Roberts Gustaaf A. Dekker Margaret A. Arstall A prospective registry analysis of psychosocial and metabolic health between women with and without metabolic syndrome after a complicated pregnancy BMC Women's Health Maternal health Metabolic syndrome Pregnancy complications Maternal mental health |
| title | A prospective registry analysis of psychosocial and metabolic health between women with and without metabolic syndrome after a complicated pregnancy |
| title_full | A prospective registry analysis of psychosocial and metabolic health between women with and without metabolic syndrome after a complicated pregnancy |
| title_fullStr | A prospective registry analysis of psychosocial and metabolic health between women with and without metabolic syndrome after a complicated pregnancy |
| title_full_unstemmed | A prospective registry analysis of psychosocial and metabolic health between women with and without metabolic syndrome after a complicated pregnancy |
| title_short | A prospective registry analysis of psychosocial and metabolic health between women with and without metabolic syndrome after a complicated pregnancy |
| title_sort | prospective registry analysis of psychosocial and metabolic health between women with and without metabolic syndrome after a complicated pregnancy |
| topic | Maternal health Metabolic syndrome Pregnancy complications Maternal mental health |
| url | https://doi.org/10.1186/s12905-022-02035-y |
| work_keys_str_mv | AT emilyaldridge aprospectiveregistryanalysisofpsychosocialandmetabolichealthbetweenwomenwithandwithoutmetabolicsyndromeafteracomplicatedpregnancy AT koliverschubert aprospectiveregistryanalysisofpsychosocialandmetabolichealthbetweenwomenwithandwithoutmetabolicsyndromeafteracomplicatedpregnancy AT maleesapathirana aprospectiveregistryanalysisofpsychosocialandmetabolichealthbetweenwomenwithandwithoutmetabolicsyndromeafteracomplicatedpregnancy AT susansierp aprospectiveregistryanalysisofpsychosocialandmetabolichealthbetweenwomenwithandwithoutmetabolicsyndromeafteracomplicatedpregnancy AT shalemyleemaqz aprospectiveregistryanalysisofpsychosocialandmetabolichealthbetweenwomenwithandwithoutmetabolicsyndromeafteracomplicatedpregnancy AT clairetroberts aprospectiveregistryanalysisofpsychosocialandmetabolichealthbetweenwomenwithandwithoutmetabolicsyndromeafteracomplicatedpregnancy AT gustaafadekker aprospectiveregistryanalysisofpsychosocialandmetabolichealthbetweenwomenwithandwithoutmetabolicsyndromeafteracomplicatedpregnancy AT margaretaarstall aprospectiveregistryanalysisofpsychosocialandmetabolichealthbetweenwomenwithandwithoutmetabolicsyndromeafteracomplicatedpregnancy AT emilyaldridge prospectiveregistryanalysisofpsychosocialandmetabolichealthbetweenwomenwithandwithoutmetabolicsyndromeafteracomplicatedpregnancy AT koliverschubert prospectiveregistryanalysisofpsychosocialandmetabolichealthbetweenwomenwithandwithoutmetabolicsyndromeafteracomplicatedpregnancy AT maleesapathirana prospectiveregistryanalysisofpsychosocialandmetabolichealthbetweenwomenwithandwithoutmetabolicsyndromeafteracomplicatedpregnancy AT susansierp prospectiveregistryanalysisofpsychosocialandmetabolichealthbetweenwomenwithandwithoutmetabolicsyndromeafteracomplicatedpregnancy AT shalemyleemaqz prospectiveregistryanalysisofpsychosocialandmetabolichealthbetweenwomenwithandwithoutmetabolicsyndromeafteracomplicatedpregnancy AT clairetroberts prospectiveregistryanalysisofpsychosocialandmetabolichealthbetweenwomenwithandwithoutmetabolicsyndromeafteracomplicatedpregnancy AT gustaafadekker prospectiveregistryanalysisofpsychosocialandmetabolichealthbetweenwomenwithandwithoutmetabolicsyndromeafteracomplicatedpregnancy AT margaretaarstall prospectiveregistryanalysisofpsychosocialandmetabolichealthbetweenwomenwithandwithoutmetabolicsyndromeafteracomplicatedpregnancy |