Risk factors of the antenatal depression in a sample of Italian pregnant women: a preliminary study.

IF 2.8 2区 医学 Q1 OBSTETRICS & GYNECOLOGY BMC Pregnancy and Childbirth Pub Date : 2024-10-21 DOI:10.1186/s12884-024-06704-8
Maria Rita Sergi, Aristide Saggino, Michela Balsamo, Laura Picconi, Luigi Anchora, Marco Tommasi
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Abstract

Background: Antenatal depression is characterized by low mood, insomnia, disorganised behaviour, irritability, and agitation during the pregnancy. If underestimated, antenatal depression is untreated during the pregnancy. It is associated to higher levels of suicide, higher risk of depression after childbirth, preeclampsia, preterm birth, low birth weight, poor interactions between child and mother and severe obstetric outcomes. New data underlined the importance to prevent the risk of depression during the pregnancy. This study examines the predictive validity of potential risk factors, such as socio-demographic and psychological factors, in developing the antenatal depression.

Methods: The sample was composed by Italian pregnant women (N = 247, mean age of 33.77, SD = 4.78 years). This sample completed the Edinburg Postnatal Depression Scale (EPDS), the Teate Depression Inventory (TDI) and questionnaires about demographic variables. To study associations among variables examined bivariate correlations were computed. To analyse the role of socio-demographic factors and the psychological dimension to predict the severity of the antenatal depression a logistic regression was performed.

Results: Results showed significantly positive correlations between the EPDS and the TDI, and no associations among the EPDS and all socio-demographic factors. Therefore, only the psychological factors were significant predictive risk factors of antenatal period. Finally, higher score of the depression measured via TDI predicted higher score of the EPDS.

Conclusions: Our results had implications in clinical field. Indeed, the early diagnosis of depression during the pregnancy can help operators in the gynaecological field to prevent the depression in the post-partum period.

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意大利孕妇产前抑郁的风险因素:一项初步研究。
背景:产前抑郁症的特征是在怀孕期间情绪低落、失眠、行为紊乱、易怒和烦躁。产前抑郁症如果被低估,在怀孕期间就会得不到治疗。产前抑郁症与较高的自杀率、产后抑郁风险较高、先兆子痫、早产、出生体重过低、母婴互动不良以及严重的产科后果有关。新数据强调了预防孕期抑郁风险的重要性。本研究探讨了社会人口和心理因素等潜在风险因素在产前抑郁症发病中的预测有效性:样本由意大利孕妇组成(N = 247,平均年龄 33.77 岁,SD = 4.78 岁)。样本填写了爱丁堡产后抑郁量表(EPDS)、Teate 抑郁量表(TDI)和人口统计学变量问卷。为了研究受试变量之间的关联,计算了二元相关性。为了分析社会人口因素和心理维度对预测产前抑郁症严重程度的作用,进行了逻辑回归:结果表明,EPDS 和 TDI 之间存在明显的正相关,而 EPDS 和所有社会人口因素之间没有关联。因此,只有心理因素是预测产前风险的重要因素。最后,通过 TDI 测量的抑郁得分越高,则 EPDS 的得分越高:我们的研究结果对临床领域具有重要意义。事实上,孕期抑郁症的早期诊断有助于妇科领域的操作人员预防产后抑郁症的发生。
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来源期刊
BMC Pregnancy and Childbirth
BMC Pregnancy and Childbirth OBSTETRICS & GYNECOLOGY-
CiteScore
4.90
自引率
6.50%
发文量
845
审稿时长
3-8 weeks
期刊介绍: BMC Pregnancy & Childbirth is an open access, peer-reviewed journal that considers articles on all aspects of pregnancy and childbirth. The journal welcomes submissions on the biomedical aspects of pregnancy, breastfeeding, labor, maternal health, maternity care, trends and sociological aspects of pregnancy and childbirth.
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