Identification of risk-factors for the development of depressive symptoms in perinatal period: A longitudinal study
Introduction Perinatal depression is a severe and disabling condition, which affects negatively both mothers’ and children’s mental health and well-being. About 12.8% of pregnant women report depressive symptoms in the perinatal period. Objectives The aims of the present study are to: 1) identif...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2021-04-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933821003126/type/journal_article |
| _version_ | 1797616802028584960 |
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| author | A. Vece G. Tarantino M. Carfagno M. Raia C. Ciampi M. Di Vincenzo A. Pitocco G. Sampogna M. Luciano M. Torella A. Fiorillo |
| author_facet | A. Vece G. Tarantino M. Carfagno M. Raia C. Ciampi M. Di Vincenzo A. Pitocco G. Sampogna M. Luciano M. Torella A. Fiorillo |
| author_sort | A. Vece |
| collection | DOAJ |
| description |
Introduction
Perinatal depression is a severe and disabling condition, which affects negatively both mothers’ and children’s mental health and well-being. About 12.8% of pregnant women report depressive symptoms in the perinatal period.
Objectives
The aims of the present study are to: 1) identify factors (socio-demographic and clinical) associated with an increased risk of developing PD; 2) promote a screening program on PD.
Methods
All pregnant women were assessed at each trimester of pregnancy, three days after the childbirth and after 1, 3, 6 and 12 months, with the Edinburgh Postpartum Depression Scale (EPDS). Women scoring ≥10 on the EPDS were invited to receive a full psychiatric evaluation to confirm the diagnosis.
Results
420 women were recruited. 52.9%, 27.6% and 31.6% of participants presented an EPDS≥ 10 score at The I, II and III trimester of pregnancy, respectively. The percentage of patients with and EPS score ≥19 is 16.6%, 6.8%, 6.8%, 11.3% and 7.8% in 3 days following the childbirth and after 3, 6, 9 and 12 months, respectively. Higher EPDS scores are predicted by the presence of anxiety symptoms before pregnancy and of depressive and anxiety symptoms in previous pregnancies (p<0.05). Women with family conflicts and with anxiety symptoms in the partner are more likely to report higher EPDS scores (p<0.001).
Conclusions
Our results confirm that perinatal depression is a highly prevalent condition. An early identification of depressive symptoms during this period is crucial in order to reduce the long-term negative impact on the mothers, the newborn and other family members.
Disclosure
No significant relationships.
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| first_indexed | 2024-03-11T07:46:33Z |
| format | Article |
| id | doaj.art-a2192f95c2ac467f9ed9ab4b270b31e7 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:46:33Z |
| publishDate | 2021-04-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-a2192f95c2ac467f9ed9ab4b270b31e72023-11-17T05:07:37ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S108S10810.1192/j.eurpsy.2021.312Identification of risk-factors for the development of depressive symptoms in perinatal period: A longitudinal studyA. Vece0G. Tarantino1M. Carfagno2M. Raia3C. Ciampi4M. Di Vincenzo5A. Pitocco6G. Sampogna7M. Luciano8M. Torella9A. Fiorillo10Psychiatry, University of Campania “Luigi Vanvitelli”, napoli, ItalyPsychiatry, University of Campania “Luigi Vanvitelli”, napoli, ItalyPsychiatry, University of Campania “Luigi Vanvitelli”, napoli, ItalyPsychiatry, University of Campania “Luigi Vanvitelli”, napoli, ItalyPsychiatry, University of Campania “Luigi Vanvitelli”, napoli, ItalyPsychiatry, University of Campania “Luigi Vanvitelli”, napoli, ItalyPsychiatry, University of Campania “Luigi Vanvitelli”, napoli, ItalyPsychiatry, University of Campania “Luigi Vanvitelli”, napoli, ItalyPsychiatry, University of Campania “Luigi Vanvitelli”, napoli, ItalyGinecology And Obstetrics, University of Campania “Luigi Vanvitelli”, napoli, ItalyPsychiatry, University of Campania “Luigi Vanvitelli”, napoli, Italy Introduction Perinatal depression is a severe and disabling condition, which affects negatively both mothers’ and children’s mental health and well-being. About 12.8% of pregnant women report depressive symptoms in the perinatal period. Objectives The aims of the present study are to: 1) identify factors (socio-demographic and clinical) associated with an increased risk of developing PD; 2) promote a screening program on PD. Methods All pregnant women were assessed at each trimester of pregnancy, three days after the childbirth and after 1, 3, 6 and 12 months, with the Edinburgh Postpartum Depression Scale (EPDS). Women scoring ≥10 on the EPDS were invited to receive a full psychiatric evaluation to confirm the diagnosis. Results 420 women were recruited. 52.9%, 27.6% and 31.6% of participants presented an EPDS≥ 10 score at The I, II and III trimester of pregnancy, respectively. The percentage of patients with and EPS score ≥19 is 16.6%, 6.8%, 6.8%, 11.3% and 7.8% in 3 days following the childbirth and after 3, 6, 9 and 12 months, respectively. Higher EPDS scores are predicted by the presence of anxiety symptoms before pregnancy and of depressive and anxiety symptoms in previous pregnancies (p<0.05). Women with family conflicts and with anxiety symptoms in the partner are more likely to report higher EPDS scores (p<0.001). Conclusions Our results confirm that perinatal depression is a highly prevalent condition. An early identification of depressive symptoms during this period is crucial in order to reduce the long-term negative impact on the mothers, the newborn and other family members. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933821003126/type/journal_articlePerinatal depressiondepressive symptomsrisk-factorslongitudinal study |
| spellingShingle | A. Vece G. Tarantino M. Carfagno M. Raia C. Ciampi M. Di Vincenzo A. Pitocco G. Sampogna M. Luciano M. Torella A. Fiorillo Identification of risk-factors for the development of depressive symptoms in perinatal period: A longitudinal study European Psychiatry Perinatal depression depressive symptoms risk-factors longitudinal study |
| title | Identification of risk-factors for the development of depressive symptoms in perinatal period: A longitudinal study |
| title_full | Identification of risk-factors for the development of depressive symptoms in perinatal period: A longitudinal study |
| title_fullStr | Identification of risk-factors for the development of depressive symptoms in perinatal period: A longitudinal study |
| title_full_unstemmed | Identification of risk-factors for the development of depressive symptoms in perinatal period: A longitudinal study |
| title_short | Identification of risk-factors for the development of depressive symptoms in perinatal period: A longitudinal study |
| title_sort | identification of risk factors for the development of depressive symptoms in perinatal period a longitudinal study |
| topic | Perinatal depression depressive symptoms risk-factors longitudinal study |
| url | https://www.cambridge.org/core/product/identifier/S0924933821003126/type/journal_article |
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