학술논문
Psychological distress in pregnancy and postpartum: a cross-sectional study of Babol pregnancy mental health registry
Document Type
Clinical report
Medical condition overview
Medical condition overview
Author
Barat, Shahnaz; Ghanbarpour, Azita; Mirtabar, Seyyedeh Mahboubeh; Kheirkhah, Farzan; Basirat, Zahra; Shirafkan, Hoda; Hamidia, Angela; Khorshidian, Faezeh; Hosseini Talari, Davood; Pahlavan, Zeynab; Esmaelzadeh, Sedigheh; Buzari, Zinatosadat; Zeynalzadeh, Mahtab; Charati, Shahla Yazdani; Shafizade, Fatemeh; Adnani, Mahsima; Amirkhanloo, Fatemeh; Mollaalipour, Maedeh; kani, Atieh Chale; Amiri, Mania; Khazaei, Razieh; Mehdinia, Seyedeh Shabnam; Basirat, Fatemeh; Asadollahi, Simin; Khodami, Asieh; Azizi, Alireza; Nasiri-Amiri, Fatemeh; Fatery, Nooshin; Shahrokhi, Shirin; Zarinkamar, Banafshe; Aligoltabar, Sajedeh; Faramarzi, Mahbobeh
Source
BMC Pregnancy and Childbirth. November 14, 2023, Vol. 23 Issue 1
Subject
Language
English
Abstract
Author(s): Shahnaz Barat[sup.1], Azita Ghanbarpour[sup.2], Seyyedeh Mahboubeh Mirtabar[sup.3], Farzan Kheirkhah[sup.4], Zahra Basirat[sup.1], Hoda Shirafkan[sup.5], Angela Hamidia[sup.4], Faezeh Khorshidian[sup.4], Davood Hosseini Talari[sup.4], Zeynab Pahlavan[sup.6], Sedigheh Esmaelzadeh[sup.1], Zinatosadat Buzari[sup.1], Mahtab Zeynalzadeh[sup.1], Shahla [...]
Background Psychological distress (PD) is a significant issue during pregnancy and postpartum, adversely affecting both children and mothers. This study aims to determine PD's prevalence and risk factors in a large Iranian population sample during pregnancy and postpartum. Methods A cross-sectional study was conducted using data from the Babol Pregnancy Mental Health Registry (located in the north of Iran) between June 2020 and March 2021. A total of 2305 women were included, with 1639 during pregnancy and 666 during postpartum. Psychological distress was assessed using the Brief Symptoms Inventory (BSI-18), and data were analyzed using independent t-tests and multiple logistic regressions. Results The prevalence of psychological distress, defined by a cut-off score of BSI [greater than or equal to] 13, was 19% during pregnancy and 15% during postpartum. Multivariate logistic analysis revealed that high-risk pregnancy was the leading risk factor for psychological distress during the antenatal period ([beta] = 1.776, P < 0.001), as well as its three subscales: somatization ([beta] = 1.355, P = 0.019), anxiety symptoms ([beta] = 2.249, P < 0.001), and depressive symptoms ([beta] = 1.381, P = 0.028). Additionally, women with a gestational age < 20 weeks had a higher risk of psychological distress ([beta] = 1.344, P = 0.038) and the somatization subscale ([beta] = 1.641, P < 0.001). During the postpartum period, women residing in urban areas were at higher risk of psychological distress ([beta] = 1.949, P = 0.012), as well as two subscales: anxiety symptoms ([beta] = 1.998, P = 0.012) and depressive symptoms ([beta] = 1.949, P = 0.020). Conclusion The high prevalence of psychological distress emphasizes detecting and treating PD during pregnancy and postpartum, particularly in women with high-risk pregnancies. This study suggests that obstetricians and midwives should implement programs to identify women experiencing psychological distress during early pregnancy through postpartum visits. Keywords: Distress, Psychological, Pregnancy, Postpartum, Risk factors, Anxiety Depression
Background Psychological distress (PD) is a significant issue during pregnancy and postpartum, adversely affecting both children and mothers. This study aims to determine PD's prevalence and risk factors in a large Iranian population sample during pregnancy and postpartum. Methods A cross-sectional study was conducted using data from the Babol Pregnancy Mental Health Registry (located in the north of Iran) between June 2020 and March 2021. A total of 2305 women were included, with 1639 during pregnancy and 666 during postpartum. Psychological distress was assessed using the Brief Symptoms Inventory (BSI-18), and data were analyzed using independent t-tests and multiple logistic regressions. Results The prevalence of psychological distress, defined by a cut-off score of BSI [greater than or equal to] 13, was 19% during pregnancy and 15% during postpartum. Multivariate logistic analysis revealed that high-risk pregnancy was the leading risk factor for psychological distress during the antenatal period ([beta] = 1.776, P < 0.001), as well as its three subscales: somatization ([beta] = 1.355, P = 0.019), anxiety symptoms ([beta] = 2.249, P < 0.001), and depressive symptoms ([beta] = 1.381, P = 0.028). Additionally, women with a gestational age < 20 weeks had a higher risk of psychological distress ([beta] = 1.344, P = 0.038) and the somatization subscale ([beta] = 1.641, P < 0.001). During the postpartum period, women residing in urban areas were at higher risk of psychological distress ([beta] = 1.949, P = 0.012), as well as two subscales: anxiety symptoms ([beta] = 1.998, P = 0.012) and depressive symptoms ([beta] = 1.949, P = 0.020). Conclusion The high prevalence of psychological distress emphasizes detecting and treating PD during pregnancy and postpartum, particularly in women with high-risk pregnancies. This study suggests that obstetricians and midwives should implement programs to identify women experiencing psychological distress during early pregnancy through postpartum visits. Keywords: Distress, Psychological, Pregnancy, Postpartum, Risk factors, Anxiety Depression