Prevalence and Factors related of psychiatric symptoms in low risk pregnancy

Background: Psychiatric disorders are associated with poor pregnancy outcomes both for mother and child. This study aimed to determine the prevalence and related demographic risk factors of psychiatric symptoms among the pregnant women in Babol City. Methods: This cross-sectional study was conducted...

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Main Authors: Mahbobeh Faramarzi, Farzan Kheirkhah, Shahnaz Barat, Pim Cuijpers, Elizabet O'Connor, Reza Ghadimi, Karimolah Hajian- Tilaki, Zeynab Pahlavan, Angela Hamidia, Mahboubeh Mirtabar, Mahtab Zeinalzadeh, Zahra Basirat
Format: Article
Language:English
Published: Babol University of Medical Sciences 2020-03-01
Series:Caspian Journal of Internal Medicine
Subjects:
Online Access:http://caspjim.com/article-1-2151-en.html
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author Mahbobeh Faramarzi
Farzan Kheirkhah
Shahnaz Barat
Pim Cuijpers
Elizabet O'Connor
Reza Ghadimi
Karimolah Hajian- Tilaki
Zeynab Pahlavan
Angela Hamidia
Mahboubeh Mirtabar
Mahtab Zeinalzadeh
Zahra Basirat
author_facet Mahbobeh Faramarzi
Farzan Kheirkhah
Shahnaz Barat
Pim Cuijpers
Elizabet O'Connor
Reza Ghadimi
Karimolah Hajian- Tilaki
Zeynab Pahlavan
Angela Hamidia
Mahboubeh Mirtabar
Mahtab Zeinalzadeh
Zahra Basirat
author_sort Mahbobeh Faramarzi
collection DOAJ
description Background: Psychiatric disorders are associated with poor pregnancy outcomes both for mother and child. This study aimed to determine the prevalence and related demographic risk factors of psychiatric symptoms among the pregnant women in Babol City. Methods: This cross-sectional study was conducted in five private and public obstetrics clinics of Babol city. During routine appointments of prenatal care, 176 pregnant women filled in three questionnaires including; sociodemographic questionnaire, Edinburg Prenatal Depression Scale (EPDS), and Symptom Checklist-25 (SCL-25). Wilcoxon test, Spearman correlation, and multivariate logistic regression tests were used to interpret the data. Results: The prevalence of depressive disorders was 15.4%% for Edinburg scores ≥13.  The overall rate of maternal psychiatric symptoms (global severity index or GSI scores ≥ 1.75) was 48.5%. The prevalence of psychiatric symptoms was high; for 25% somatization, 258% anxiety, obsession-compulsion disorders or OCD 6.4%, 8.8% interpersonal sensitivity, 5.3% phobia, 7.6% paranoid ideation, and 1.2% psychoticism. Multivariate logistic regression revealed that pregnant women with history of abortion in previous pregnancy were at risk of depressive symptoms more (β=3.18, CI 1.28-7.93, p=0.01) than those without history of abortion. Also, the only demographic factor related to psychiatric symptoms was the age of pregnant women; younger age was associated with higher symptom levels for GSI ((r=-0.17). Conclusion: The high prevalence of psychiatric symptoms, especially depressive symptoms, in pregnant women highlights the need for continued research on screening, identifying the risk factors, and developing effective treatments for mental disorders in pregnant women.
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spelling doaj.art-953705cf04584f529815a487de066f2e2022-12-21T23:52:19ZengBabol University of Medical SciencesCaspian Journal of Internal Medicine2008-61642008-61722020-03-01112211218Prevalence and Factors related of psychiatric symptoms in low risk pregnancyMahbobeh Faramarzi0Farzan Kheirkhah1Shahnaz Barat2Pim Cuijpers3Elizabet O'Connor4Reza Ghadimi5Karimolah Hajian- Tilaki6Zeynab Pahlavan7Angela Hamidia8Mahboubeh Mirtabar9Mahtab Zeinalzadeh10Zahra Basirat11 Social Determinants of Health Research Center,Health Research Institute, Babol University of Medical Sciences, babol, Iran Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, babol, Iran Infertility and Health Reproductive Research Center, Health Research Institute, Babol University of Medical Sciences, babol, Iran Amsterdam Public Health research institute, Amesterdam, Netherland Portland, Oregon, USA Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, babol, Iran Social Determinants of Health Research Center,Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, babol, Iran Infertility and Health Reproductive Research Center, Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, babol, Iran Social Determinants of Health Research Center, Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran Infertility and Health Reproductive Research Center, Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, babol, Iran Infertility and Health Reproductive Research Center, Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, babol, Iran Infertility and Health Reproductive Research Center, Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, babol, Iran Background: Psychiatric disorders are associated with poor pregnancy outcomes both for mother and child. This study aimed to determine the prevalence and related demographic risk factors of psychiatric symptoms among the pregnant women in Babol City. Methods: This cross-sectional study was conducted in five private and public obstetrics clinics of Babol city. During routine appointments of prenatal care, 176 pregnant women filled in three questionnaires including; sociodemographic questionnaire, Edinburg Prenatal Depression Scale (EPDS), and Symptom Checklist-25 (SCL-25). Wilcoxon test, Spearman correlation, and multivariate logistic regression tests were used to interpret the data. Results: The prevalence of depressive disorders was 15.4%% for Edinburg scores ≥13.  The overall rate of maternal psychiatric symptoms (global severity index or GSI scores ≥ 1.75) was 48.5%. The prevalence of psychiatric symptoms was high; for 25% somatization, 258% anxiety, obsession-compulsion disorders or OCD 6.4%, 8.8% interpersonal sensitivity, 5.3% phobia, 7.6% paranoid ideation, and 1.2% psychoticism. Multivariate logistic regression revealed that pregnant women with history of abortion in previous pregnancy were at risk of depressive symptoms more (β=3.18, CI 1.28-7.93, p=0.01) than those without history of abortion. Also, the only demographic factor related to psychiatric symptoms was the age of pregnant women; younger age was associated with higher symptom levels for GSI ((r=-0.17). Conclusion: The high prevalence of psychiatric symptoms, especially depressive symptoms, in pregnant women highlights the need for continued research on screening, identifying the risk factors, and developing effective treatments for mental disorders in pregnant women.http://caspjim.com/article-1-2151-en.htmlpsychiatricmental disorderspregnancydepressionanxietymaternal distress
spellingShingle Mahbobeh Faramarzi
Farzan Kheirkhah
Shahnaz Barat
Pim Cuijpers
Elizabet O'Connor
Reza Ghadimi
Karimolah Hajian- Tilaki
Zeynab Pahlavan
Angela Hamidia
Mahboubeh Mirtabar
Mahtab Zeinalzadeh
Zahra Basirat
Prevalence and Factors related of psychiatric symptoms in low risk pregnancy
Caspian Journal of Internal Medicine
psychiatric
mental disorders
pregnancy
depression
anxiety
maternal distress
title Prevalence and Factors related of psychiatric symptoms in low risk pregnancy
title_full Prevalence and Factors related of psychiatric symptoms in low risk pregnancy
title_fullStr Prevalence and Factors related of psychiatric symptoms in low risk pregnancy
title_full_unstemmed Prevalence and Factors related of psychiatric symptoms in low risk pregnancy
title_short Prevalence and Factors related of psychiatric symptoms in low risk pregnancy
title_sort prevalence and factors related of psychiatric symptoms in low risk pregnancy
topic psychiatric
mental disorders
pregnancy
depression
anxiety
maternal distress
url http://caspjim.com/article-1-2151-en.html
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