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BMC Psychiatry. 2015 Apr 2;15:66. doi: 10.1186/s12888-015-0452-7.

Prevalence and predictors of antenatal depressive symptoms among Chinese women in their third trimester: a cross-sectional survey.

Author information

1
Department of Obstetrics, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China. chloezengyc@hotmail.co.uk.
2
Department of Psychiatry, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China. cui_ying@outlook.com.
3
Guangzhou Brain Hospital, Guangzhou Medical University, 36# Mingxin Road, Liwan, Guangzhou, China. biglijie@163.com.

Abstract

BACKGROUND:

Depression during pregnancy can be detrimental to both maternal and fetal health outcomes. A cross-sectional study was undertaken, with the goal of determining the prevalence and predicting factors associated with antenatal depressive symptoms during late pregnancy among Chinese women.

METHODS:

Participants were recruited during bookings for antenatal care at a maternal and child health hospital's outpatient care clinics. Measurements included the Chinese version of Self-rating Depression Scale, Eysenck Personality Questionnaire, Social Support Rating Scale, and Simplified Coping Strategies Questionnaire.

RESULTS:

A total of 292 women participated in this study, with 28.5% prevalence of depressive symptoms. Significant protective predictors were: a younger age (OR = 0.85; 95% Confidence Interval-CI 0.76-0.95), good partner relationship (OR = 0.40; 95% CI 0.17-0.93), preparedness for delivery (OR = 0.36; 95% CI 0.20-0.63), active coping (OR = 0.92; 95% CI 0.89-0.96), and social support (OR = 0.92; 95% CI 0.88-0.97). In contrast, significant risk factors were: a history of miscarriage (OR = 1.86; 95% CI 1.30-2.66), irregular menstrual history (OR = 2.98; 95% CI 1.64-5.40), and financial worries (OR = 2.33; 95% CI 1.27-4.30). Psychosocial risk factors include psychoticism and neuroticism personality traits (OR = 1.06; 95% CI 1.02-1.10 and OR = 1.07; 95% CI 1.04-1.10, respectively), and pregnancy pressures (OR = 1.04; 95% CI 1.02-1.07).

CONCLUSION:

Depressive symptoms are common in third trimester antenatal clinic attendees. Interventions for early recognition of depression should target older women with a history of miscarriage and financial worries. Intervention strategies could be by providing more social support and promoting active coping strategies. Findings support a recommendation that antenatal services consider integrating screening for depression in routine antenatal care.

PMID:
25879965
PMCID:
PMC4387591
DOI:
10.1186/s12888-015-0452-7
[Indexed for MEDLINE]
Free PMC Article

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