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Mental disorders in pregnancy and 5–8 years after delivery

  • P. H. C. Rondó (a1), R. F. Ferreira (a1), J. O. Lemos (a1) and J. A. Pereira-Freire (a2)

Abstract

Background.

Even though mental disorders represent a major public health problem for women and respective children, there remains a lack of epidemiological longitudinal studies to assess the psychological status of women throughout pregnancy and later in life. This epidemiological cohort study assessed the relationship between mental disorders of 409 Brazilian women in pregnancy and 5–8 years after delivery.

Methods.

The women were followed from 1997 to 2000 at 17 health services, and subsequently from 2004 to 2006 at their homes. Mental disorders were investigated by the Perceived Stress Scale-PSS, General Health Questionnaire-GHQ and State-Trait Anxiety Inventories-STAI. The relationship between scores of the PSS, GHQ and STAI 5–8 years after delivery and in pregnancy was assessed by multivariate linear regression analysis, controlling for the following confounders: maternal age, education, per capita income, family size, work, marital status and body mass index.

Results.

Scores of the PSS, GHQ and STAI 5–8 years after delivery were positively associated with scores of the PSS, GHQ and STAI in the three trimesters of pregnancy, and inversely associated with maternal age and per capita income (adj. R 2 varied from 0.15 to 0.37). PSS, GHQ and STAI scores in the 3rd trimester of pregnancy were positively associated with scores of the PSS, GHQ and STAI in the 1st and 2nd trimesters of pregnancy (adj. R 2 varied from 0.31 to 0.65).

Conclusions.

The results of this study reinforce the urgency to integrate mental health screening into routine primary care for pregnant and postpartum women.

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Copyright

This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.

Corresponding author

*Address for correspondence: Professor P. H. C. Rondó, Department of Nutrition, School of Public Health, University of São Paulo, Avenida Dr Arnaldo 715, São Paulo CEP: 01246-904, Brazil. (Email: phcrondo@usp.br)

References

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Abdollahi, F, Zarghami, M, Azhar, MZ, Sazlina, SG, Lye, MS (2014) Predictors and incidence of post-partum depression: a longitudinal cohort study. Journal of Obstetrics and Gynaecology Research 40, 21912200.
Agrati, D, Browne, D, Jonas, W, Meaney, M, Atkinson, L, Steiner, M, Fleming, AS, MAVAN Research Team (2015). Maternal anxiety from pregnancy to 2 years postpartum: transactional patterns of maternal early adversity and child temperament. Archives of Women's Mental Health 18, 693705.
Alfayumi-Zeadna, S, Kaufman-Shriqui, V, Zeadna, A, Lauden, A, Shoham-Vardi, I (2015). The association between sociodemographic characteristics and postpartum depression symptoms among Arab-Bedouin women in Southern Israel. Depression and Anxiety 32, 120128.
Ali, NS, Mahmud, S, Khan, A, Ali, BS (2013). Impact of postpartum anxiety and depression on child's mental development from two peri-urban communities of Karachi, Pakistan: a quasi-experimental study. BMC Psychiatry 13, 274.
Aras, N, Oral, E, Aydin, N, Gulec, M (2013). Maternal age and number of children are risk factors for depressive disorders in non-perinatal women of reproductive age. International Journal of Psychiatry in Clinical Practice 17, 298306.
Biaggio, AMB, Natalicio, L, Spielberger, CD (1977). Desenvolvimento da forma experimental em português do Inventário de Ansiedade Traço-Estado (IDATE) de Spielberger. Arquivos Brasileiros de Psicologia Aplicada 29, 3144.
Bilszta, JL, Gu, YZ, Meyer, D, Buist, AE (2008). A geographic comparison of the prevalence and risk factors for postnatal depression in an Australian population. Australian and New Zealand Journal of Public Health 32, 424430.
Bottino, MN, Nadanovsky, P, Moraes, CL, Reichenheim, ME, Lobato, G (2012). Reappraising the relationship between maternal age and postpartum depression according to the evolutionary theory: empirical evidence from a survey in primary health services. Journal of Affective Disorders 142, 219224.
Buss, C, Davis, EP, Hobel, CJ, Sandman, CA (2011). Maternal pregnancy-specific anxiety is associated with child executive function at 6–9 years age. Stress 14, 665676.
Cohen, S, Kamarck, T, Mermelstein, R (1983). A global measure of perceived stress. Journal of Health and Social Behavior 24, 385396.
Davis, EP, Sandman, CA (2012) Prenatal psychobiological predictors of anxiety risk in preadolescent children. Psychoneuroendocrinology 37, 12241233.
Dunkel Schetter, C (2011) Psychological science on pregnancy: stress processes, biopsychosocial models, and emerging research issues. Annual Review of Psychology 62, 531558.
Grote, NK, Bridge, JA, Gavin, AR, Melville, JL, Iyengar, S, Katon, WJ (2010) A meta-analysis of depression during pregnancy and the risk of preterm birth, low birth weight, and intrauterine growth restriction. Archives of General Psychiatry 67, 10121024.
Haim, A, Sherer, M, Leuner, B (2014) Gestational stress induces persistent depressive-like behavior and structural modifications within the postpartum nucleus accumbens. European Journal of Neuroscience 40, 37663773.
Hein, A, Rauh, C, Engel, A, Häberle, L, Dammer, U, Voigt, F, Fasching, PA, Faschingbauer, F, Burger, P, Beckmann, MW, Kornhuber, J, Goecke, TW (2014). Socioeconomic status and depression during and after pregnancy in the Franconian Maternal Health Evaluation Studies (FRAMES). Archives of Gynecology and Obstetrics 289, 755763.
Howard, LM, Molyneaux, E, Dennis, CL, Rochat, T, Stein, A, Milgrom, J (2014). Non-psychotic mental disorders in the perinatal period. Lancet 384, 17751788.
Jelliffe, DB, Jelliffe, EFP (1989). Community Nutritional Assessment, with Special Reference to Less Technically Developed Countries, 2nd edn. Oxford University Press: London.
Kessler, RC, Sampson, NA, Berglund, P, Gruber, MJ, Al-Hamzawi, A, Andrade, L, Bunting, B, Demyttenaere, K, Florescu, S, de Girolamo, G, Gureje, O, He, Y, Hu, C, Huang, Y, Karam, E, Kovess-Masfety, V, Lee, S, Levinson, D, Medina Mora, ME, Moskalewicz, J, Nakamura, Y, Navarro-Mateu, F, Browne, MA, Piazza, M, Posada-Villa, J, Slade, T, Ten Have, M, Torres, Y, Vilagut, G, Xavier, M, Zarkov, Z, Shahly, V, Wilcox, MA (2015). Anxious and non-anxious major depressive disorder in the World Health Organization World Mental Health Surveys. Epidemiology and Psychiatric Sciences 24, 210226.
Kim, YK, Hur, JW, Kim, KH, Oh, KS, Shin, YC (2008). Prediction of postpartum depression by sociodemographic, obstetric and psychological factors: a prospective study. Psychiatry and Clinical Neurosciences 62, 331340.
Kirkan, TS, Aydin, N, Yazici, E, Aslan, PA, Acemoglu, H, Daloglu, AG (2015). The depression in women in pregnancy and postpartum period: a follow-up study. International Journal of Social Psychiatry 61, 343349.
Kuo, SY, Chen, SR, Tzeng, YL (2014) Depression and anxiety trajectories among women who undergo an elective cesarean section. PLoS ONE 9, e86653.
Loomans, EM, van der Stelt, O, van Eijsden, M, Gemke, RJ, Vrijkotte, TG, Van den Bergh, BR (2012) High levels of antenatal maternal anxiety are associated with altered cognitive control in five-year-old children. Developmental Psychobiology 54, 441450.
Luft, CD, Sanches, SdeO, Mazo, GZ, Andrade, A (2007) Brazilian version of the Perceived Stress Scale: translation and validation for the elderly. Revista de Saude Publica 41, 606615.
Mari, JJ, Williams, P (1985) A comparison of the validity of two psychiatric screening questionnaires (GHQ-12 and SRQ-20) in Brazil, using relative operating characteristic (ROC) analysis. Psychological Medicine 15, 651659.
Molyneaux, E, Poston, L, Khondoker, M, Howard, LM (2016). Obesity, antenatal depression, diet and gestational weight gain in a population cohort study. Archives of Women's Mental Health (http://link.springer.com/article/10.1007%2Fs00737-016-0635-3). Accessed 14 September 2016.
Mora, PA, Bennett, IM, Elo, IT, Mathew, L, Coyne, JC, Culhane, JF (2009). Distinct trajectories of perinatal depressive symptomatology: evidence from growth mixture modeling. American Journal of Epidemiology 169, 2432.
Nagl, M, Linde, K, Stepan, H, Kersting, A (2015). Obesity and anxiety during pregnancy and postpartum: a systematic review. Journal of Affective Disorders 186, 293305.
Onoye, JM, Shafer, LA, Goebert, DA, Morland, LA, Matsu, CR, Hamagami, F (2013). Changes in PTSD symptomatology and mental health during pregnancy and postpartum. Archives of Women's Mental Health 16, 453463.
Patton, GC, Romaniuk, H, Spry, E, Coffey, C, Olsson, C, Doyle, LW, Oats, J, Hearps, S, Carlin, JB, Brown, S (2015). Prediction of perinatal depression from adolescence and before conception (VIHCS): 20-year prospective cohort study. Lancet 386, 875883.
Radoš, SN, Herman, R, Tadinac, M (2015). Is the predictability of new-onset postpartum depression better during pregnancy or in the early postpartum period? A prospective study in Croatian women. Health Care for Women International 3, 122.
Räisänen, S, Lehto, SM, Nielsen, HS, Gissler, M, Kramer, MR, Heinonen, S (2014). Risk factors for and perinatal outcomes of major depression during pregnancy: a population-based analysis during 2002–2010 in Finland. BMJ Open 4, e004883.
Rondó, P, Souza, MR (2007). Maternal distress and intended breastfeeding duration. Journal of Psychosomatic Obstetrics and Gynecology 28, 5560.
Rondó, PH, Ferreira, RF, Nogueira, F, Ribeiro, MC, Lobert, H, Artes, R (2003). Maternal psychological stress and distress as predictors of low birth weight, prematurity and intrauterine growth retardation. European Journal of Clinical Nutrition 57, 266272.
Rondó, PH, Rezende, G, Lemos, JO, Pereira, JA (2013). Maternal stress and distress and child nutritional status. European Journal of Clinical Nutrition 67, 348352.
Rondó, PHC (2007). Maternal stress/distress and low birth weight, preterm birth and intrauterine growth restriction – a review. Current Women's Health Reviews 3, 1329.
Rouse, MH, Goodman, SH (2014). Perinatal depression influences on infant negative affectivity: timing, severity, and co-morbid anxiety. Infant Behavior and Development 37, 739751.
Schmied, V, Johnson, M, Naidoo, N, Austin, MP, Matthey, S, Kemp, L, Mills, A, Meade, T, Yeo, A (2013). Maternal mental health in Australia and New Zealand: a review of longitudinal studies. Women and Birth 26, 167178.
Siegel, RS, Brandon, AR (2014). Adolescents, pregnancy, and mental health. Journal of Pediatric and Adolescent Gynecology 27, 138150.
Spielberger, CD, Gorsuch, RI, Lushene, RE (1970). STAI Manual for the State – Trait Anxiety Inventory. Consulting Psychologist Press: Palo Alto, CA.
Sutter-Dallay, AL, Cosnefroy, O, Glatigny-Dallay, E, Verdoux, H, Rascle, N (2012). Evolution of perinatal depressive symptoms from pregnancy to two years postpartum in a low-risk sample: the MATQUID cohort. Journal of Affective Disorders 139, 2329.
Witt, WP, Wisk, LE, Cheng, ER, Hampton, JM, Creswell, PD, Hagen, EW, Spear, HA, Maddox, T, Deleire, (2011). Poor prepregnancy and antepartum mental health predicts postpartum mental health problems among US women: a nationally representative population-based study. Women's Health Issues 21, 304313.
World Health Organization– WHO (2000) Consultation on Obesity. Obesity: Preventing and Managing the Global Epidemic. WHO: Geneva, Switzerland.
Yazici, E, Kirkan, TS, Aslan, PA, Aydin, N, Yazici, AB (2015). Untreated depression in the first trimester of pregnancy leads to postpartum depression: high rates from a natural follow-up study. Neuropsychiatric Disease and Treatment 11, 405411.

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