TY - JOUR
T1 - Prevalence and factors related to psychiatric symptoms in low risk pregnancy
AU - Faramarzi, Mahbobeh
AU - Kheirkhah, Farzan
AU - Barat, Shahnaz
AU - Cuijpers, Pim
AU - O'Connor, Elizabeth
AU - Ghadimi, Reza
AU - Hajian-Tilaki, Karimollah
AU - Pahlavan, Zeynab
AU - Hamidia, Angela
AU - Mirtabar, Seyyedeh Mahboubeh
AU - Zeinalzadeh, Mahtab
AU - Basirat, Zahra
PY - 2020/3
Y1 - 2020/3
N2 - Background: Psychiatric disorders are associated with poor pregnancy outcomes both for mother and child. This study aimed to determine the prevalence and related demographic risk factors of psychiatric symptoms among the pregnant women in Babol City. Methods: This cross-sectional study was conducted in five private and public obstetrics clinics of Babol city. During routine appointments of prenatal care, 176 pregnant women filled in three questionnaires including; sociodemographic questionnaire, Edinburg Prenatal Depression Scale (EPDS), and Symptom Checklist-25 (SCL-25). Wilcoxon test, Spearman correlation, and multivariate logistic regression tests were used to interpret the data. Results: The prevalence of depressive disorders was 15.4%% for Edinburg scores =13. The overall rate of maternal psychiatric symptoms (global severity index or GSI scores = 1.75) was 48.5%. The prevalence of psychiatric symptoms was high; for 25% somatization, 258% anxiety, obsession-compulsion disorders or OCD 6.4%, 8.8% interpersonal sensitivity, 5.3% phobia, 7.6% paranoid ideation, and 1.2% psychoticism. Multivariate logistic regression revealed that pregnant women with history of abortion in previous pregnancy were at risk of depressive symptoms more (β=3.18, CI 1.28-7.93, p=0.01) than those without history of abortion. Also, the only demographic factor related to psychiatric symptoms was the age of pregnant women; younger age was associated with higher symptom levels for GSI ((r=-0.17). Conclusion: The high prevalence of psychiatric symptoms, especially depressive symptoms, in pregnant women highlights the need for continued research on screening, identifying the risk factors, and developing effective treatments for mental disorders in pregnant women.
AB - Background: Psychiatric disorders are associated with poor pregnancy outcomes both for mother and child. This study aimed to determine the prevalence and related demographic risk factors of psychiatric symptoms among the pregnant women in Babol City. Methods: This cross-sectional study was conducted in five private and public obstetrics clinics of Babol city. During routine appointments of prenatal care, 176 pregnant women filled in three questionnaires including; sociodemographic questionnaire, Edinburg Prenatal Depression Scale (EPDS), and Symptom Checklist-25 (SCL-25). Wilcoxon test, Spearman correlation, and multivariate logistic regression tests were used to interpret the data. Results: The prevalence of depressive disorders was 15.4%% for Edinburg scores =13. The overall rate of maternal psychiatric symptoms (global severity index or GSI scores = 1.75) was 48.5%. The prevalence of psychiatric symptoms was high; for 25% somatization, 258% anxiety, obsession-compulsion disorders or OCD 6.4%, 8.8% interpersonal sensitivity, 5.3% phobia, 7.6% paranoid ideation, and 1.2% psychoticism. Multivariate logistic regression revealed that pregnant women with history of abortion in previous pregnancy were at risk of depressive symptoms more (β=3.18, CI 1.28-7.93, p=0.01) than those without history of abortion. Also, the only demographic factor related to psychiatric symptoms was the age of pregnant women; younger age was associated with higher symptom levels for GSI ((r=-0.17). Conclusion: The high prevalence of psychiatric symptoms, especially depressive symptoms, in pregnant women highlights the need for continued research on screening, identifying the risk factors, and developing effective treatments for mental disorders in pregnant women.
KW - Anxiety
KW - Depression
KW - Maternal distress
KW - Mental disorders
KW - Pregnancy
KW - Psychiatric
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U2 - 10.22088/cjim.11.2.211
DO - 10.22088/cjim.11.2.211
M3 - Article
AN - SCOPUS:85085694280
SN - 2008-6164
VL - 11
SP - 211
EP - 218
JO - Caspian Journal of Internal Medicine
JF - Caspian Journal of Internal Medicine
IS - 2
ER -