Depression and anxiety during pregnancy and six months postpartum: a follow-up study

Depression and anxiety during pregnancy and six months postpartum : a follow-up study

AIMS: To investigate the relationship between antenatal and postpartum depression and anxiety and to explore associated maternal characteristics. METHODS: From a population-based sample of 1,555 women attending two obstetric clinics in Sweden, all women with an antenatal psychiatric diagnosis (n = 220) and a random selection of healthy women (n = 500) were contacted for a second assessment three to six months postpartum. The Primary Care Evaluation of Mental Disorders was used for evaluation on both occasions. RESULTS: Fewer cases of depressive and/or anxiety disorders were prevalent postpartum compared with the second trimester screening. Depression and/or anxiety were prevalent in 16.5% of postpartal women versus 29.2% of pregnant women. There was a significant shift from a majority of subthreshold diagnoses during pregnancy to full Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition) diagnoses during the postpartum period. A history of previous psychiatric disorder, living single, and obesity were significantly associated with a new-onset postpartum psychiatric disorder. The absence of a previous psychiatric disorder was significantly associated with a postpartum recovery of depression or anxiety. CONCLUSIONS: Depression and anxiety appear to be less common postpartum than during pregnancy.

Sundström-Poromaa, IngerUppsala universitet,Umeå universitet,Obstetrik och gynekologi,Institutionen för kvinnors och barns hälsa,Klinisk och experimentell reproduktionsbiologi/Olovsson(Swepub:uu)inspo702 (author)
Wulff, MarianneUmeå universitet,Obstetrik och gynekologi(Swepub:umu)mawu0001 (author)
Åström, MonicaUmeå universitet,Psykiatri (author)
Bixo, MarieUmeå universitet,Obstetrik och gynekologi(Swepub:umu)mabi0001 (author)
Umeå universitetObstetrik och gynekologi (creator_code:org_t)

In:Acta Obstetricia et Gynecologica Scandinavica: Wiley85:8, s. 937-9440001-63491600-0412

By the author/editor: Andersson, Lisel ...; Sundström-Poroma ...; Wulff, Marianne; Åström, Monica; Bixo, Marie

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