Skip to main content
Top
Published in: BioPsychoSocial Medicine 1/2016

Open Access 01-12-2016 | Research

Prevalence and related factors of common mental disorders during pregnancy in Japan: a cross-sectional study

Authors: Kentaro Usuda, Daisuke Nishi, Miyuki Makino, Hisateru Tachimori, Yutaka Matsuoka, Yo Sano, Takako Konishi, Tadashi Takeshima

Published in: BioPsychoSocial Medicine | Issue 1/2016

Login to get access

Abstract

Background

Common mental disorders (CMD) during pregnancy can have a clearly harmful influence on both mothers and children. Some studies have reported related factors for mental disorders, such as region-specific background. This study examined the prevalence of CMD and its related factors in mid-pregnancy in Japan.

Methods

Pregnant women between 12 and 24 weeks gestation and aged ≥20 years were consecutively recruited at a maternity hospital in Japan between May 2014 and September 2014. CMD were diagnosed using the Mini-International Neuropsychiatric Interview (MINI), self-rated depressive symptoms were assessed using the Edinburgh Postnatal Depression Scale, and interpersonal traumatic experience was measured using the Life Events Checklist.

Results

Among 297 eligible pregnant women, 177 participated in the study. Two participants (1.1 %) met the criteria for major depressive disorder. The most frequent diagnosis was agoraphobia (n = 7; 3.9 %). Eleven participants (6.2 %) met the criteria for one or more diagnoses, with 2 participants having two mental disorders and 3 having three mental disorders. Six participants developed CMD after gestation. Logistic regression analysis revealed history of psychiatric disorder, past interpersonal traumatic experience, and feeling pressure to have a child were associated with CMD.

Conclusion

These findings indicate a lower prevalence of CMD in mid-pregnancy in Japan than reported in most other countries. Besides the related factors reported previously, feeling pressure to have a child might increase risk for CMD among pregnant women in Japan. Asian cultural background might be related to the lower CMD prevalence and risk factors identified in this study.
Literature
1.
go back to reference Grote N, Bridge J, Gavin A, Melville J, Iyengar S, Katon W. A Meta-analysis of Depression During Pregnancy and the Risk of Preterm Birth, Low Birth Weight, and Intrauterine Growth Restriction. Arch Gen Psychiatry. 2010;67(10):1012–24.CrossRefPubMedPubMedCentral Grote N, Bridge J, Gavin A, Melville J, Iyengar S, Katon W. A Meta-analysis of Depression During Pregnancy and the Risk of Preterm Birth, Low Birth Weight, and Intrauterine Growth Restriction. Arch Gen Psychiatry. 2010;67(10):1012–24.CrossRefPubMedPubMedCentral
3.
go back to reference Yonkers KA, Smith MV, Forray A, Epperson CN, Costello D, Lin H, et al. Pregnant women with posttraumatic stress disorder and risk of preterm birth. JAMA Psychiatry. 2014;71(8):897–904.CrossRefPubMedPubMedCentral Yonkers KA, Smith MV, Forray A, Epperson CN, Costello D, Lin H, et al. Pregnant women with posttraumatic stress disorder and risk of preterm birth. JAMA Psychiatry. 2014;71(8):897–904.CrossRefPubMedPubMedCentral
4.
go back to reference Fisher J, Cabral de Mello M, Patel V, Rahman A, Tran T, Holton S, et al. Prevalence and determinants of common perinatal mental disorders in women in low- and lower-middle-income countries: a systematic review. Bull World Health Organ. 2012;90(2):139–49. Pubmed Central PMCID: 3302553.CrossRef Fisher J, Cabral de Mello M, Patel V, Rahman A, Tran T, Holton S, et al. Prevalence and determinants of common perinatal mental disorders in women in low- and lower-middle-income countries: a systematic review. Bull World Health Organ. 2012;90(2):139–49. Pubmed Central PMCID: 3302553.CrossRef
5.
go back to reference Kitamura T, Yoshida K, Okano T, Kinoshita K, Hayashi M, Toyoda N, et al. Multicentre prospective study of perinatal depression in Japan: incidence and correlates of antenatal and postnatal depression. Arch Womens Ment Health. 2006;9(3):121–30.CrossRefPubMed Kitamura T, Yoshida K, Okano T, Kinoshita K, Hayashi M, Toyoda N, et al. Multicentre prospective study of perinatal depression in Japan: incidence and correlates of antenatal and postnatal depression. Arch Womens Ment Health. 2006;9(3):121–30.CrossRefPubMed
6.
go back to reference Aras N, Oral E, Aydin N, Gulec M. Maternal age and number of children are risk factors for depressive disorders in non-perinatal women of reproductive age. Int J Psychiatry Clin Pract. 2013;17(4):298–306.CrossRefPubMed Aras N, Oral E, Aydin N, Gulec M. Maternal age and number of children are risk factors for depressive disorders in non-perinatal women of reproductive age. Int J Psychiatry Clin Pract. 2013;17(4):298–306.CrossRefPubMed
7.
go back to reference Fadzil A, Balakrishnan K, Razali R, Sidi H, Malapan T, Japaraj RP, et al. Risk factors for depression and anxiety among pregnant women in Hospital Tuanku Bainun, Ipoh, Malaysia. Asia-Pac Psychiatry. 2013;5 Suppl 1:7–13.CrossRefPubMed Fadzil A, Balakrishnan K, Razali R, Sidi H, Malapan T, Japaraj RP, et al. Risk factors for depression and anxiety among pregnant women in Hospital Tuanku Bainun, Ipoh, Malaysia. Asia-Pac Psychiatry. 2013;5 Suppl 1:7–13.CrossRefPubMed
8.
go back to reference Su K-P, Chiu T-H, Huang C-L, Ho M, Lee C-C, Wu P-L, et al. Different cutoff points for different trimesters? The use of Edinburgh Postnatal Depression Scale and Beck Depression Inventory to screen for depression in pregnant Taiwanese women. Gen Hosp Psychiatry. 2007;29(5):436–41.CrossRefPubMed Su K-P, Chiu T-H, Huang C-L, Ho M, Lee C-C, Wu P-L, et al. Different cutoff points for different trimesters? The use of Edinburgh Postnatal Depression Scale and Beck Depression Inventory to screen for depression in pregnant Taiwanese women. Gen Hosp Psychiatry. 2007;29(5):436–41.CrossRefPubMed
9.
go back to reference Farias DR, Pinto TDJP, Teofilo MMA, Vilela AAF, Vaz JDS, Nardi AE, et al. Prevalence of psychiatric disorders in the first trimester of pregnancy and factors associated with current suicide risk. Psychiatry Res. 2013;210(3):962–8.CrossRefPubMed Farias DR, Pinto TDJP, Teofilo MMA, Vilela AAF, Vaz JDS, Nardi AE, et al. Prevalence of psychiatric disorders in the first trimester of pregnancy and factors associated with current suicide risk. Psychiatry Res. 2013;210(3):962–8.CrossRefPubMed
10.
go back to reference Giardinelli L, Innocenti A, Benni L, Stefanini MC, Lino G, Lunardi C, et al. Depression and anxiety in perinatal period: prevalence and risk factors in an Italian sample. Arch Womens Ment Health. 2012;15(1):21–30.CrossRefPubMed Giardinelli L, Innocenti A, Benni L, Stefanini MC, Lino G, Lunardi C, et al. Depression and anxiety in perinatal period: prevalence and risk factors in an Italian sample. Arch Womens Ment Health. 2012;15(1):21–30.CrossRefPubMed
11.
go back to reference Fisher J, Tran TD, Nguyen TT, Tran T. Common perinatal mental disorders and alcohol dependence in men in northern Viet Nam. J Affect Disord. 2012;140(1):97–101.CrossRefPubMed Fisher J, Tran TD, Nguyen TT, Tran T. Common perinatal mental disorders and alcohol dependence in men in northern Viet Nam. J Affect Disord. 2012;140(1):97–101.CrossRefPubMed
12.
go back to reference Simon GE, Goldberg DP, Von Korff M, Ustün TB. Understanding cross-national differences in depression prevalence. Psychol Med. 2002;32(4):585–94.CrossRefPubMed Simon GE, Goldberg DP, Von Korff M, Ustün TB. Understanding cross-national differences in depression prevalence. Psychol Med. 2002;32(4):585–94.CrossRefPubMed
13.
go back to reference Shen Y-C, Zhang M-Y, Huang Y-Q, He Y-L, Liu Z-R, Cheng H, et al. Twelve-month prevalence, severity, and unmet need for treatment of mental disorders in metropolitan China. Psychol Med. 2006;36(2):257–67.CrossRefPubMed Shen Y-C, Zhang M-Y, Huang Y-Q, He Y-L, Liu Z-R, Cheng H, et al. Twelve-month prevalence, severity, and unmet need for treatment of mental disorders in metropolitan China. Psychol Med. 2006;36(2):257–67.CrossRefPubMed
14.
go back to reference Weissman MM, Bland RC, Canino GJ, Faravelli C, Greenwald S, Hwu HG, et al. Cross-national epidemiology of major depression and bipolar disorder. JAMA. 1996;276(4):293–9.CrossRefPubMed Weissman MM, Bland RC, Canino GJ, Faravelli C, Greenwald S, Hwu HG, et al. Cross-national epidemiology of major depression and bipolar disorder. JAMA. 1996;276(4):293–9.CrossRefPubMed
15.
go back to reference Patel V, Rodrigues M, Desouza N. Gender, Poverty, and Postnatal Depression: A Study of Mothers in Goa, India. Am J Psychoanal. 2002;159(1):43–7.CrossRef Patel V, Rodrigues M, Desouza N. Gender, Poverty, and Postnatal Depression: A Study of Mothers in Goa, India. Am J Psychoanal. 2002;159(1):43–7.CrossRef
16.
go back to reference Xie R-h, He G, Liu A, Bradwejn J, Walker M, Wen SW. Fetal gender and postpartum depression in a cohort of Chinese women. Soc Sci Med. 2007;65(4):680–4.CrossRefPubMed Xie R-h, He G, Liu A, Bradwejn J, Walker M, Wen SW. Fetal gender and postpartum depression in a cohort of Chinese women. Soc Sci Med. 2007;65(4):680–4.CrossRefPubMed
17.
go back to reference Robertson E, Grace S, Wallington T, Stewart DE. Antenatal risk factors for postpartum depression: a synthesis of recent literature. Gen Hosp Psychiatry. 2004;26(4):289–95.CrossRefPubMed Robertson E, Grace S, Wallington T, Stewart DE. Antenatal risk factors for postpartum depression: a synthesis of recent literature. Gen Hosp Psychiatry. 2004;26(4):289–95.CrossRefPubMed
18.
go back to reference Klainin P, Arthur DG. Postpartum depression in Asian cultures: a literature review. Int J Nurs Stud. 2009;46(10):1355–73.CrossRefPubMed Klainin P, Arthur DG. Postpartum depression in Asian cultures: a literature review. Int J Nurs Stud. 2009;46(10):1355–73.CrossRefPubMed
20.
go back to reference Ministry of Education, Culture, Sports, Science and Technology in Japan. Daigakubyouin no genjyou; 2009. Ministry of Education, Culture, Sports, Science and Technology in Japan. Daigakubyouin no genjyou; 2009.
21.
go back to reference Otake Y, Nakajima S, Uno A, Kato S, Sasaki S, Yoshioka E, et al. Association between maternal antenatal depression and infant development: a hospital-based prospective cohort study. Environ Health Prev Med. 2014;19(1):30–45. Pubmed Central PMCID: 3890074.CrossRefPubMed Otake Y, Nakajima S, Uno A, Kato S, Sasaki S, Yoshioka E, et al. Association between maternal antenatal depression and infant development: a hospital-based prospective cohort study. Environ Health Prev Med. 2014;19(1):30–45. Pubmed Central PMCID: 3890074.CrossRefPubMed
22.
go back to reference Okano T, Murata M, Masuji F, Tamaki R, Nomura J, Miyaoka H, et al. Validation and Reliability of Japanese Version of EPDS (Edinburgh Postnatal Depression Scale). Arch Psychiatr Diagn Clin Eval. 1996;7:525–33. Okano T, Murata M, Masuji F, Tamaki R, Nomura J, Miyaoka H, et al. Validation and Reliability of Japanese Version of EPDS (Edinburgh Postnatal Depression Scale). Arch Psychiatr Diagn Clin Eval. 1996;7:525–33.
23.
go back to reference Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E, et al. The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry. 1998;59(20):22–33.PubMed Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E, et al. The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry. 1998;59(20):22–33.PubMed
24.
go back to reference American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 4th ed. Washington, DC; American Psychiatric Association; 1994. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 4th ed. Washington, DC; ​American Psychiatric Association; 1994.
25.
go back to reference Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry J Ment Sci. 1987;150:782–6.CrossRef Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry J Ment Sci. 1987;150:782–6.CrossRef
26.
go back to reference Blake DD, Weathers FW, Nagy LM, Kaloupek DG, Gusman FD, Charney DS, et al. The development of a Clinician-Administered PTSD Scale. J Trauma Stress. 1995;8(1):75–90.CrossRefPubMed Blake DD, Weathers FW, Nagy LM, Kaloupek DG, Gusman FD, Charney DS, et al. The development of a Clinician-Administered PTSD Scale. J Trauma Stress. 1995;8(1):75–90.CrossRefPubMed
27.
go back to reference Asukai N, Hirohata S, Kato H, Konishi T. Psychometric properties of the Japanese-language version of the Clinician-Administered PTSD Scale for DSM-IV (in Japanese). Jpn J Traumatic Stress. 2003;1:47–53. Asukai N, Hirohata S, Kato H, Konishi T. Psychometric properties of the Japanese-language version of the Clinician-Administered PTSD Scale for DSM-IV (in Japanese). Jpn J Traumatic Stress. 2003;1:47–53.
28.
go back to reference Akçalı Aslan P, Aydın N, Yazıcı E, Aksoy AN, Kirkan TS, Daloglu GA. Prevalence of depressive disorders and related factors in women in the first trimester of their pregnancies in Erzurum, Turkey. Int J Soc Psychiatry. 2014;60(8):809–17.CrossRefPubMed Akçalı Aslan P, Aydın N, Yazıcı E, Aksoy AN, Kirkan TS, Daloglu GA. Prevalence of depressive disorders and related factors in women in the first trimester of their pregnancies in Erzurum, Turkey. Int J Soc Psychiatry. 2014;60(8):809–17.CrossRefPubMed
29.
go back to reference Shimada H, Nishi D, Usuda K, Matsoka Y, Ito H, Isaka K. Factors associated with depressive symptoms during mid-pregnacy at a Japanese university hospital. Jpn J Gen Hosp Psychiatry. 2016;28(1):29–34. Shimada H, Nishi D, Usuda K, Matsoka Y, Ito H, Isaka K. Factors associated with depressive symptoms during mid-pregnacy at a Japanese university hospital. Jpn J Gen Hosp Psychiatry. 2016;28(1):29–34.
30.
go back to reference Yubune K, Goto K, Kume M. Evaruation of the process and structure stress: Characteristics during pregnancy. Japan Society of Women’s Health. 2008;7:67-78. Yubune K, Goto K, Kume M. Evaruation of the process and structure stress: Characteristics during pregnancy. Japan Society of Women’s Health. 2008;7:67-78.
31.
go back to reference Tachimori H, Naganuma Y, Koyama T, Koyama A, N K. The report of key findings from the World Mental Health Japan Survery..The report of the Research on Psychiatric and Neurological Diseases and Mental Health (H16-KOKORO-013) from the Japan Ministry of Health, Labour and Welfare. 2007. Tachimori H, Naganuma Y, Koyama T, Koyama A, N K. The report of key findings from the World Mental Health Japan Survery..The report of the Research on Psychiatric and Neurological Diseases and Mental Health (H16-KOKORO-013) from the Japan Ministry of Health, Labour and Welfare. 2007.
32.
go back to reference Demyttenaere K, Bruffaerts R, Posada-Villa J, Gasquet I, Kovess V, Lepine JP, et al. Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. JAMA. 2004;291(21):2581–90.CrossRefPubMed Demyttenaere K, Bruffaerts R, Posada-Villa J, Gasquet I, Kovess V, Lepine JP, et al. Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. JAMA. 2004;291(21):2581–90.CrossRefPubMed
33.
go back to reference Matsuoka Y, Nishi D, Yonemoto N, Nakajima S, Kim Y. Towards an explanation of inconsistent rates of posttraumatic stress disorder across different countries: infant mortality rate as a marker of social circumstances and basic population health. Psychother Psychosom. 2010;79(1):56–7.CrossRefPubMed Matsuoka Y, Nishi D, Yonemoto N, Nakajima S, Kim Y. Towards an explanation of inconsistent rates of posttraumatic stress disorder across different countries: infant mortality rate as a marker of social circumstances and basic population health. Psychother Psychosom. 2010;79(1):56–7.CrossRefPubMed
34.
go back to reference Fisher J, Tran T, Duc Tran T, Dwyer T, Nguyen T, Casey GJ, et al. Prevalence and risk factors for symptoms of common mental disorders in early and late pregnancy in Vietnamese women: a prospective population-based study. J Affect Disord. 2013;146(2):213–9.CrossRefPubMed Fisher J, Tran T, Duc Tran T, Dwyer T, Nguyen T, Casey GJ, et al. Prevalence and risk factors for symptoms of common mental disorders in early and late pregnancy in Vietnamese women: a prospective population-based study. J Affect Disord. 2013;146(2):213–9.CrossRefPubMed
35.
go back to reference Markus HR, Kitayama S. Culture and the Self: Implications for Cognition, Emotion, and Motivation. Psychol Rev. 1991;98:224–53.CrossRef Markus HR, Kitayama S. Culture and the Self: Implications for Cognition, Emotion, and Motivation. Psychol Rev. 1991;98:224–53.CrossRef
36.
go back to reference Yanikkerem E, Ay S, Mutlu S, Goker A. Antenatal depression: prevalence and risk factors in a hospital based Turkish sample. J Pak Med Assoc. 2013;63(4):472–7.PubMed Yanikkerem E, Ay S, Mutlu S, Goker A. Antenatal depression: prevalence and risk factors in a hospital based Turkish sample. J Pak Med Assoc. 2013;63(4):472–7.PubMed
37.
go back to reference Nations U. Demographic Yearbook. Sixty-third ed. New York: United Nations/Nations Unies; 2012. Nations U. Demographic Yearbook. Sixty-third ed. New York: United Nations/Nations Unies; 2012.
38.
go back to reference Rees SSZ, Creamer M, Teesson M, Bryant R, McFarlane AC, et al. Onset of common mental disorders and suicidal behavior following women inverted question marks first exposure to gender based violence: a retrospective, population-based study. BMC Psychiatry. 2014;14(1):312.PubMedPubMedCentral Rees SSZ, Creamer M, Teesson M, Bryant R, McFarlane AC, et al. Onset of common mental disorders and suicidal behavior following women inverted question marks first exposure to gender based violence: a retrospective, population-based study. BMC Psychiatry. 2014;14(1):312.PubMedPubMedCentral
39.
go back to reference Melville JL, Gavin A, Guo Y, Fan MY, Katon WJ. Depressive Disorders During Pregnancy: Prevalence and Risk Factors in a Large Urban Sample. NIH Public Access. 2011;116(5):1064–70. Melville JL, Gavin A, Guo Y, Fan MY, Katon WJ. Depressive Disorders During Pregnancy: Prevalence and Risk Factors in a Large Urban Sample. NIH Public Access. 2011;116(5):1064–70.
40.
go back to reference Cabunet Office, Government of Japan. H25 Edition declining birthrate society measures white paper. 2013. Cabunet Office, Government of Japan. H25 Edition declining birthrate society measures white paper. 2013.
41.
go back to reference Levitan RD. The chronobiology and neurobiology of winter seasonal affective disorder. Dialogues Clin Neurosci. 2007;9(3):315–24.PubMedPubMedCentral Levitan RD. The chronobiology and neurobiology of winter seasonal affective disorder. Dialogues Clin Neurosci. 2007;9(3):315–24.PubMedPubMedCentral
Metadata
Title
Prevalence and related factors of common mental disorders during pregnancy in Japan: a cross-sectional study
Authors
Kentaro Usuda
Daisuke Nishi
Miyuki Makino
Hisateru Tachimori
Yutaka Matsuoka
Yo Sano
Takako Konishi
Tadashi Takeshima
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BioPsychoSocial Medicine / Issue 1/2016
Electronic ISSN: 1751-0759
DOI
https://doi.org/10.1186/s13030-016-0069-1

Other articles of this Issue 1/2016

BioPsychoSocial Medicine 1/2016 Go to the issue