Association of Pregnancy Contexts with Depression and Low Social Support in Early Pregnancy.

IF 3.4 2区 医学 Q1 DEMOGRAPHY Perspectives on Sexual and Reproductive Health Pub Date : 2020-09-01 Epub Date: 2020-10-12 DOI:10.1363/psrh.12155
Lisbet S Lundsberg, Abigail S Cutler, Nancy L Stanwood, Kimberly A Yonkers, Aileen M Gariepy
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引用次数: 3

Abstract

Context: Research into the relationship between pregnancy intention and perinatal depression or low social support is limited. Women's perspectives on pregnancy and their associations with perinatal depression could help in developing targeted efforts for screening and intervention.

Methods: In 2014-2015, 161 women seeking pregnancy testing or abortion care at clinics in New Haven, Connecticut, were surveyed. They were asked about pregnancy context (intentions, planning, wantedness, desirability, timing and happiness), and the Edinburgh Depression Screen (EDS) and the Modified Kendler Social Support Index (MKSSI) were used to identify possible antenatal depression and low social support, respectively. Multivariable logistic regression analysis was employed to examine associations between pregnancy context and these outcomes.

Results: On average, participants were 27 years old and at nine weeks' gestation. One-fifth reported a previous diagnosis of depression or anxiety, and 22% and 33% screened positive for depression (EDS scores of 13 or higher and 10 or higher, respectively); 52% received low social support (MKSSI score of 3.2 or less). Regression analysis found that pregnancies described as unintended, poorly timed or undesired were associated with depression at the higher cutoff (odds ratios, 3.2-4.5); all unfavorable pregnancy measures were associated with depression at the lower cutoff. Ambivalence regarding pregnancy timing, intention, wantedness and desirability was associated with increased odds of depression by either EDS score. Unplanned pregnancies and those about which the woman was ambivalent were associated with low social support.

Conclusions: Findings support the need to screen women for depression early in pregnancy and to integrate assessments of pregnancy context into the evaluation of potential risk factors.

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妊娠环境与妊娠早期抑郁和低社会支持的关系。
背景:妊娠意向与围产期抑郁或低社会支持的关系研究有限。妇女对怀孕的看法及其与围产期抑郁症的关系可以帮助制定有针对性的筛查和干预措施。方法:对2014-2015年在康涅狄格州纽黑文诊所接受妊娠检测或流产护理的161名妇女进行调查。她们被问及怀孕的背景(意图、计划、想要、渴望、时机和幸福),并分别使用爱丁堡抑郁筛查(EDS)和修改的肯德勒社会支持指数(MKSSI)来识别可能的产前抑郁和低社会支持。采用多变量logistic回归分析来检验妊娠背景与这些结果之间的关系。结果:参与者的平均年龄为27岁,怀孕9周。五分之一的人报告了先前的抑郁或焦虑诊断,22%和33%的人筛查出抑郁阳性(EDS得分分别为13分或更高和10分或更高);52%的人社会支持较低(MKSSI得分在3.2以下)。回归分析发现,被描述为意外怀孕、不合时宜怀孕或意外怀孕的孕妇在较高的截止点与抑郁症相关(优势比,3.2-4.5);在较低的临界值处,所有不利的妊娠措施都与抑郁有关。在EDS评分中,对怀孕时间、意图、想要和渴望的矛盾心理与抑郁几率增加有关。计划外怀孕和那些女性感到矛盾的怀孕与低社会支持有关。结论:研究结果支持在怀孕早期筛查女性抑郁症的必要性,并将怀孕背景评估纳入潜在危险因素的评估。
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来源期刊
CiteScore
5.10
自引率
3.40%
发文量
24
期刊介绍: Perspectives on Sexual and Reproductive Health provides the latest peer-reviewed, policy-relevant research and analysis on sexual and reproductive health and rights in the United States and other developed countries. For more than four decades, Perspectives has offered unique insights into how reproductive health issues relate to one another; how they are affected by policies and programs; and their implications for individuals and societies. Published four times a year, Perspectives on Sexual and Reproductive Health includes original research, special reports and commentaries on the latest developments in the field of sexual and reproductive health, as well as staff-written summaries of recent findings in the field.
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