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Depressive symptoms during pregnancy and their risk factors – a cross-sectional study

100%
Stepan Feduniw S., Olga Płaza O., Dominika Paździor D., Katarzyna Kosińska-Kaczyńska K., Iwona Szymusik I., Mirosław Wielgoś M.
European Journal of Clinical and Experimental Medicine
|
2020
|
issue 1
10-15
EN
Introduction. It was established that intragestational depression is a common disease, with the estimated average prevalence of 10–25% in all expectant mothers worldwide. Aim of the study. The aim of the study was to evaluate the frequency of depressive symptoms in pregnant women in Poland and to identify which factors may be related to a higher risk of depressive symptoms during pregnancy. Material and methods. A prospective cross-sectional study was performed. Depressive symptoms were assessed with the validated Edinburgh Postnatal Depression Scale (EPDS). 346 women were enrolled in the study. Results. 130 women (37.6%) scored 13 or more points and were considered as presenting with depressive symptoms. Independent risk factors of depressive symptoms during pregnancy including mood disorders diagnosed before the current pregnancy (aOR=2.68, 95%CI 1.37-5.22), mental disorders confirmed in family members (aOR=2.72, 95%CI 1.24-5.98), unhappiness in their current relationship (aOR=4.0, 95%CI 1.77-9.01), lack of support from family members (aOR=2.73, 95%CI 1.51-4.96) increased the risk of DS and good financial status decreased the risk of DS occurrence (aOR=0.45, 95%CI: 0.25-0.80). Conclusions. Pregnant women commonly report depressive symptoms. The evaluation of relations with the family members, socio-economic status, former depressive symptoms and possible prenatal depression are essential for proper screening of depression in pregnant women.
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Perinatální deprese : současné poznatky o mechanismech jejího působení na vývoj dítěte

72%
Sobotková D.
Československá psychologie (Czechoslovak Psychology)
|
2019
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vol. 63
|
issue 3
299-311
EN
Maternal depression is one of the most common prenatal and postnatal complications. Such complications may seriously compromised the neuropsychological development of the new being. This paper provides an overview of potential biological, neurological and psychological factors that might be involved into the risk factors. Perinatal maternal depression is presented and reviewed as an example of the interaction of placental, epigenetic and early parenting factors elevating risk of poor fetus, neonatal, infant and child development. Available evidence points to the importance of in-utero influences as well as the importance of early attachment and parenting. It is pointed out that models of the early aetiology of mental disorders, such as perinatal depression, are complex with a range of potential factors from genetic and epigenetic to environmental influencing neurological, emotional and psychosocial development.
CS
Mateřská deprese je jednou z nejčastějších prenatálních a postnatálních komplikací. Takové komplikace mohou vážně ohrozit neuropsychický vývoj nového jedince. Článek poskytuje přehled možných biologických, neurologických a psychologických faktorů, které mohou být zahrnuty mezi faktory rizikové. Perinatální deprese matky je prezentována a diskutována jako příklad interakce placentárních, epigenetických a raných rodičovských faktorů, které zvyšují riziko narušení vývoje plodu, novorozence, kojence a dítěte v dalších věkových obdobích. Dostupné důkazy poukazují na důležitost vlivů, které působí na jedince již v děloze matky, stejně jako na význam časné citové vazby a mateřské péče. Je zřejmé, že modely rané etiologie duševních poruch, jakou je i perinatální deprese, jsou složité s řadou potenciálních faktorů od genetických a epigenetických až po faktory prostředí, jež ovlivňují neurologický, emoční a psychosociální vývoj.
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