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Published in: Archives of Women's Mental Health 2/2016

01-04-2016 | Original Article

Estimated prevalence of antenatal depression in the US population

Authors: June M. Ashley, Bridgette D. Harper, Clarissa J. Arms-Chavez, Steven G. LoBello

Published in: Archives of Women's Mental Health | Issue 2/2016

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Abstract

The purpose of this study is to determine the prevalence of minor and major depression among pregnant women in the USA. Also, we compare prevalence of depression among pregnant and non-pregnant women while controlling for relevant covariates. A population-representative sample of pregnant women (n = 3010) surveyed for the 2006 Behavioral Risk Factor Surveillance System was compared to a sample of women who were not pregnant (n = 68,620). Binary logistic regression was used to determine prevalence ratios of depression for pregnant and non-pregnant women while controlling for the effects of age, race, annual income, employment status, educational level, marital status, general health, and availability of emotional support. Depression was measured by the Patient Health Questionnaire-8 (PHQ-8). The prevalence of major depression was no greater among pregnant women (6.1 %) compared to non-pregnant women (7 %; adjusted prevalence ratio (PR) = 1.1, 95 % confidence interval (CI) .8 and 1.5). The prevalence of minor depression was greater among pregnant women (16.6 %) compared to non-pregnant women (11.4 %; adjusted PR = 1.5, 95 % CI 1.2 and 1.9). Prevalence ratios are adjusted for the effects of covariates noted above. Prevalence of major depression is not associated with pregnancy, but minor depression is more likely among women who are pregnant.
Literature
go back to reference Alami KM, Kadri N, Berrada S (2006) Prevalence and psychosocial correlates of depressed mood during pregnancy and after childbirth in a Moroccan sample. Arch Womens Ment Health 9:343–346CrossRefPubMed Alami KM, Kadri N, Berrada S (2006) Prevalence and psychosocial correlates of depressed mood during pregnancy and after childbirth in a Moroccan sample. Arch Womens Ment Health 9:343–346CrossRefPubMed
go back to reference Alder J, Fink N, Bitzer J, Hosli I, Holzgreve W (2007) Depression and anxiety during pregnancy: a risk factor for obstetric, fetal and neonatal outcome? A critical review of the literature. J Matern Fetal Neonatal Med 20:189–209CrossRefPubMed Alder J, Fink N, Bitzer J, Hosli I, Holzgreve W (2007) Depression and anxiety during pregnancy: a risk factor for obstetric, fetal and neonatal outcome? A critical review of the literature. J Matern Fetal Neonatal Med 20:189–209CrossRefPubMed
go back to reference American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders (4th ed., text revision). Author, Washington, DC American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders (4th ed., text revision). Author, Washington, DC
go back to reference American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders, 5th edn. American Psychiatric Publishing, Arlington American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders, 5th edn. American Psychiatric Publishing, Arlington
go back to reference Andersson L, Sundstrom-Poromaa I, Wulff M, Astrom M, Bixo M (2004) Implications of antenatal depression and anxiety for obstetric outcome. Obstet Gynecol 104:467–476CrossRefPubMed Andersson L, Sundstrom-Poromaa I, Wulff M, Astrom M, Bixo M (2004) Implications of antenatal depression and anxiety for obstetric outcome. Obstet Gynecol 104:467–476CrossRefPubMed
go back to reference Bennett HA, Einarson A, Taddio A, Koren G, Einarson TR (2004) Prevalence of depression during pregnancy: systematic review. Obstet Gynecol 103:698–709CrossRefPubMed Bennett HA, Einarson A, Taddio A, Koren G, Einarson TR (2004) Prevalence of depression during pregnancy: systematic review. Obstet Gynecol 103:698–709CrossRefPubMed
go back to reference Bowen A, Muhajarine N (2006a) Antenatal depression. Can Nurse 102:26–30PubMed Bowen A, Muhajarine N (2006a) Antenatal depression. Can Nurse 102:26–30PubMed
go back to reference Bowen A, Muhajarine N (2006b) Prevalence of antenatal depression in women enrolled in an outreach program in Canada. J Obstet Gynecol Neonatal Nurs 35:491–498CrossRefPubMed Bowen A, Muhajarine N (2006b) Prevalence of antenatal depression in women enrolled in an outreach program in Canada. J Obstet Gynecol Neonatal Nurs 35:491–498CrossRefPubMed
go back to reference Centers for Disease Control and Prevention (2006a) Behavioral Risk Factor Surveillance System 2006 Codebook Report. Centers for Disease Control and Prevention, Atlanta Centers for Disease Control and Prevention (2006a) Behavioral Risk Factor Surveillance System 2006 Codebook Report. Centers for Disease Control and Prevention, Atlanta
go back to reference Chung TK, Lau TK, Yip AS, Chiu HF, Lee DT (2001) Antepartum depressive symptomatology is associated with adverse obstetric and neonatal outcomes. Psychosom Med 63:830–834CrossRefPubMed Chung TK, Lau TK, Yip AS, Chiu HF, Lee DT (2001) Antepartum depressive symptomatology is associated with adverse obstetric and neonatal outcomes. Psychosom Med 63:830–834CrossRefPubMed
go back to reference Cohen LS, Altshuler LL, Harlow BL, Nonacs R, Newport DJ, Viguera AC et al (2006) Relapse of major depression during pregnancy in women who maintain or discontinue antidepressant treatment. JAMA 295:499–507CrossRefPubMed Cohen LS, Altshuler LL, Harlow BL, Nonacs R, Newport DJ, Viguera AC et al (2006) Relapse of major depression during pregnancy in women who maintain or discontinue antidepressant treatment. JAMA 295:499–507CrossRefPubMed
go back to reference Correia LL, Linhares MB (2007) Maternal anxiety in the pre- and postnatal period: a literature review. Rev Lat Am Enfermagem 15:677–683CrossRefPubMed Correia LL, Linhares MB (2007) Maternal anxiety in the pre- and postnatal period: a literature review. Rev Lat Am Enfermagem 15:677–683CrossRefPubMed
go back to reference Dietz PM, Williams SB, Callaghan WM, Bachman DJ, Whitlock EP, Hornbrook MC (2007) Clinically identified maternal depression before, during, and after pregnancies ending in live births. Am J Psychiatry 164:1515–1520CrossRefPubMed Dietz PM, Williams SB, Callaghan WM, Bachman DJ, Whitlock EP, Hornbrook MC (2007) Clinically identified maternal depression before, during, and after pregnancies ending in live births. Am J Psychiatry 164:1515–1520CrossRefPubMed
go back to reference Faisal-Cury A, Menezes PR (2007) Prevalence of anxiety and depression during pregnancy in a private setting sample. Arch Womens Ment Health 10:25–32CrossRefPubMed Faisal-Cury A, Menezes PR (2007) Prevalence of anxiety and depression during pregnancy in a private setting sample. Arch Womens Ment Health 10:25–32CrossRefPubMed
go back to reference Fan AZ, Strine TW, Huang Y, Murray MR, Musingo S, Jiles R, Mokdad AH (2009) Self-rated depression and physician-diagnosed depression and anxiety in Florida adults: Behavioral Risk Factor Surveillance System, 2006. Prev Chronic Dis 6:1–14 Fan AZ, Strine TW, Huang Y, Murray MR, Musingo S, Jiles R, Mokdad AH (2009) Self-rated depression and physician-diagnosed depression and anxiety in Florida adults: Behavioral Risk Factor Surveillance System, 2006. Prev Chronic Dis 6:1–14
go back to reference Field T, Diego M, Hernandez-Reif M, Figueiredo B, Schanberg S, Kuhn C et al (2008) Chronic prenatal depression and neonatal outcome. Int J Neurosci 118:95–103CrossRefPubMed Field T, Diego M, Hernandez-Reif M, Figueiredo B, Schanberg S, Kuhn C et al (2008) Chronic prenatal depression and neonatal outcome. Int J Neurosci 118:95–103CrossRefPubMed
go back to reference Gaynes BN, Gavin N, Meltzer-Brody S, Lohr KN, Swinson T, Gartlehner G, Brody S, Miller WC (2005) Perinatal depression: prevalence, screening accuracy, and screening outcomes. Evidence Report/Technology Assessment No. 119. (Prepared by the RTI-University of North Carolina Evidence-based Practice Center, under Contract No. 290-02-0016.) AHRQ Publication No. 05-E006-2. Agency for Healthcare Research and Quality, Rockville Gaynes BN, Gavin N, Meltzer-Brody S, Lohr KN, Swinson T, Gartlehner G, Brody S, Miller WC (2005) Perinatal depression: prevalence, screening accuracy, and screening outcomes. Evidence Report/Technology Assessment No. 119. (Prepared by the RTI-University of North Carolina Evidence-based Practice Center, under Contract No. 290-02-0016.) AHRQ Publication No. 05-E006-2. Agency for Healthcare Research and Quality, Rockville
go back to reference Hatton DC, Harrison-Hohner J, Matarazzo J, Edwards P, Lewy A, Davis L (2007) Missed antenatal depression among high risk women: a secondary analysis. Arch Womens Ment Health 10:121–123CrossRefPubMed Hatton DC, Harrison-Hohner J, Matarazzo J, Edwards P, Lewy A, Davis L (2007) Missed antenatal depression among high risk women: a secondary analysis. Arch Womens Ment Health 10:121–123CrossRefPubMed
go back to reference Jomeen J, Martin CR (2007) Assessment and relationship of sleep quality to depression in early pregnancy. J Reprod Infant Psychol 25:87–99CrossRef Jomeen J, Martin CR (2007) Assessment and relationship of sleep quality to depression in early pregnancy. J Reprod Infant Psychol 25:87–99CrossRef
go back to reference Kroenke K, Spitzer RL (2002) The PHQ-9: a new depression diagnostic and severity measure. Psychiatr Ann 32:1–8CrossRef Kroenke K, Spitzer RL (2002) The PHQ-9: a new depression diagnostic and severity measure. Psychiatr Ann 32:1–8CrossRef
go back to reference Kroenke K, Strine TW, Spitzer RL, Williams JBW, Berry JT, Mokdad AH (2009) The PHQ-8 as a measure of current depression in the general population. J Affect Disord 114:163–173CrossRefPubMed Kroenke K, Strine TW, Spitzer RL, Williams JBW, Berry JT, Mokdad AH (2009) The PHQ-8 as a measure of current depression in the general population. J Affect Disord 114:163–173CrossRefPubMed
go back to reference Lindgren K (2001) Relationships among maternal-fetal attachment, prenatal depression, and health practices in pregnancy. Res Nurs Health 24:203–217CrossRefPubMed Lindgren K (2001) Relationships among maternal-fetal attachment, prenatal depression, and health practices in pregnancy. Res Nurs Health 24:203–217CrossRefPubMed
go back to reference Marcus SM, Flynn HA, Blow FC, Barry KL (2003) Depressive symptoms among pregnant women screened in obstetrics settings. J Wom Health 12:373–380CrossRef Marcus SM, Flynn HA, Blow FC, Barry KL (2003) Depressive symptoms among pregnant women screened in obstetrics settings. J Wom Health 12:373–380CrossRef
go back to reference O’Hara MW, Zekoski EM, Philipps LH, Wright EJ (1990) Controlled prospective study of postpartum mood disorders: comparison of childbearing and nonchildbearing women. J Abnorm Psychol 99:3–15CrossRefPubMed O’Hara MW, Zekoski EM, Philipps LH, Wright EJ (1990) Controlled prospective study of postpartum mood disorders: comparison of childbearing and nonchildbearing women. J Abnorm Psychol 99:3–15CrossRefPubMed
go back to reference Orr ST, Blazer DG, James SA, Reiter JP (2007) Depressive symptoms and indicators of maternal health status during pregnancy. J Womens Health (Larchmt) 16:535–542CrossRef Orr ST, Blazer DG, James SA, Reiter JP (2007) Depressive symptoms and indicators of maternal health status during pregnancy. J Womens Health (Larchmt) 16:535–542CrossRef
go back to reference Records K, Rice M (2007) Psychosocial correlates of depression symptoms during the third trimester of pregnancy. J Obstet Gynecol Neonatal Nurs 36:231–242CrossRefPubMed Records K, Rice M (2007) Psychosocial correlates of depression symptoms during the third trimester of pregnancy. J Obstet Gynecol Neonatal Nurs 36:231–242CrossRefPubMed
go back to reference Ross LE, Murray BJ, Steiner M (2005) Sleep and perinatal mood disorders: a critical review. J Psychiatry Neurosci 30:247–256PubMedPubMedCentral Ross LE, Murray BJ, Steiner M (2005) Sleep and perinatal mood disorders: a critical review. J Psychiatry Neurosci 30:247–256PubMedPubMedCentral
go back to reference Suri R, Altshuler L, Hellemann G, Burt VK, Aquino A, Mintz J (2007) Effects of antenatal depression and antidepressant treatment on gestational age at birth and risk of preterm birth. Am J Psychiatry 164:1206–1213CrossRefPubMed Suri R, Altshuler L, Hellemann G, Burt VK, Aquino A, Mintz J (2007) Effects of antenatal depression and antidepressant treatment on gestational age at birth and risk of preterm birth. Am J Psychiatry 164:1206–1213CrossRefPubMed
go back to reference Wolfson AR, Crowley SJ, Anwer U, Bassett JL (2003) Changes in sleep patterns and depressive symptoms in first-time mothers: last trimester to 1-year postpartum. Behav Sleep Med 1:54–67CrossRefPubMed Wolfson AR, Crowley SJ, Anwer U, Bassett JL (2003) Changes in sleep patterns and depressive symptoms in first-time mothers: last trimester to 1-year postpartum. Behav Sleep Med 1:54–67CrossRefPubMed
Metadata
Title
Estimated prevalence of antenatal depression in the US population
Authors
June M. Ashley
Bridgette D. Harper
Clarissa J. Arms-Chavez
Steven G. LoBello
Publication date
01-04-2016
Publisher
Springer Vienna
Published in
Archives of Women's Mental Health / Issue 2/2016
Print ISSN: 1434-1816
Electronic ISSN: 1435-1102
DOI
https://doi.org/10.1007/s00737-015-0593-1

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