Depression in the second and third trimesters of pregnancy and its related factors
HUANG Yue, ZHANG Rong, LU Lu, HU Rui, TENG Yue, ZENG Xiaoling, JIANG Wei, PAN Linan, ZHU Wenli
Department of Nutrition and Food Hygiene, School of Public Health, Peking University / Beijing Key Laboratory of Toxicological Research and Risk Assessment for Food Safety, Beijing 100191, China
Abstract:Objective To investigate the depression status in the second and third trimesters of pregnancy and its related factors. Methods A total of 488 pregnant women (age 19-45 years)at 24 to 30 gestational weeks were recruited voluntarily from Oct 2020 to July 2022 in urban districts of Beijing ,Shandong and Hunan of China, when they underwent antenatal care visiting. The Edinburgh Depression Scale was used to screen the depression of the women, and self-designed questionnaires were used to investigate their social demographic characteristics, pregnancy status, dietary intake, health risk behaviors, social and family support and other related factors. Results The prevalence of depressive symptoms of pregnant women in the second and third trimesters was 21.7%. The significant factors included age above 29 years, per-capital monthly income >3 000 yuan, lower educational background(High School)、 unplanned pregnancy and pre-pregnancy drinking. Conclusion Unplanned pregnancy and behavioral factors such as pre-pregnancy drinking are associated with a higher risk of depression during pregnancy.
黄月, 张容, 鹿璐, 胡蕊, 滕越, 曾小玲, 蒋伟, 潘丽娜, 朱文丽. 孕中晚期抑郁状况及其相关因素分析[J]. 中国生育健康杂志, 2023, 34(6): 521-525.
HUANG Yue, ZHANG Rong, LU Lu, HU Rui, TENG Yue, ZENG Xiaoling, JIANG Wei, PAN Linan, ZHU Wenli. Depression in the second and third trimesters of pregnancy and its related factors. Chinese Journal of Reproductive Health, 2023, 34(6): 521-525.
1 胡焕青,张继,赵薇,等.中国6个县/区孕妇孕期焦虑、抑郁发生状况及影响因素.中华预防医学杂志,2017,51:47-52. 2 刘玉燕.孕期叶酸补充状况与膳食模式对产后抑郁症影响的研究 ,2019. 3 吴贻红,赵宗权,汤振源,等.产后抑郁症的筛查及相关因素分析.川北医学院学报,2017,32:610-612. 4 Yu Y,Zhu X,Xu H,et al.Prevalence of depression symptoms and its influencing factors among pregnant women in late pregnancy in urban areas of Hengyang City,Hunan Province,China:a cross-sectional study.BMJ Open,2020,10:e038511. 5 林雪梅,杨建辉,陈佩珊,等.母亲孕期或产后抑郁情绪对子代情绪和行为的影响:Meta分析 .中华实用儿科临床杂志,2022,37:284-289. 6 修青永,王蕊,鲍玲,等.母亲中、晚孕期焦虑/抑郁心理状况对婴儿早期气质的影响.中华围产医学杂志,2020,23:793-800. 7 周俊兰,彭晓清,梁春梅,等.孕期抑郁对早产和低出生体质量影响的辅助生殖队列研究.中华生殖与避孕杂志,2022,42:814-819. 8 Grigoriadis S,Graves L,Peer M,et al.Maternal Anxiety During Pregnancy and the Association With Adverse Perinatal Outcomes:Systematic Review and Meta-Analysis.J Clin Psychiatry,2018,79:17812011. 9 Mikšić Š,Miškulin M,Juranić B,et al.Depression and Suicidality during Pregnancy.Psychiatr Danub,2018,30:85-90. 10 Homish GG,Cornelius JR,Richardson GA,et al.Antenatal risk factors associated with postpartum comorbid alcohol use and depressive symptomatology.Alcohol Clin Exp Res,2004,28:1242-1248. 11 敬清秀.孕产妇产前心理状态与产后抑郁症相关因素探讨.四川医学,2013,34:1537-1540. 12 产后抑郁防治指南撰写专家组.产后抑郁障碍防治指南的专家共识(基于产科和社区医生).中国妇产科临床杂志,2014,15:572-576. 13 符夏瑜,陈雄,张云志.爱丁堡产后抑郁量表在孕晚期妇女产前抑郁筛查中的临界值分析.中国妇产科临床杂志,2018,19:453-454. 14 Wang Y,Guo X,Lau Y,et al.Psychometric evaluation of the Mainland Chinese version of the Edinburgh Postnatal Depression Scale.Int J Nurs Stud,2009,46:813-823. 15 中国疾病预防控制中心营养与食品安全所,浙江省疾病预防控制中心,河南省疾病预防控制中心,等.膳食调查方法第1部分:24小时回顾法:中华人民共和国国家卫生和计划生育委员会,2013:1-12.16 FAO,USAID.Minimum dietary diversity for women:a guide to measurement.Food and Agriculture Organization of the United Nations,2016. 17 Buysse DJ,Reynolds CF 3rd,Monk TH,et al.The Pittsburgh Sleep Quality Index:a new instrument for psychiatric practice and research.Psychiatry Res,1989,28:193-213. 18 苏畅,王惠君,张兵.2015年中国十五省(自治区、直辖市)18~64岁成年居民睡眠状况.卫生研究,2020,49:498-501. 19 马冠生,崔朝辉,胡小琪,等.中国居民的睡眠时间分析.中国慢性病预防与控制,2006,14:68-71. 20 高贵元,黄捷,刘丹,等.抑郁症的发病机制及抗抑郁药物的研究进展.中国医药导报,2021,18:52-55,70. 21 杨业环,黄星,孙梦云,等.中国孕产妇不同时点抑郁状态转归及持续抑郁状态影响因素分析.中华流行病学杂志,2022,43:58-64. 22 王银平,韩娜,杨洁,等.孕晚期抑郁症状流行情况及其影响因素.中国生育健康杂志,2022,33:211-216. 23 Jiang W,Mo M,Li M,et al.The relationship of dietary diversity score with depression and anxiety among prenatal and post-partum women.J Obstet Gynaecol Res,2018,44:1929-1936. 24 Campbell R,Dworkin E,Cabral G.An ecological model of the impact of sexual assault on women's mental health.Trauma Violence Abuse,2009,10:225-246. 25 Pilgrim NA,Blum RW.Adolescent mental and physical health in the English-speaking Caribbean.Rev Panam Salud Publica,2012,32:62-69. 26 Almeida M,Shrestha AD,Stojanac D,et al.The impact of the COVID-19 pandemic on women's mental health.Arch Womens Ment Health,2020,23:741-748. 27 Zhou Y,Wang R,Liu L,et al.The impact of lockdown policy on depressive symptoms among pregnant women in China:mediating effects of internet use and family support.Glob Health Res Policy,2021,6:11. 28 Silverstein M,Cabral H,Hegel M,et al.Problem-Solving Education to Prevent Depression Among Low-Income Mothers:A Path Mediation Analysis in a Randomized Clinical Trial.JAMA Netw Open,2018,1:e180334. 29 Tang X,Lu Z,Hu D,et al.Influencing factors for prenatal Stress,anxiety and depression in early pregnancy among women in Chongqing,China.J Affect Disord,2019,253:292-302. 30 Beijers C,Ormel J,Meijer JL,et al.Stressful events and continued smoking and continued alcohol consumption during mid-pregnancy.PLoS One,2014,9:e86359.