scholarly journals Anxiety and depressive symptoms of women in the perinatal period during the COVID-19 pandemic: A systematic review and meta-analysis

2021 ◽  
pp. 140349482110117
Author(s):  
Shefal Y Shorey ◽  
Esperanza D. Ng ◽  
Cornelia Y.I. Chee
Keyword(s):  
Depressive Symptoms ◽  
Pregnant Women ◽  
Meta Analysis ◽  
Perinatal Period ◽  
Postnatal Period ◽  
Mitigation Strategies ◽  
Health Crisis ◽  
Postnatal Depressive Symptoms ◽  
Antenatal Depressive Symptoms ◽  
Antenatal Anxiety

Aims: The prevalence of perinatal anxiety and depressive symptoms have been speculated to increase during an infectious disease outbreak but remains unknown in the context of the COVID-19 situation. Therefore, this review aimed to examine the prevalence of antenatal and postnatal anxiety and depressive symptoms among pregnant women and postpartum mothers during the COVID-19 period. Methods: Six electronic databases were systematically searched for articles from November 2019 to December 2020. Twenty-six observational studies and brief reports were included in the meta-analysis. Results: Overall, the prevalence of anxiety was greater than depression in both antenatal and postnatal periods, and the prevalence of depression was higher in the antenatal period than the postnatal period. The pooled prevalence for antenatal anxiety symptoms, antenatal depressive symptoms and postnatal depressive symptoms were 40% (95% confidence intervals (CI): 0.27–0.52), 27% (95% CI: 0.20–0.33) and 17% (95% CI: 0.10–0.24), respectively. Europe (56%, 95% CI: 0.28–0.85) had significantly higher prevalence of antenatal anxiety than Asia (16%, 95% CI: 0.09–0.23). Conclusions: The heightened prevalence of perinatal psychological disorders served as an impetus for healthcare professionals and policy makers to ramp up their support and mitigation strategies for pregnant women and mothers in times of health crisis.

scholarly journals The association between social support and antenatal depressive and anxiety symptoms among Australian women

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Asres Bedaso ◽  
Jon Adams ◽  
Wenbo Peng ◽  
David Sibbritt
Keyword(s):  
Social Support ◽  
Depressive Symptoms ◽  
Social Interaction ◽  
Pregnant Women ◽  
Anxiety Symptoms ◽  
Considerable Proportion ◽  
Informational Support ◽  
Antenatal Depressive Symptoms ◽  
Positive Social Interaction ◽  
Antenatal Anxiety

Abstract Background Antenatal depression and antenatal anxiety adversely affect several obstetric and foetal outcomes, and increase the rate of postnatal mental illness. Thus, to tackle these challenges the need for social support during pregnancy is vital. However, an extensive literature search failed to show a published study on the relationship between domains of social support and antenatal depressive, as well as antenatal anxiety symptoms in Australia. This study examined the association between domains of social support and antenatal depressive and anxiety symptoms among Australian women. Methods The current study used data obtained from the 1973–78 cohort of the Australian Longitudinal Study on Women’s Health (ALSWH), focusing upon women who reported being pregnant (n = 493). Depression and anxiety were assessed using the 10 item Center for Epidemiological Studies Depression (CES-D-10) scale, and the 9-item Goldberg Anxiety and Depression scale (GADS) respectively. The 19 item-Medical Outcomes Study Social Support index (MOSS) was used to assess social support. A logistic regression model was used to examine the associations between domains of social support and antenatal depressive and anxiety symptoms after adjusting for potential confounders. Result The current study found 24.7 and 20.9% of pregnant women screened positive for depressive and anxiety symptoms respectively. After adjusting for potential confounders, our study found that the odds of antenatal depressive symptoms was about four and threefold higher among pregnant women who reported low emotional/informational support (AOR = 4.75; 95% CI: 1.45, 15.66; p = 0.010) and low social support (overall support) (AOR = 3.26; 95%CI: 1.05, 10.10, p = 0.040) respectively compared with their counterpart. In addition, the odds of antenatal anxiety symptoms was seven times higher among pregnant women who reported low affectionate support/positive social interaction (AOR = 7.43; 95%CI: 1.75, 31.55; p = 0.006). Conclusion A considerable proportion of pregnant Australian women had depressive symptoms and/or anxiety symptoms, which poses serious health concerns. Low emotional/informational support and low affectionate support/positive social interaction have a significant association with antenatal depressive and anxiety symptoms respectively. As such, targeted screening of expectant women for social support is essential.

The prevalence of antenatal and postnatal co-morbid anxiety and depression: a meta-analysis

2017 ◽  
Vol 47 (12) ◽  
pp. 2041-2053 ◽  
Author(s):  
K. Falah-Hassani ◽  
R. Shiri ◽  
C.-L. Dennis
Keyword(s):  
Depressive Symptoms ◽  
Anxiety Disorder ◽  
Clinical Diagnosis ◽  
Meta Analysis ◽  
Perinatal Period ◽  
Anxiety Symptoms ◽  
Anxiety And Depression ◽  
Unpublished Studies ◽  
Co Morbidity ◽  
Antenatal Anxiety

To date, the precise prevalence of co-morbidity of anxiety and depression in the perinatal period is not well known. We aimed to estimate the prevalence of co-morbid anxiety and depression in the antenatal and postnatal periods. Systematic searches of multiple electronic databases were conducted for studies published between January 1950 and January 2016. We included 66 (24 published and 42 unpublished) studies incorporating 162 120 women from 30 countries. Prevalence of self-reported antenatal anxiety symptoms and mild to severe depressive symptoms was 9.5% [95% confidence interval (CI) 7.8–11.2, 17 studies, n = 25 592] and of co-morbid anxiety symptoms and moderate/severe depressive symptoms was 6.3% (95% CI 4.8–7.7, 17 studies, n = 27 270). Prevalence of a clinical diagnosis of any antenatal anxiety disorder and depression was 9.3% (95% CI 4.0–14.7, 10 studies, n = 3918) and of co-morbid generalized anxiety disorder and depression was 1.7% (95% CI 0.2–3.1, three studies, n = 3085). Postnatally between 1 and 24 weeks postpartum, the prevalence of co-morbid anxiety symptoms and mild to severe depressive symptoms was 8.2% (95% CI 6.5–9.9, 15 studies, n = 14 731), while co-morbid anxiety symptoms and moderate/severe depressive symptoms was 5.7% (95% CI 4.3–7.1, 13 studies, n = 20 849). The prevalence of a clinical diagnosis of co-morbid anxiety and depression was 4.2% (95% CI 1.9–6.6, eight studies, n = 3251). Prevalence rates did not differ with regard to year of publication, country income, selection bias and attrition bias. The results suggest that co-morbid perinatal anxiety and depression are prevalent and warrant clinical attention given the potential negative child developmental consequences if left untreated. Further research is warranted to develop evidence-based interventions for prevention, identification and treatment of this co-morbidity.

Association of secondhand smoke and depressive symptoms in nonsmoking pregnant Women: A systematic review and meta-analysis

2019 ◽  
Vol 245 ◽  
pp. 918-927 ◽  
Author(s):  
Daichi Suzuki ◽  
Windy M.V. Wariki ◽  
Maiko Suto ◽  
Noyuri Yamaji ◽  
Yo Takemoto ◽  
...  
Keyword(s):  
Systematic Review ◽  
Depressive Symptoms ◽  
Pregnant Women ◽  
Secondhand Smoke ◽  
Meta Analysis

scholarly journals Blood plasma metabolic profiling of pregnant women with antenatal depressive symptoms

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Hanna E. Henriksson ◽  
Christina Malavaki ◽  
Emma Bränn ◽  
Vasilis Drainas ◽  
Susanne Lager ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Blood Plasma ◽  
Pregnant Women ◽  
Metabolic Profiling ◽  
Antenatal Depressive Symptoms

scholarly journals The pregnancy intention to have a second child and antenatal depressive symptoms in Chinese women under the new two-child-per-couple policy

2019 ◽  
Author(s):  
Meili Xiao ◽  
Bing Fu ◽  
Chunmei Mi ◽  
Chen Pan ◽  
Shujuan Zhu ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Pregnant Women ◽  
Edinburgh Postnatal Depression Scale ◽  
Chinese Women ◽  
Depression Scale ◽  
Pregnancy Intention ◽  
Key Words Pregnancy ◽  
Second Child ◽  
Logistic Regression Models ◽  
Antenatal Depressive Symptoms

Abstract Background: Few studies investigated the association between the pregnancy intention to have a second child and antenatal depressive symptoms.The aim of this study was to explore the association between the pregnancy intention to have a second child by pregnant women’s own desires, pregnant women’s husband own desires, parents who want to grandchild desires, couple’s concordance desires and antenatal depressive symptoms. Methods: A total of 306 participants who completed questionnaire were included in our analysis. Antenatal depressive symptom was assessed using the Chinese version of Edinburgh Postnatal Depression Scale. Logistic regression models were used to estimate the association between the pregnancy intention to have a second child by pregnant women’s own desires, pregnant women’s husband own desires, parents who want to grandchild desires and antenatal depressive symptoms. Results: the prevalence of antenatal depressive symptoms was 36.3% among the second child pregnant women. Of the 306 participants, the proportion of the pregnancy intention to have a second child by pregnant women’s own desires, pregnant women’s husband desires, parents who want to grandchild desires and couple’s concordance desires was 8.5%, 8.5%, 10.8% and 72.2% respectively. Compared with the pregnancy intention by couple’s concordance desires, pregnant women’s own desires to have a second child had higher risk of antenatal depressive symptoms after adjustment for potential confounders (OR=4.560, 95%CI: 1.603,12.973). No association was found between the pregnancy intention to have a second child by pregnant women’s husband own desires, parents who want to grandchild desires and antenatal depressive symptoms after adjustment for confounders (OR=1.996, 95%CI:0.781,5.105; OR=0.744, 95%CI: 0.306,1.811, respectively). Conclusion: These findings suggest the pregnancy intention to have a second child by pregnant women own’s desires may be a risk factors for antenatal depressive symptoms among two-child pregnant women. A qualitative study should be carried out to investigate the real reason for the intention by pregnant women’s own desires and antenatal depressive symptoms in the future, because of this study was a quantitative study. Key words: pregnancy intention; antenatal depressive symptoms; second child

scholarly journals Prevalence of perinatal depression among HIV-positive women: a systematic review and meta-analysis

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Qi-Yu Zhu ◽  
De-Sheng Huang ◽  
Jian-Da Lv ◽  
Peng Guan ◽  
Xing-Hua Bai
Keyword(s):  
Depressive Symptoms ◽  
Hiv Infection ◽  
Postnatal Depression ◽  
Perinatal Depression ◽  
Meta Analysis ◽  
Hiv Positive ◽  
Control Group ◽  
Postnatal Depressive Symptoms ◽  
Subgroup Analyses ◽  
The Mean

Abstract Background Increasing attention has been paid to differences in the prevalence of perinatal depression by HIV status, although inconsistent results have been reported. The aim of this systematic review and meta-analysis was to assess the relationship between perinatal depression and HIV infection. A comprehensive meta-analysis of comparative studies comparing the prevalence of antenatal or postnatal depression between HIV-infected women and HIV-negative controls was conducted. Methods Studies were identified through PubMed/Medline, Scopus, Web of Science, Cochrane Library, Embase and PsycINFO, and the reading of complementary references in August 2019. Subgroup analyses were performed for anticipated explanation of heterogeneity using methodological quality and pre-defined study characteristics, including study design, geographical location and depression screening tools for depression. The overall odds ratio (OR) and mean prevalence of each group were calculated. Results Twenty-three studies (from 21 publications), thirteen regarding antenatal depression and ten regarding postnatal depression were included, comprising 3165 subjects with HIV infection and 6518 controls. The mean prevalence of antenatal depressive symptoms in thirteen included studies was 36% (95% CI: 27, 45%) in the HIV-positive group and 26% (95% CI: 20, 32%) in the control group. The mean prevalence of postnatal depressive symptoms in ten included studies was 21% (95% CI: 14, 27%) in the HIV-positive group and 16% (95% CI: 10, 22%) in the control group. Women living with HIV have higher odds of antenatal (OR: 1.42; 95% CI: 1.12, 1.80) and postnatal depressive symptoms (OR: 1.58; 95% CI: 1.08, 2.32) compared with controls. Publication bias and moderate heterogeneity existed in the overall meta-analysis, and heterogeneity was partly explained by the subgroup analyses. Conclusions Women with HIV infection exhibit a significantly higher OR of antenatal and postnatal depressive symptoms compared with controls. For the health of both mother and child, clinicians should be aware of the significance of depression screening before and after delivery in this particular population and take effective measures to address depression among these women.

ANTEPARTUM DEPRESSIVE SYMPTOMS AND ASSOCIATED RISK FACTORS AMONG ANTENATAL WOMEN IN NORTHERN KERALA- A HOSPITAL BASED STUDY

2021 ◽  
pp. 4-6
Author(s):  
Babitha E K ◽  
Geethakumary. V P ◽  
Harish. M Tharayil
Keyword(s):  
Risk Factors ◽  
Depressive Symptoms ◽  
Well Being ◽  
Perinatal Period ◽  
Antenatal Depression ◽  
Antenatal Depressive Symptoms ◽  
High Prevalence ◽  
History Of ◽  
Associated Risk Factors ◽  
Antepartum Depressive Symptoms

Depression is the most frequent psychiatric disorder that women face throughout their perinatal period. As the pregnancy proceeds, the risk of antenatal depression rises, and clinically severe depressive symptoms are quiet common in last trimesters. The present study aimed to identify the prevalence of antenatal depressive symptoms (APDS) and its associated risk factors among pregnant women attending Antenatal outpatient department (OPD) at Institute of Maternal and child health (IMCH) ,Kozhikode. Two hundred antenatal women were screened for APDS using Edinburgh Postnatal Depression Screening Scale (EPDS). The prevalence of APDS among antenatal women was 40.5% .History of illness in present pregnancy, previous pregnancy, fetal well- being, history of mental illness, fear of birth and social support were signicantly associated with APDS. Pregnancy has a high prevalence of depressive symptoms, necessitating frequent screening during antenatal checkup to detect APDS and integrating mental health service with perinatal car

scholarly journals Antenatal depressive symptoms as a predictor of deterioration in perceived social support across the perinatal period: a four-wave cohort study in Turkey

2016 ◽  
Vol 47 (4) ◽  
pp. 766-775 ◽  
Author(s):  
V. Senturk ◽  
M. Abas ◽  
M. Dewey ◽  
O. Berksun ◽  
R. Stewart
Keyword(s):  
Social Support ◽  
Depressive Symptoms ◽  
Family Relationships ◽  
Emotional Support ◽  
Stressful Life Events ◽  
Depression Scale ◽  
Perinatal Period ◽  
Practical Support ◽  
Antenatal Depressive Symptoms

BackgroundIn a perinatal cohort of women in urban and rural Turkey, we investigated associations between antenatal depressive symptoms and subsequent changes in perceived quality of key family relationships.MethodOf 730 women recruited in their third trimester (94.6% participation), 578 (79.2%) were reassessed at a mean of 4.1 (s.d. = 3.3) months after childbirth, 488 (66.8%) were reassessed at 13.7 (s.d. = 2.9) months, and 448 (61.4%) at 20.8 (s.d. = 2.7) months. At all four examinations, self-reported quality of relationship with the husband, mother and mother-in-law was ascertained using the Close Persons Questionnaire with respect to emotional support, practical support and negative aspects of the relationship. Antenatal depressive symptoms were defined using the Edinburgh Postnatal Depression Scale. A range of covariates in mixed models was considered including age, education, number of children, family structure, physical health, past emotional problems and stressful life events.ResultsKey findings were as follows: (i) reported emotional and practical support from all three relationships declined over time in the cohort overall; (ii) reported emotional support from the husband, and emotional and practical support from the mother-in-law, declined more strongly in women with antenatal depressive symptoms; (iii) associations between depressive symptoms and worsening spouse relationship were more pronounced in traditional compared with nuclear families.ConclusionsAntenatal depressive symptoms predicted marked decline in the quality of key relationships over the postnatal period. This may account for some of the contemporaneous associations between depression and worse social support, and may compound the risk of perinatal depression in subsequent pregnancies.

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