Antenatal Depressive Symptoms Associated with Specific Life Events and Sources of Social Support Among Italian Women

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• 作者：Francesca Agostini ; Erica Neri ; Paola Salvatori…
• 关键词：Pregnancy ; Antenatal depression ; Stressful life ; events ; Sources of social support ; Edinburgh Postnatal Depression Scale
• 刊名：Maternal and Child Health Journal
• 出版年：2015
• 出版时间：May 2015
• 年：2015
• 卷：19
• 期：5
• 页码：1131-1141
• 全文大小：260 KB
• 参考文献：1.Austin, M. D. (2014). Marcé International Society position statement on psychosocial assessment and depression screening in perinatal women. Best practice & Research. Clinical Obstetrics & Gynaecology, 28, 179-87.View Article
  2.Marcus, S. (2009). Depression during pregnancy: Rates, risks and consequences. The Canadian Journal of Clinical Pharmacology, 16, e15–e22.PubMed
  3.Josefsson, A., Ran Berg, G., Nordin, C., & Sydsjo, G. (2001). Prevalence of depressive symptoms in late pregnancy and postpartum. Acta Obstetricia et Gynecologica Scandinavica, 80, 251-55.View Article PubMed
  4.Kim, J. J., Gordon, T. E. J., La Porte, L. M., Adams, M., Kuendig, J. M., & Silver, R. K. (2008). The utility of maternal depression screening in the third trimester. American Journal of Obstetrics and Gynecology, 199(509), e1–e5.
  5.Figueiredo, B., & Conde, A. (2011). Anxiety and depression in women and men from early pregnancy to 3-months postpartum. Archives of Women’s Mental Health, 14, 247-55.View Article PubMed
  6.Gavin, N. I., Gaynes, B. N., Lohr, K. N., Meltzer-Brody, S., Gartlehner, G., & Swinson, T. (2005). Perinatal depression: A systematic review of prevalence and incidence. Obstetrics and Gynecology, 106, 1071-083.View Article PubMed
  7.Marcus, S. M., Flynn, H. A., Blow, F. C., & Barry, K. L. (2003). Depressive symptoms among pregnant women screened in obstetrics settings. Journal of Women’s Health, 12, 373-80.View Article PubMed
  8.Milgrom, J., Gemmill, A. W., Bilszta, J. L., Hayes, B., Barnett, B., & Brooks, J. (2008). Antenatal risk factors for postpartum depression: A large prospective study. Journal of Affective Disorders, 108, 147-57.View Article PubMed
  9.Banti, S., Mauri, M., Oppo, A., Borri, C., Rambelli, C., Ramacciotti, D., et al. (2011). From the third month of pregnancy to 1?year postpartum. Prevalence, incidence, recurrence, and new onset of depression. Results from the Perinatal Depression—Research & Screening Unit study. Comprehensive Psychiatry, 52, 343-51.View Article PubMed
  10.Alder, J., Fink, N., Bitzer, J., Hosli, I., & Holzgreve, W. (2007). Depression and anxiety during pregnancy: A risk factor for obstetric, fetal and neonatal outcome? A critical review of the literature. The Journal of Maternal-Fetal & Neonatal Medicine, 20(3), 189-09.View Article
  11.Talge, N. M., Neal, C., & Glover, V. (2007). Antenatal maternal stress and long-term effects on child neurodevelopment: How and why? Journal of Child Psychology and Psychiatry, 48(3-), 245-61.View Article PubMed
  12.Leigh, B., & Milgrom, J. (2008). Risk factors for antenatal depression, postnatal depression and parenting stress. BMC Psychiatry, 8(1), 24.View Article PubMed Central PubMed
  13.Heron, J., O’Connor, T. G., Evans, J., Golding, J., & Glover, V. (2004). The course of anxiety and depression through pregnancy and the postpartum in a community sample. Journal of Affective Disorders, 80, 65-3.View Article PubMed
  14.Milgrom, J., & Gemmill, A. W. (2014). Screening for perinatal depression. Best Practice & Research Clinical Obstetrics & Gynaecology, 28, 13-3.View Article
  15.O’Hara, M., & Swain, A. (1996). Rates and risks of postpartum depression—A meta-analysis. International Review in Psychiatry, 8, 37-4.View Article
  16.Rubertsson, C., Wickberg, B., Gustavsson, P., & R?destad, I. (2005). Depressive symptoms in early pregnancy, two months and one year postpartum-prevalence and psychosocial risk factors in a national Swedish sample. Archives of Women’s Mental Health, 8, 97-04.View Article PubMed
  17.Robertson, E., Grace, S., Wallington, T., & Stewart, D. E. (2004). Antenatal risk factors for postpartum depression: A synthesis of recent literature. General Hospital Psychiatry, 26, 289-95.View Article PubMed
  18.Leung, B., & Kaplan, B. (2009). Perinatal depression: Prevalence, risks, and the nutrition link—A review of the literature. Journal of the American Dietetic Association, 109, 1566-575.View Article PubMed
  19.Bowen, A., & Muhajarine, N. (2006). Antenatal depression. The Canadian Nurse, 102, 27-1.
  20.Grant, K., Mc Mahon, C., & Austin, M. (2008). Maternal anxiety during the transition to parenthood: A prospective study. Journal of Affective Disorders, 108, 101-11.View Article PubMed
  21.Koleva, H., Stuart, S., O’Hara, M. W., & Bowman-Reif, J. (2011). Risk factors for depressive symptoms during pregnancy. Archives of Women’s Mental Health, 14, 99-05.View Article PubMed Central PubMed
  22.Holzman, C., Eyster, J., Tiedje, L. B., Roman, L. A., Seagull, E., & Rahbar, M. H. (2006). A life course perspective on depressive symptoms in mid-pregnancy. Maternal and Child Health Journal, 10, 127-38.View Article PubMed
  23.Elsenbruch, S., Benson, S., Rucke, M., Rose, M., Dudenhausen, J., Pincus-Knackstedt, M. K., et al. (2007). Social support during pregnancy: Effects on maternal depressive symptoms, smoking and pregnancy outcome. Human Reproduction, 22(3), 869-77.
• 作者单位：Francesca Agostini (1)
  Erica Neri (1)
  Paola Salvatori (1)
  Sara Dellabartola (1)
  Laura Bozicevic (2)
  Fiorella Monti (1)
  
  1. Department of Psychology, University of Bologna, Viale Berti Pichat 5, 40127, Bologna, Italy
  2. School of Psychology and Clinical Language Sciences, University of Reading, Earley Gate, Whiteknights Road, Reading, RG6 6AL, UK
  
• 刊物主题：Public Health; Sociology, general; Population Economics; Pediatrics; Gynecology; Maternal and Child Health;
• 出版者：Springer US
• ISSN：1573-6628

文摘

This study aimed to identify different kinds of stressful life events and social support associated with antenatal depressive symptoms in a sample of pregnant Italian women. We conducted the study at a primary health-care centre in an urban area (northeast Italy). Mainly recruited at antenatal classes, 404 eligible pregnant women completed a socio-demographic questionnaire that included questions about the present pregnancy, the Edinburgh Depression Scale (EDS) to estimate the prevalence of depressive symptoms, the Multidimensional Scale of Perceived Social Support and List of Threatening Experiences Questionnaire to investigate the quality and nature of social support and recent negative life events. Of the 404 women, 60 (14.9?%) scored 13 or higher?on the EDS. This group reported significantly lower social support from various sources—family, friends, and significant others; only in primiparous women were depressive symptoms significantly related to lower support from friends. Women with EDS scores equal or higher than?13 also reported a higher occurrence of recent stressful life events—specifically, death or a serious problem with a close friend or relative, unemployment, financial problems, and moving or housing difficulties. Regression analyses showed that women with high levels of social support or with a positive experience of pregnancy were less likely to experience antenatal depressive symptoms. Our results underscore the associations among antenatal depression, specific life stressors, and low social support from various sources. Clinical attention to these psychosocial correlates is recommended toward detecting vulnerability to antenatal depressive symptoms.