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Acta Obstet Gynecol Scand. 2006;85(8):937-44.

Depression and anxiety during pregnancy and six months postpartum: a follow-up study.

Author information

1
Department of Clinical Sciences, Obstetrics and Gynecology, Umeå University, Umeå, Sweden. liselott.andersson@nll.se

Abstract

AIMS:

To investigate the relationship between antenatal and postpartum depression and anxiety and to explore associated maternal characteristics.

METHODS:

From a population-based sample of 1,555 women attending two obstetric clinics in Sweden, all women with an antenatal psychiatric diagnosis (n = 220) and a random selection of healthy women (n = 500) were contacted for a second assessment three to six months postpartum. The Primary Care Evaluation of Mental Disorders was used for evaluation on both occasions.

RESULTS:

Fewer cases of depressive and/or anxiety disorders were prevalent postpartum compared with the second trimester screening. Depression and/or anxiety were prevalent in 16.5% of postpartal women versus 29.2% of pregnant women. There was a significant shift from a majority of subthreshold diagnoses during pregnancy to full Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition) diagnoses during the postpartum period. A history of previous psychiatric disorder, living single, and obesity were significantly associated with a new-onset postpartum psychiatric disorder. The absence of a previous psychiatric disorder was significantly associated with a postpartum recovery of depression or anxiety.

CONCLUSIONS:

Depression and anxiety appear to be less common postpartum than during pregnancy.

PMID:
16862471
DOI:
10.1080/00016340600697652
[Indexed for MEDLINE]
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