Socio-demographical and psychosocial determinants of anxiety symptoms in a population of pregnant women in the regions of central and eastern Poland

• Autorzy: Makara-Studzinska M. , Morylowska-Topolska J. , Sygit K. , Sygit M. , Gozdziewska M.
• Języki publikacji: EN

Abstrakty

EN

Introduction and objective. Until recently, depression and anxiety during pregnancy were a neglected medical problem. The purpose of this study was to determine the prevalence of symptoms of anxiety and depression during pregnancy and identification of the socio-demographic and psychosocial factors. Material and methods. The study was prospective and longitudinal, and the research group consisted of 314 adult pregnant women. To assess the prevalence of anxiety symptoms and depression, the Hospital Anxiety and Depression Scale (HADS) was applied. To assess the psychosocial variables the Rosenberg Self-Assessment Scale, Marital Communication Questionnaire and the Berlin Social Support Scale and authors’ Socio-demographical questionnaire were used. To assess the normal distribution the Shapiro-Wilk test was used. For non-parametric tests the Mann Whitney U test and Kruskal Wallis ANOVA were used due to the distribution of the variables tested against the intergroup comparisons that deviate from the normal distribution. Results and conclusions. Co-existence of anxiety and depression in different trimesters amounted relatively to 12.7% in the first trimester, 10.8% in the second trimester and 12.4% in the third trimester of pregnancy. Symptoms of anxiety were often experienced by unmarried women, non-working women, and those respondents who estimated their housing and financial situation as being worse. Those most susceptible to depressive symptoms were tested women with primary education and those who assessed as worse their financial and housing situation. Higher self-esteem, good communication in a relationship, satisfying social support was associated with a lower incidence of anxiety symptoms during pregnancy. Higher self-esteem, good communication in a relationship, and satisfying social support was associated with a lower incidence of anxiety symptoms during pregnancy.

• Wydawca: -
• Czasopismo: Annals of Agricultural and Environmental Medicine
• Rocznik: 2013
• Tom: 20
• Numer: 1
• Opis fizyczny: p195-202,fig.,ref.

Twórcy

autor

Makara-Studzinska M.

• Independent Laboratory of Psychical Health, Medical University, Lublin, Poland

autor

Morylowska-Topolska J.

• Chair and Department of Psychiatry Medical University, Lublin, Poland

autor

Sygit K.

• Department of Health Education, University of Szczecin, Poland

autor

Sygit M.

• Department of Health Education, University of Szczecin, Poland; Institute of Rural Health, Lublin, Poland

autor

Gozdziewska M.

• Department of Health Informatics and Statistics, Institute of Rural Health, Lublin, Poland

Bibliografia

• 1. Ryan D, Milis L, Misri N. Depression during pregnancy. Can Fam Physician. 2005; 51: 1087-1093.
• 2. Barańska M, Kmita G. Psychologiczne aspekty ciąży i porodu (Psychological aspects of pregnancy and childbirth). In: Położnictwo wpraktyce lekarza rodzinnego, Chazan B. (ed.) Wydawnictwo LekarskiePZWL, Warszawa 1997: 163-168 (in Polish).
• 3. O’Hara MW. Social support, life events, and depression during pregnancy and the puerperium. Arch Gen Psychiatry. 1986; 43: 569-573.
• 4. Leigh B, Milgrom J. Risk factors for antenatal depression, postnatal depression and parenting stress. BMC Psychiatry 2008; 08: 24doi:10.1186/1471-244X-8-24.
• 5. Beck CT. Postpartum depression: A metasynthesis. Qual Health Res. 2002; 22(4): 453-472.
• 6. Rybakowski J, Jaracz J. Leksykon manii i depresji (Encyclopedia of mania and depression). Termedia, Poznań 2010 (in Polish).
• 7. Karakuła H, Grzywa A, Śpila B, Baszak J, Gieroba A, Kosikowski W, Jędrych M. Zastosowanie Skali Leku i Depresji – HADS w chorobachpsychosomatycznych (Application of Anxiety and Depression Scale– HADS in psychosomatic diseases). Psych Pol. 1996; 30(4): 653-668(in Polish).
• 8. Łaguna M, Lachowicz-Tabaczek K, Dzwonkowska I. Skala samooceny SES Morrisa Rosenberga – polska adaptacja metody (SES Morris selfassessmentscale – Polish adaptation of the method). Psychol Spol.2007; 202(4): 164-176 (in Polish).
• 9. Kazimierczak M, Plopa M. Kwestionariusz Komunikacji Małżeńskiej (Marital Communication Questionnaire). Podręcznik. Vizja Press & It,Warszawa 2008a (in Polish).
• 10. Kazimierczak M, Plopa M. Kwestionariusz Komunikacji Małżenskiej (KKM). Metody badań (Marital Communication Questionnaire.Research methods). In: Więzi w małżeństwie i rodzinie. Plopa M.(Ed.). Oficyna Wydwnicza „Impuls”. Kraków 2008: 109-158 (in Polish).
• 11. Łuszczyńska A, Kowalska M, Mazurkiewicz M, Schwarzer R. Berlińskie Skale Wsparcia Społecznego (BSSS). Wyniki wstępnych badań nadadaptacją skal i ich własnościami psychometrycznymi (The results ofinitial research on the adaptation of the scales and their psychometricproperties). Stud Psychol. 2006; 44(3): 17-27 (in Polish).
• 12. Stanisz–Wallis K. Testy nieparametryczne. In: Biostatystyka. Stanisz A. (ed.) (Nonparametric tests in: Biostatistics). WydawnictwoUniwersytetu Jagiellońskiego, Kraków 2005:, 135-178 (in Polish).
• 13. Johanson R, Chapman G, Murray D, Johnson I, Cox J. The Northern Staffordshire Maternity Hospital prospective study of pregnancyassociateddepression. J Psychosom Obstet Gynecol. 2000; 21(2): 93-97.
• 14. Evans J, Heron J, Francomb H, Oke S, Golding J. Cohort study of depressed mood during pregnancy and after childbirth. BMJ. 2001;323(7307): 257-260.
• 15. Josefsson A, Berg G, Nordin C, Sydsjo G. Prevalence of depressive symptoms in late pregnancy and postpartum. Acta Obstet GynecolScand. 2001; 80(3): 251-255.
• 16. Bennett HA, Einarson A, Taddio A, Koren G, Einarson T. Prevalence of depression during pregnancy: systematic review. Obstet Gynecol.2004; 103(4): 698-709.
• 17. Rubertsson C, Wickberg B, Gustavsson P, Rådestad I. Depressive symptoms in early pregnancy, two months and one year postpartumprevalenceand psychosocial risk factors in a national Swedish sample.Arch Womens Ment Health. 2005; 8(2): 97-104.
• 18. Berle JO, Mykletun A, Daltveit AK, Rasmussen S, Holsten F, Dahl AA. Neonatal outcomes in offspring of women with anxiety and depressionduring pregnancy. Arch Womens Ment Health. 2005; 8: 181-189.
• 19. Lee AM, Lam SK, Lau SSM, Chong CSY, Chui HW, Fong DYT. Prevalence, course risk factors for antenatal anxiety and depression.Obstet Gynecol. 2007; 110(5): 1102-1112.
• 20. Qiao YX, Wang J, Li J, Ablat A. The prevalence and related risk factors of anxiety and depression symptoms among Chinese pregnant womenin Shanghai. Aust N Z J Obstet Gynecol. 2009; 49(2): 185-90.
• 21. Marcus SM, Flynn HA, Blow FC, Barry KL. Depressive symptoms among pregnant women screened in obstetrics settings. J WomensHealth. 2003; 12(4): 373-80.
• 22. Webster J, Linnane JWJ, Dibley M, Pritchard M. Improving antenatal recognition of women at risk for postnatal depression. Aust N Z J ObstetGynaecol. 2000; 40(4): 409-12.
• 23. Hasin DS, Goodwin RD, Stinson FS, Grant BF. Epidemiology of major depressive disorder: results from the National Epidemiologic Surveyon Alcoholism and Related Conditions. Arch Gen Psychiatry. 2005;62(10): 1097-106.
• 24. Silva RA, Jansen K, Souza LD, Moraes IG, Tomasi E, Silva Gdel G, Dias Mde S. Pinheiro RT. Depression during pregnancy in the Brazilianpublic health care system. Rev Bras Psiquiatr. 2010;3 2(2): 139-44.
• 25. Adewuya AO, Ola BA, Aloba OO, Dada AO, Fasoto OO. Prevalence and correlates of depression in late pregnancy among Nigerian women.Depress Anxiety. 2007; 24(1): 15-21.
• 26. Golbasi Z, Kelleci M, Kisacik G, Cetin A. Prevalence and correlates of depression in late pregnancy among Nigerian women. Matern ChildHealth J. 2010; 14(4): 485-91.
• 27. Gurel Sa, GurelHG. The evaluation of determinats of early postpartum low mood:The importance of parity and inter-pregnancy interval. EurJ Obs Gynecol. 2000; 91: 21-24.
• 28. Yonkers KA, Ramin SM, Rush AJ, Navarrete CA, Carmody T, March D, Heartwell SF, Leveno KJ. Onset and persistence of postpartumdepression in an inner-city maternal health clinic system. Am JPsychiatry. 2001; 158(11): 1856-63.
• 29. Bolton HL, Hughes PM, Turton P, Sedgwick P. Incidence and demographic correlates of depressive symptoms during pregnancyin an inner city London population. J Psych Obstet Gynaecol. 1998;19(4): 202-212.
• 30. Kitamura T, Yoshida K, Okano T, Kinoshita K, Hayashi M, Toyoda N, et al. Multicentre prospective study of prenatal depression in Japan:incidence and correlates of antenatal and postnatal depression. ArchWomens Ment Health. 2006; 9(3): 121-30.
• 31. Elsenbruch S, Benson S, Rücke M, Rose M, Dudenhausen J, Pincus- Knackstedt MK, et al. Social support during pregnancy: effects onmaternal depressive symptoms, smoking and pregnancy outcome.Hum Reprod. 2007; 22(3): 869-877.
• 32. Ritter C, Hobfoll SE, Lavin J, Cameron RP, Hulsizer MR. Stress, psychosocial resources, and depressive symptomatology duringpregnancy in low-income, inner- city women. Health Psychology 2000;19(6): 576-585.
• 33. Kitamura T, Toda MA, Shima S, Sugawara K, Sugawara M. Social support and pregnancy: II. Its relationship with depressive symptomsamong Japanese women. Psychiatry Clin Neuroscien. 1998; 52(1): 37-45.
• 34. DaCosta D, Larouche J, Dritsa M, Brender W. Psychosocial correlates of prepartum and postpartum depressed mood. J Affective Dis. 2000;59(1): 31-40.
• 35. Field T, Diego M, Hernandez-Reif M. Prenatal depression effects on the foetus and neonate in different ethnic and socio-economic statusgroups. J Repr Inf Psychology. 2002; 20: 149-157.
• 36. Brugha TS, Wheatley S, Taub NA, Culverwell A, Friedman T, Kirwan P, et al. Pragmatic randomized trial of antenatal intervention to preventpost-natal depression by reducing psychosocial risk factors. PsycholMed. 2000; 30(6): 1273-81.
• 37. Stuart S, O’Hara MW, Gorman LL. The prevention and psychotherapeutic treatment of postpartum depression. Arch Womens Ment Health. 2003;6 Suppl 2: S57-69.
• 38. O’Hara MW, Swain AM. Rates and risks of postpartum depression: a meta-analysis. Int Rev Psychiatry. 1996; 8: 37-54.
• 39. Buist A, Westley D, Hill C. Antenatal prevention of postnatal depression. Arch Womens Ment Health. 1999; 1: 167-173.
• 40. Austin MP, Lumley J. Antenatal screening for postnatal depression: a systematic review. Acta Psychiatr Scand. 2003; 107(1): 10-7.
• 41. Verkerk GJ, Pop VJ, Van Son MJ, Van Heck GL. Prediction of depression in the postpartum period: a longitudinal follow-up study in high riskand low-risk women. J Affect Disord. 2003; 77(2): 159-66.
• 42. Steiner M. Postnatal depression: a few simple questions. Fam Pract. 2002; 19: 469-470.
• 43. Lancaster CA, Gold KJ, Flynn HA, Yoo H, Marcus SM, Davis MM. Risk factors for depressive symptoms during pregnancy: a systematic review. Am J Obstet Gynecol. 2010; 202(1): 5-14.
• 44. Lteif Y, Kesrouani A, Richa S. Depressive syndromes during pregnancy: prevalence and risk factors. J Gynecol Obstet Biol Reprod. (Paris)2005; 34: 262-269.
• 45. Kendler KS, Gardner CO, Prescott CA. Toward a comprehensive developmental model for major depression in women. Am J Psychiatry2002; 159: 1133-1145.

Uwagi

rekord w opracowaniu