Hostname: page-component-586b7cd67f-dsjbd Total loading time: 0 Render date: 2024-11-22T05:33:28.891Z Has data issue: false hasContentIssue false
  • English
  • Français

Women with anxiety disorders during pregnancy are at increased risk of intense postnatal depressive symptoms: a prospective survey of the MATQUID cohort

Published online by Cambridge University Press:  16 April 2020

A.L. Sutter-Dallay ,
V. Giaconne-Marcesche ,
E. Glatigny-Dallay  and
H. Verdoux
A.L. Sutter-Dallay
Affiliation:
EA 3676, IFR 99 of Public Health, Department of Psychiatry, University Victor Segalen Bordeaux 2, Bordeaux, France
V. Giaconne-Marcesche
Affiliation:
EA 3676, IFR 99 of Public Health, Department of Psychiatry, University Victor Segalen Bordeaux 2, Bordeaux, France
E. Glatigny-Dallay
Affiliation:
EA 3676, IFR 99 of Public Health, Department of Psychiatry, University Victor Segalen Bordeaux 2, Bordeaux, France
Get access

Abstract

Objective

– Studies have suggested that women with pregnancy anxiety may be at greater risk of postnatal depression (PND). However, due to the high comorbidity between anxiety and depressive disorders, this finding may be confounded by the association between prenatal depression and postnatal depression. The aim of the present prospective study was to assess whether anxiety disorder (AD) during pregnancy is an independent predictor of intensity of postnatal depressive symptoms.

Method.

– The MATQUID cohort survey was conducted on pregnant women (n = 497) attending a state maternity hospital. Psychiatric status during pregnancy was assessed during the third trimester using a structured diagnostic interview. Intense postnatal depressive symptoms at 6 weeks post-partum were defined by a score >12 on the Edinburgh Postnatal Depression Scale (EPDS).

Results.

– Nearly one out of four women (24.1%) presented with at least one pregnancyAD, and 29 (5.8%) presented with a score >12 on the EPDS. After adjustment for presence of major depression during pregnancy and other confounding factors, women with pregnancy AD were nearly three times more likely to present with intense postnatal depressive symptoms (OR = 2.7, 95%CI 1.1-6.3, P = 0.03).

Conclusion.

– Promoting the recognition and management of AD in pregnant women may be of interest for the prevention of postnatal depression.

Keywords

Post-partum depressionRisk factorsAnxiety disordersPregnancy
Type
Original article
Information
European Psychiatry , Volume 19 , Issue 8 , December 2004 , pp. 459 - 463
Copyright
Copyright © European Psychiatric Association 2004

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Baillargeon, JDubois, GMarineau, R.Traduction Française de l’Échelle d’Ajustement Dyadique. Rev Can Sci Comportement 1986; 18:25–34.Google Scholar
Clayton, DHills, M.Choice and interpretation of models. In: Clayton, DHills, M, editors. Choice and interpretation of models. Oxford: Oxford University Press; 1993. p. 271–81.Google Scholar
Cox, JConnor, YKendell, R.Prospective study of the psychiatric disorders of childbirth. Br J Psychiatry 1982;140:111–7.CrossRefGoogle ScholarPubMed
Cox, JHolden, JSagovsky, R.Detection of postnatal depression: development of the 10-item Edinburgh postnatal depression scale. Br J Psychiatry 1987;150:782–6.CrossRefGoogle ScholarPubMed
Cox, JMurray, DChapman, G.A controlled study of the onset, duration and prevalence of postnatal depression. Br J Psychiatry 1993;163:27–31.CrossRefGoogle ScholarPubMed
Dalton, K.Prospective study into puerperal depression. Br J Psychiatry 1971;118.CrossRefGoogle ScholarPubMed
De Graaf, RBijl, RVSpijker, JBeekman, ATVollebergh, WA.Temporal sequencing of lifetime mood disorders in relation to comorbid anxiety and substance use disorders—findings from the Netherlands Mental Health Survey and Incidence Study. Soc Psychiatry Psychiatr Epidemiol 2003;38:1–1.CrossRefGoogle ScholarPubMed
Eberhard-Gran, MEskild, ATambs, KOpjordsmoen, SSamuelsen, SO. Review of validation studies of the Edinburgh postnatal depression scale. Acta Psychiatr Scand 2001;104:243–9.CrossRefGoogle ScholarPubMed
Glangeaud-Freudenthal, N.Evaluation de la prévalence de la dépression post-partum en France. Devenir 1999;2:53–64.Google Scholar
Goldberg, D.Plato versus Aristotle: categorical and dimensional models for common mental disorders. Compr Psychiatry 2000;41:8–13.CrossRefGoogle ScholarPubMed
Guedeney, NFermanian, J.Validation study of the French version of the Edinburgh postnatal depression scale (EPDS): new results about use and psychometric properties. Eur Psychiatry 1998;13:83–9.CrossRefGoogle ScholarPubMed
Klein, DNLewinsohn, PMRohde, PSeeley, JRShankman, SA.Family study of co-morbidity between major depressive disorder and anxiety disorders. Psychol Med 2003;33:703–14.CrossRefGoogle ScholarPubMed
Kumar, RRobson, K.A prospective study of emotional disorders in childbearing. Br J Psychiatry 1984;144:35–47.CrossRefGoogle ScholarPubMed
Lecrubier, YSeehan, DWeiller, EAmorin, PBonora, ISeehan, K, et al. The Mini International Neuropsychiatric Interview (MINI). A short diagnostic structured interview: reliability and validity according to the CIDI. Eur Psychiatry 1997;12:224–31.CrossRefGoogle Scholar
Levine, JCole, DChengappa, KGershon, S.Anxiety disorders and major depression, together or apart. Depress Anxiety 2001;14:94–104.CrossRefGoogle ScholarPubMed
Merikangas, KRZhang, HAvenevoli, SAcharyya, SNeuenschwander, MAngst, J.Longitudinal trajectories of depression and anxiety in a prospective community study: the Zurich Cohort Study. Arch Gen Psychiatry 2003;60:993–1000.Google Scholar
Murray, L.The validation of the Edingburgh postnatal depression scale on a community sample. Br J Psychiatry 1990;157:289–90.CrossRefGoogle Scholar
O’hara, MSwain, A.Rates and risk of postpartum depression—a meta-analysis. Int Rev Psychiatry 1996;8:37–54.CrossRefGoogle Scholar
Pitt, B.Atypical depression following childbirth. Br J Psychiatry 1968;114:1325–35.CrossRefGoogle ScholarPubMed
Statacorp. Stata statistical software: release 7.0. College Station, TX: STATA Corporation. 2001.Google Scholar
Sutter, AMurray, LGlatigny-Dallay, EVerdoux, H.New born behavior and risk of postnatal depression in the mother. Infancy 2003;4: 589–602.CrossRefGoogle Scholar
Tod, E.Postnatal depression. Lancet 1964;12:1264–6.CrossRefGoogle Scholar
Turton, PHughes, PEvans, CFainman, D.Incidence, correlates and predictors of post-traumatic stress disorder in the pregnancy after stillbirth. Br J Psychiatry 2001;178:556–60.CrossRefGoogle ScholarPubMed
Verdoux, HSutter, AGlatigny-Dallay, EAM. Obstetric complications and the development of postpartum depressive symptoms. Acta Psy-chiatr Scand 2002;106:212–9.CrossRefGoogle ScholarPubMed
Williams, KKoran, L.Obsessive–compulsive disorder in pregnancy, the puerperium, and the premenstruum. J Clin Psychiatry 1997;58: 330–4.CrossRefGoogle ScholarPubMed
Wisner, KPeindl, KHanusa, B.Effects of childbearing on the natural history of panic disorder with comorbid mood disorder. J Affect Disord 1996;41:173–80.CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.