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Psychosocial Study of Depression in Early Pregnancy

Published online by Cambridge University Press:  02 January 2018

Toshinori Kitamura ,
Masumi Sugawara ,
Kensuke Sugawara ,
Mari Aoki Toda  and
Satoru Shima
Toshinori Kitamura*
Affiliation:
National Institute of Mental Health, Ichikawa
Masumi Sugawara
Affiliation:
National Institute of Mental Health, Ichikawa
Kensuke Sugawara
Affiliation:
Edogawa University, Nagareyama
Mari Aoki Toda
Affiliation:
Hokkaido University of Education, Sapporo
Satoru Shima
Affiliation:
Tokyo Keizai University, Tokyo, Japan
*
Toshinori Kitamura, Department of Sociocultural Environmental Research, National Institute of Mental Health, NCNP, 1–7–3 Konodai, Ichikawa, 272 Japan
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Abstract

Background

The psychosocial correlates of depression during pregnancy were explored.

Method

Pregnant women attending the antenatal clinic of a general hospital (n=1329) received a set of questionnaires including Zung's Self-Rating Depression Score (SDS). SDS high scorers (>49) (the cases: n=179) were compared with low scorers (<38) (the controls; n=343).

Results

The cases were characterised by: first delivery; more nausea, vomiting, and anorexia; more menstrual pains and premenstrual irritability; early paternal loss; lower maternal care and higher paternal overprotection; higher public self-consciousness score; more smoking and use of medication in pregnancy; unwanted pregnancy; negative psychological response to the pregnancy by the woman and husband; poor intimacy by the husband; and having remarried.

Conclusions

Depression in early pregnancy is determined mainly by psychosocial factors.

Type
Papers
Information
The British Journal of Psychiatry , Volume 168 , Issue 6 , June 1996 , pp. 732 - 738
Copyright
Copyright © 1996 The Royal College of Psychiatrists 

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