scholarly journals Women’s psychological health, family function, and social support during their third trimester of pregnancy within the COVID-19 epidemic: A cross-sectional survey

2021 ◽  
pp. 1-13
Author(s):  
Dongning He ◽  
Jianhua Ren ◽  
Biru Luo ◽  
Jie Xiang ◽  
Guoyu Wang ◽  
...  
Keyword(s):  
Social Support ◽  
Fetal Growth ◽  
Psychological Health ◽  
Statistical Significance ◽  
Depression Scale ◽  
Third Trimester ◽  
Related Factors ◽  
Family Function ◽  
Work Related ◽  
Prenatal Examination

Abstract Objective: The study aims to investigate women’s psychological health, family function, and social support during the third trimester within the COVID-19 epidemic. Method: From January 30, 2020 to February 26, 2020, 177 pregnant women during their third trimester (mean gestation time was 37.05±4.06 weeks) in a maternal and children’s hospital were investigated using the Self-Rating Anxiety Scale (SAS), the Edinburgh Postnatal Depression Scale, the Family APGAR Index, and the Perceived Social Support Scale. Non-parametric tests were conducted in the study. The statistical significance was set as p < 0.05. Result: The incidence rate of the participants’ anxiety and depression during the COVID-19 epidemic was 19.21% and 24.29%, respectively. The participants’ greatest concerns in the previous week were the risk of virus transmission (79.66%), and the prenatal examination and fetal growth (70.62%). The SAS ranks were higher in the participants who were concerned about the prenatal examination and fetal growth and work-related affairs. Conclusion: The participants’ psychological health was indirectly affected by the epidemic through the supply of medical resources and work-related factors. The medical staff should employ family support and social resources to guarantee the accessibility of medical services and living materials to decrease the pregnant women’s stress and further improve their psychological health.

scholarly journals Family function fully mediates the relationship between social support and perinatal depression in rural Southwest China

2021 ◽  
Author(s):  
Yilin Huang ◽  
Yan Liu ◽  
Yu Wang ◽  
Danping Liu
Keyword(s):  
Social Support ◽  
Negative Correlation ◽  
Structural Equation ◽  
Southwest China ◽  
Perinatal Depression ◽  
Depression Scale ◽  
Depression Symptoms ◽  
Family Function ◽  
Modifiable Factors ◽  
The Relationship

Abstract Background: Perinatal depression is the most common complication of gestation and childbearing affecting women and their families, and good social support and family function are considered the protective and modifiable factors. This study aimed to investigate the depression status and explore inter-relationships between social support and perinatal depression considering the influence of family function in rural areas of Southwest China.Methods: This is a cross-sectional study. The following instruments were used: the Edinburgh Postpartum Depression Scale, the APGAR Family Care Index Scale, and the Social Support Rate Scale. A structural equation modelling was used to test the hypothesis relationships among the variables. Results: A total of 490 rural antenatal (N=249) and postpartum(N=241) women (age: 28.17± 5.12) participated. We found that the prevalence of depression symptoms was 10.4%. Path analysis showed that family function had a direct negative correlation with depression (β =-0.251, 95%CI: -0.382 to -0.118). Social support had a direct positive correlation with family function (β =0.293, 95%CI: 0.147 to 0.434) and had an indirect negative correlation with depression (β =-0.074, 95%CI: -0.139 to -0.032), family function fully mediated the relationship between social support and depression. Conclusions: Findings of this study highlight that family function should be considered as the key target for interventions aiming to lower the prevalence of perinatal depression. Family members interventions are critical to reduce depression among antenatal and postpartum women.

scholarly journals Family function fully mediates the relationship between social support and depression among antenatal and postpartum women in rural Southwest China

2020 ◽  
Author(s):  
Yilin Huang ◽  
Yan Liu ◽  
Yu Wang ◽  
Danping Liu
Keyword(s):  
Social Support ◽  
Postpartum Depression ◽  
Negative Correlation ◽  
Southwest China ◽  
Depression Scale ◽  
Equation Modeling ◽  
Postpartum Women ◽  
Family Function ◽  
Modifiable Factors ◽  
The Relationship

Abstract Background: Antenatal and postpartum depression is the most common complication of gestation and childbearing affecting women and their families, and good social support and family function are considered the protective and modifiable factors. This study aimed to investigate the depression status and to clarify the interrelationships between social support and depression considering the influence of family function among antenatal and postpartum women in rural areas of Southwest China.Methods: This is a cross-sectional study. Data were collected from a total of 490 rural antenatal (N=249) and postpartum(N=241) women (age: 28.17± 5.12). A structural equation modeling (SEM) was used to test the hypothesized relationships among the variables. The following instruments were used: the Edinburgh Postpartum Depression Scale (EPDS), the APGAR Family Care Index Scale, and the Social Support Rate Scale (SSRS).Results: We found that the prevalence of depression was 10.4%. Path analysis showed that family function had a direct negative correlation with depression (β =-0.251, 95%CI: (-0.382)– (-0.118)). Social support had a direct positive correlation with family function (β =0.293, 95%CI: (0.147– 0.434)) and had an indirect negative correlation with depression (β =-0.074, 95%CI: (-0.139)– (-0.032)), family function fully mediated the relationship between social support and depression. Conclusions: Findings of this study highlight that family function should be considered as the key target for interventions aiming to lower the prevalence of antenatal and postpartum depression. Family members interventions are critical to reduce depression among antenatal and postpartum women.

scholarly journals Mood Symptoms and Other Maternal Factors in Pregnancy and Adverse Neonate Outcomes

2020 ◽  
Author(s):  
Hua Li ◽  
Angela Bowen ◽  
Rudy Bowen ◽  
Nazeem Muhajarine ◽  
Lloyd Balbuena
Keyword(s):  
Social Support ◽  
Statistical Significance ◽  
Depression Scale ◽  
Neonatal Outcomes ◽  
Maternal Factors ◽  
Mood Instability ◽  
Mood Symptoms ◽  
Antenatal Depressive Symptoms ◽  
Adverse Neonatal Outcomes ◽  
In Pregnancy

Abstract Background Antenatal women experience a higher level of mood symptoms, which have negative effects on mothers’ mental and physical health and their newborns. The relation of maternal moods including depression and anxiety and other maternal factors in pregnancy and neonate outcomes are well-studied with inconsistent findings. Although antenatal women experience a higher level of mood instability (MI), the association between antenatal MI and neonatal outcomes has not been investigated. We aimed to address this gap and to contribute to the pregnancy-neonate outcomes literature by examining the relationship between antenatal mood symptoms and other maternal factors and neonatal outcomes.Methods A prospective cohort of women (n = 555) participated in this study at early pregnancy (T1, 17.4 ± 4.9 weeks) and late pregnancy (T2, 30.6 ± 2.7 weeks). The Edinburgh Postnatal Depression Scale (EPDS) was used to assess antenatal depressive symptoms, the EPDS anxiety subscale was utilized to measure anxiety symptoms, and mood instability was measured using a visual analogue scale. These mood states together with stress, social support, as well as healthy and unhealthy behaviours were also examined in relation to neonatal outcomes using chi-square tests and logistic regression models. Results Depression and MI were unrelated to adverse neonatal outcomes and anxiety was related to Apgar score with marginal statistical significance. Higher stress, lack of partner support, smoking, and primiparous status were associated with some adverse outcomes.Conclusions The current study identified no associations between antenatal mood symptoms and neonatal outcomes. Our findings further support and extend previous evidence on smoking abstinence or cessation, and the provision of resources for stress management and social support that could help prevent or alleviate adverse neonatal outcomes.

scholarly journals Dads Get Sad Too: Depressive Symptoms and Associated Factors in Expectant First-Time Fathers

2015 ◽  
Vol 11 (5) ◽  
pp. 1376-1384 ◽  
Author(s):  
Deborah Da Costa ◽  
Phyllis Zelkowitz ◽  
Kaberi Dasgupta ◽  
Maida Sewitch ◽  
Ilka Lowensteyn ◽  
...  
Keyword(s):  
Social Support ◽  
Depressive Symptoms ◽  
Sleep Quality ◽  
Life Events ◽  
Transition To Parenthood ◽  
Depression Scale ◽  
Third Trimester ◽  
Antenatal Depressive Symptoms ◽  
Expectant Fathers ◽  
First Time

This cross-sectional study aims to determine the prevalence and determinants of depressive symptoms in first-time expectant fathers during their partner’s third trimester of pregnancy. As part of a prospective study examining depressive symptoms in men over the first postnatal year, 622 men (mean age = 34.3 years, ±5.0 years) completed standardized online self-report questionnaires measuring depressed mood, physical activity, sleep quality, social support, marital adjustment, life events, financial stress, and demographics during their partner’s third trimester of pregnancy. The Edinburgh Depression Scale was used to assess depressed mood. Partners also completed the Edinburgh Depression Scale in the third trimester. The results revealed that 13.3% of expectant fathers exhibited elevated levels of depressive symptoms during their partner’s third trimester of pregnancy. Significant independent factors associated with antenatal depressive symptoms in men were poorer sleep quality, family history of psychological difficulties, lower perceived social support, poorer marital satisfaction, more stressful life events in the preceding 6 months, greater number of financial stressors, and elevated maternal antenatal depressive symptoms. These findings highlight the importance of including fathers in the screening and early prevention efforts targeting depression during the transition to parenthood, which to date have largely focused only on women. Strategies to promote better sleep, manage stress, and mobilize social support may be important areas to address in interventions tailored to new fathers at risk for depression during the transition to parenthood.

Empirical Redundancy of Burnout and Depression: Evidence from Time-standardized Measures

2017 ◽  
Vol 41 (S1) ◽  
pp. S261-S261
Author(s):  
R. Bianchi ◽  
A. Lichtenthäler
Keyword(s):  
Social Support ◽  
Past Research ◽  
Intention To Quit ◽  
Short Version ◽  
Related Factors ◽  
Monthly Basis ◽  
Standardized Measures ◽  
Work Related ◽  
Patient Health ◽  
Competing Interest

IntroductionBurnout and depression are ordinarily assessed within different time frames. Burnout is most frequently assessed on an annual or a monthly basis whereas depression is generally assessed over a one- or two-week period. This state of affairs may have partly obscured the burnout-depression relationship in past research and contributed to an underestimation of burnout-depression overlap.ObjectivesWe investigated burnout-depression overlap using time-standardized measures of the two constructs. We additionally examined whether burnout and depression were differently associated with work-related effort and reward, occupational social support, and intention to quit the job.MethodsWe enrolled 257 Swiss schoolteachers (76% female; mean age: 45). Burnout was assessed with the Shirom-Melamed Burnout Measure and depression with a dedicated module of the Patient Health Questionnaire. Work-related effort and reward were measured with a short version of the Effort-Reward Imbalance Scale and occupational social support with a subscale of the Job Content Questionnaire. Intention to quit the job was assessed with 3 generic items (e.g., “I plan on leaving my job within the next year”).ResultsWe observed a raw correlation of .82 and a disattenuated correlation of .91 between burnout and depression. Burnout's dimensions (physical fatigue; cognitive weariness; emotional exhaustion) did not correlate more strongly with each other (mean r = .63) than with depression (mean r = .69). Burnout and depression showed similar associations with the job-related factors under scrutiny.ConclusionsBurnout and depression may be empirically-redundant constructs. Measurement artifacts probably contributed to an underestimation of burnout-depression overlap in many studies.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Rural-urban differences in the mental health of perinatal women: a UK-based cross-sectional study

2020 ◽  
Author(s):  
Samuel Ginja ◽  
Katherine Jackson ◽  
James J Newham ◽  
Emily J Henderson ◽  
Debbie Smart ◽  
...  
Keyword(s):  
Social Support ◽  
Socioeconomic Status ◽  
Rural Areas ◽  
Statistical Significance ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Mental Illnesses ◽  
Cross Sectional ◽  
Increased Risk ◽  
Perinatal Women

Abstract Background: International data suggest that living in a rural area is associated with an increased risk of perinatal mental illness. This study tested the association between rurality and risk for two mental illnesses prevalent in perinatal women - depression and anxiety.Methods: Using a cross-sectional design, antenatal and postnatal women were approached by healthcare professionals and through other networks in a county in Northern England (UK). After providing informed consent, women completed a questionnaire where they indicated their postcode (used to determine rural-urban status) and completed three outcome measures: the Edinburgh Postnatal Depression Scale (EPDS), the Whooley (depression measure), and the Generalised Anxiety Disorder 2-item (GAD-2). Logistic regression models were developed, both unadjusted and adjusted for potential confounders, including socioeconomic status, social support and perinatal stage.Results: 295 participants provided valid data. Women in rural areas (n=130) were mostly comparable to their urban counterparts (n=165). Risk for depression and/or anxiety was found to be higher in the rural group across all models: unadjusted OR 1.67 95% CI 1.03 to 2.72, p=.038. This difference though indicative did not reach statistical significance after adjusting for socioeconomic status and perinatal stage (OR 1.57 (0.40), 95% CI 0.95 to 2.58, p=.078), and for social support (OR 1.65 (0.46), 95% CI 0.96 to 2.84, p=.070).Conclusions: Data suggested that women in rural areas were at higher risk of depression and anxiety than their urban counterparts. Further work should be undertaken to corroborate these findings and investigate the underlying factors. This will help inform future interventions and the allocation of perinatal services to where they are most needed.

scholarly journals Moderating Effect of Social Support Between Loneliness and Depression: Young-Old and Old-Old Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 295-295
Author(s):  
Sunghwan Cho ◽  
Kyuhyung Chung
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Family Support ◽  
Short Form ◽  
Statistical Significance ◽  
Depression Scale ◽  
Spousal Support ◽  
Community Dwelling ◽  
Spouse Support ◽  
Young Old

Abstract Depression increases suicidal risk lowers quality of life in older adults. However, it is unknown how loneliness and depression are associated with young-old and old-older adults. This study examined association of loneliness and depression from the National Social Life, Health, and Aging Project (NSHAP) (2015-2016), estimating moderating effects of social support. The sample of this study was community dwelling Medicare beneficiaries aged 65+ (n=1,532): young-older adults (n=903) and old-older adults (n=629). Loneliness was measured by the Revised University of California, Los Angeles Loneliness Scale short form (3 items; young, M=.86, SD=.73; old, M=.87, SD=.67; range 0-3). Social support consists of two variables each measured by 4 items, spouse/partner support (young, M=2.29, SD=.50; old, M=2.26, SD=.51; range 0-3) and family support (young-old, M=2.19, SD=.52; old-old, M=2.23, SD=.52; range 0-3). Depression was measured by Center for Epidemiological Studies Depression scale (11 items, young, M=1.41, SD=.42; old, M=1.45, SD=.42; range 1-4). Multiple linear regression was used in this study, including relevant covariates. Findings indicated loneliness in both groups (young, p&lt;.001; old, p&lt;.001), spouse support in both groups (young, p&lt;.001; old, p&lt;.001) had statistical significance in depression. Family support in young-older adults (p&lt;.05) had a statistical significance for depression. Interaction of loneliness and spouse support moderated the relationship between loneliness and depression in old-older adults (p&lt;.05). Findings suggest old-older adults’ loneliness and depression could be soothed by spousal support. Spousal support could be important in that the informal caregiver is likely to focus on older adults with fragility at the end of their lives.

Return to work after breast cancer: Comprehensive longitudinal analyses of its determinants.

2019 ◽  
Vol 37 (15_suppl) ◽  
pp. 11564-11564 ◽  
Author(s):  
Agnes Dumas ◽  
Ines Maria Vaz Duarte Luis ◽  
Thomas Bovagnet ◽  
Antonio Di Meglio ◽  
Mayssam El-Mouhebb ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Return To Work ◽  
Depression Scale ◽  
Working Hours ◽  
Primary Treatment ◽  
Independent Effect ◽  
Related Factors ◽  
Work Related ◽  
Supportive Environment ◽  
Patient Reported

11564 Background: The interplay between breast cancer (BC) late effects, psychosocial and work-related factors in return to work (RTW) is not well understood. Previous reports were retrospective and did not combine all these features. Methods: We used data of a French prospective cohort study (CANTO, NCT01993498) of stage I-III BC patients (pts) including detailed clinical data of 1,874 pts working at diagnosis (dx) and ≥5 years younger than legal retirement age. The outcome was non-RTW 2 years after dx. Multivariable regressions were conducted to identify correlates of non-RTW. First, we examined the independent effect of treatments, toxicities (Common Toxicity Criteria Adverse Events), and patient reported outcomes (EORTC BR23 and FA12; Hospital Anxiety and Depression Scale) collected shortly after end of primary treatment. Then, in a restricted sample of 1,003 pts with working conditions (WC) information available, we fitted models to account for detailed pre-dx WC including type of contract, working hours, strenuous postures, supportive environment, degree of autonomy and perception of work. All models were adjusted for age, stage, marital status, socioeconomic status and comorbidities. Results: Two years after dx, 21% of pts did not work. Adjusted odds of non-RTW were increased among pts treated with combinations of chemotherapy (CT) and trastuzumab (TR) (e.g. OR of CT-TR = 2.20 [95% CI 1.24-3.88] and OR of CT-TR-hormonotherapy (HT) = 1.72 [1.13-2.63] vs. treated only with CT-HT), who had severe arm morbidity (OR = 1.73 [1.27-2.36] vs. no), severe emotional fatigue (OR = 1.55 [1.03-2.32] vs. no), anxiety (OR = 1.51 [1.02-2.23] vs. no), or depression (OR = 2.23 [1.27-3.94] vs no). In addition, we also found that the odds of non-RTW were increased among pts who had shift working hours (OR = 2.23 [1.32-3.76] vs. no), who did not work in a supportive environment before dx (OR = 2.24 [1.44-3.50] vs. supportive) and who perceived their job as boring (OR = 3.57 [1.71-7.46] vs. not boring). Conclusions: More than 1/5 of pts did not RTW 2 years after dx, with treatment (trastuzumab), clinical, psychological and work-related factors being associated with job reintegration. Multidisciplinary strategies are needed to support BC survivors.

Prevalence and related factors of postpartum depression

2017 ◽  
Vol 41 (S1) ◽  
pp. S363-S363
Author(s):  
A.A. Sayin ◽  
B. Burcak Annagur ◽  
A. Annagur
Keyword(s):  
Social Support ◽  
Postpartum Depression ◽  
Neonatal Intensive Care ◽  
Economic Status ◽  
Demographic Data ◽  
Depression Scale ◽  
Negative Consequences ◽  
Maternal Bonding ◽  
Related Factors ◽  
Significant Difference

ObjectiveThe aim of this study was to investigate the prevalence of postpartum depression among women and determine which factors are related this clinical condition.MethodsThe study included 206 women who were admitted to the department of child health and diseases neonatal intensive care unit in Selcuk university faculty of medicine within six weeks postpartum period. First SCID-I and demographic data form for the participants who were volunteer to participate the study were filled. Then, Edinburgh postpartum depression scale, multidimensional scale of perceived social support, Beck anxiety inventory and maternal bonding scale were applied to all participants.ResultsWe found that 6.8% (n = 14) of mothers have postpartum depression. Than we compared the two grups postpartum depression (PPD) and non-postpartum depression (NPPD). In terms of socio-demographic characteristics and found a significant difference only in the level of economic status. Socio-economic status was lower in the group with PPD. In addition, social support received during pregnancy was significantly lower in the group with the PPD. Peripartum or any time depression history and comorbid psychiatric disorders were related factors with PPD. EPDS scores were significantly higher and MSPSS scores were significantly lower in the group with PPD.ConclusionPostpartum depression has many negative consequences for both mother and baby. In the present study, we found that postpartum depression rates were consistent with previous studies. Early detection, prevention and treatment of postpartum depression is very important for the postpartum women who have a higher risk for depression.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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