Min Yu1, Hui Li2, Dong Roman Xu3, Yinglan Wu4, Hua Liu5, Wenjie Gong6. 1. Xiangya School of Public Health, Central South University, Hunan, China. 2. School of Mathematics and Statistics, University of Birmingham, UK. 3. Department of Medical Statistics, School of Public Health, Sun Yat-Sen University, Guangdong, China. 4. Department of Maternal Health Care, Hunan Provincial Maternal and Child Health Hospital, Hunan, China. 5. Department of Obstetrics and Gynecology, Maternal and Child Health Hospital in Ziyang district of Yiyang city, Hunan, China. 6. Xiangya School of Public Health, Central South University, Hunan, China. Electronic address: gongwenjie@csu.edu.cn.
Abstract
BACKGROUND: Few studies explored trajectories of depressive symptoms from early pregnancy and covered the whole perinatal period. This study aimed to explore the trajectories of perinatal depressive symptoms, their heterogeneity of onsets and peaks, and relations to demographic and psychological factors. METHOD: A longitudinal study was conducted at two hospitals in China amongst 1,126 participants. Perinatal depression was measured using the Edinburgh Postnatal Depression Scale. Demographic and psychological factors were collected by self-developed questionnaire and Generalized Anxiety Disorder-7. Women completing at least three depression screens (n = 879) were included. Latent Growth Curve Model and Growth Mixture Model were performed to identify the depression trajectories and logistic regression was used to analyse factors of trajectories. RESULTS: Three trajectories were identified: 90.0% of women never presented with depressive symptoms ("Low-throughout"); 5.1% presented with depressive symptoms mainly during the antenatal period ("Antenatal-high"); 4.9% presented with depressive symptoms mainly during the postpartum period ("Postpartum-high"). 52.4% of women experienced their first depressive symptoms during early pregnancy. Suffering from anxiety and being unsatisfied with their marriage were associated with the "Antenatal-high" and "Postpartum-high" trajectories, respectively. LIMITATIONS: Response rate was not high. We also do not have information on clinical diagnoses or changes in some variables over time. CONCLUSIONS: We identified three trajectories and heterogeneity existed concerning the timing of their peaks. Women should be considered for depression screening and intervention in early pregnancy. Factors associated with each trajectory were different, raising the potential of individualized intervention to reduce the occurrence of depression.
BACKGROUND: Few studies explored trajectories of depressive symptoms from early pregnancy and covered the whole perinatal period. This study aimed to explore the trajectories of perinatal depressive symptoms, their heterogeneity of onsets and peaks, and relations to demographic and psychological factors. METHOD: A longitudinal study was conducted at two hospitals in China amongst 1,126 participants. Perinatal depression was measured using the Edinburgh Postnatal Depression Scale. Demographic and psychological factors were collected by self-developed questionnaire and Generalized Anxiety Disorder-7. Women completing at least three depression screens (n = 879) were included. Latent Growth Curve Model and Growth Mixture Model were performed to identify the depression trajectories and logistic regression was used to analyse factors of trajectories. RESULTS: Three trajectories were identified: 90.0% of women never presented with depressive symptoms ("Low-throughout"); 5.1% presented with depressive symptoms mainly during the antenatal period ("Antenatal-high"); 4.9% presented with depressive symptoms mainly during the postpartum period ("Postpartum-high"). 52.4% of women experienced their first depressive symptoms during early pregnancy. Suffering from anxiety and being unsatisfied with their marriage were associated with the "Antenatal-high" and "Postpartum-high" trajectories, respectively. LIMITATIONS: Response rate was not high. We also do not have information on clinical diagnoses or changes in some variables over time. CONCLUSIONS: We identified three trajectories and heterogeneity existed concerning the timing of their peaks. Women should be considered for depression screening and intervention in early pregnancy. Factors associated with each trajectory were different, raising the potential of individualized intervention to reduce the occurrence of depression.
Authors: Wenjie Gong; Xin Jin; Kar Keung Cheng; Eric D Caine; Richard Lehman; Dong Roman Xu Journal: Int J Environ Res Public Health Date: 2020-11-23 Impact factor: 3.390
Authors: Gabrielle A Mesches; Jody D Ciolino; Catherine S Stika; Dorothy K Sit; Katelyn Zumpf; Sheehan Fisher; Crystal T Clark; Alfred L George; Michael J Avram; Laura J Rasmussen-Torvik; Daniel L Erickson; Steven Caritis; Dawn Fischer; Raman Venkataramanan; Maged Costantine; Holly West; Elizabeth Welch; Shannon Clark; Katherine L Wisner; Jacqueline K Gollan Journal: Psychiatr Res Clin Pract Date: 2022-03-04