The risk factors of antenatal depression : A cross-sectional survey

Journal article


Chen, Jiarui, Cross, Wendy M., Plummer, Virginia, Lam, Louisa, Sun, Mei, Qin, Chunxiang and Tang, Siyuan. (2019). The risk factors of antenatal depression : A cross-sectional survey. Journal of Clinical Nursing. 28(19-20), pp. 3599-3609. https://doi.org/10.1111/jocn.14955
AuthorsChen, Jiarui, Cross, Wendy M., Plummer, Virginia, Lam, Louisa, Sun, Mei, Qin, Chunxiang and Tang, Siyuan
Abstract

Aims and objectives
To investigate the prevalence of depression in the third trimester of pregnancy and identify the related demographic risk factors.

Background
Antenatal depression as a disabling and treatable disease has a wide-ranging impact on perinatal women and has received extensive attention from researchers.

Design
A cross-sectional survey was conducted at three public hospitals.

Methods
Demographic questionnaire was developed from the literature review, and depression was assessed using the Edinburgh Postnatal Depression Scale. A binary logistic regression model was used to assess the association between depression and demographic predictors. STROBE checklist for cross-sectional studies was applied in this paper (see Appendix S1).

Result
A total of 773 pregnant women participated in the study. 29.6% of participants scored more than 9 points on Edinburgh Postnatal Depression Scale. In the final logistic model, living in rural area, marital satisfaction, assisted reproductive technology, lacking of prenatal health knowledge and life events were strongly significantly associated with antenatal depression. Moreover, living in an extended family, without Medicare insurance, unemployed, working as civil servants or healthcare workers, and lower household income also predicted antenatal depression. However, education level, smoking or drinking before pregnancy was found not to be associated with antenatal depression.

Conclusion
Our findings suggest that the prevalence of antenatal depression was high. Satisfied with the current marital status, pregnancy without assisted reproductive technology, knowledge of perinatal care and no life events recently were considered as the protective factors for antenatal depression.

Relevance to clinical practice
Antenatal psychological interventions should focus on how to improve the marital satisfaction and the relationship with their family members. More attentions should be paid to the women who have had some life events recently or received assisted reproductive technology for pregnancy.

Keywordsantenatal depression; demographic factors; prevalence
Year2019
JournalJournal of Clinical Nursing
Journal citation28 (19-20), pp. 3599-3609
PublisherJohn Wiley & Sons Ltd
ISSN0962-1067
Digital Object Identifier (DOI)https://doi.org/10.1111/jocn.14955
PubMed ID31165522
Scopus EID2-s2.0-85068220387
Page range3599-3609
FunderCentral South University
Ministry of Education of China
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online28 Jun 2019
Publication process dates
Accepted26 May 2019
Deposited10 Aug 2023
Grant ID2016zzts119
18YJC840033
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