Institute of Health, VID Specialized University, Oslo, Norway.
Department of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway.
J Clin Nurs. 2023 Aug;32(15-16):4894-4903. doi: 10.1111/jocn.16608. Epub 2023 Jan 4.
AIM/OBJECTIVE: To estimate the prevalence and assess the strength of associations between antenatal depressive symptoms and selected possible predictive factors among women attending antenatal care for the first time at the Child Health Centre.
Evidence suggests that antenatal depression is a health problem as prevalent as postpartum depression. Antenatal depressive symptoms may persist into the postpartum period and potentially disturb the attachment between mother and family.
Cross-sectional.
A sample of 228 women who participated in the New Families research programme answering a questionnaire at Week 28 of pregnancy were included. The Edinburgh Postnatal Depression Scale was used as outcome measure. Prevalence was estimated, and backward stepwise logistic regression analysis was performed to examine associations with somatic, psychiatric and social factors. STROBE checklist was followed.
Prevalence of depressive symptoms in this sample was 17.9%. Women reporting not sleeping enough had significantly higher odds of having depressive symptoms. Pregnant women with high relationship satisfaction were less likely to have depressive symptoms. Neither maternal age, education, previous depression, coming from a non-Nordic country nor having complications during pregnancy were statistically significantly associated with depressive symptoms.
High prevalence of depressive symptoms may also be present in low-risk populations. Sleep and relationship satisfaction are topics that need to be addressed during pregnancy.
The prevalence of depressive symptoms in this sample of low-risk pregnant women indicates that health personnel needs to be aware of depressive symptoms among women with no risk indicators. Identifying predictive factors associated with depressive symptoms may help midwives, public health nurses and general practitioners support parents. Our results indicate a potential need for screening for depressive symptoms in pregnancy and underscore the importance of involving partners in antenatal care.
PATIENT/PUBLIC CONTRIBUTION: Parents and health personnel participated in designing the New Family research programme.
评估首次在儿童健康中心接受产前保健的妇女中，产前抑郁症状与选定的潜在预测因素之间的关联强度和患病率。
有证据表明，产前抑郁是一种与产后抑郁一样普遍的健康问题。产前抑郁症状可能会持续到产后，并可能干扰母婴关系。
横断面研究。
纳入了 228 名参加“新家庭”研究计划的妇女作为样本，这些妇女在怀孕 28 周时回答了一份问卷。使用爱丁堡产后抑郁量表作为结果测量。估计患病率，并进行向后逐步逻辑回归分析，以检查与躯体、精神和社会因素的关联。遵循 STROBE 清单。
该样本中抑郁症状的患病率为 17.9%。报告睡眠不足的女性出现抑郁症状的可能性显著更高。关系满意度高的孕妇出现抑郁症状的可能性较小。母亲年龄、教育程度、既往抑郁、来自非北欧国家或怀孕期间无并发症等因素与抑郁症状均无统计学显著关联。
在低风险人群中也可能存在高患病率的抑郁症状。睡眠和关系满意度是怀孕期间需要关注的话题。
本低风险孕妇样本中抑郁症状的患病率表明，卫生人员需要意识到无风险指标的女性中存在抑郁症状。确定与抑郁症状相关的预测因素可能有助于助产妇、公共卫生护士和全科医生为父母提供支持。我们的研究结果表明，在怀孕期间筛查抑郁症状可能有必要，并强调了在产前保健中让伴侣参与的重要性。
患者/公众贡献：父母和卫生人员参与了“新家庭”研究计划的设计。
