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https://hdl.handle.net/2440/44854
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Type: | Journal article |
Title: | Antenatal psychosocial risk factors and depression amoung women living in socioeconomically disadvantaged suburbs in Adelaide, South Australia |
Author: | Edwards, B. Galletly, C. Semmler-Booth, T. Dekker, G. |
Citation: | Australian and New Zealand Journal of Psychiatry, 2008; 42(1):45-50 |
Publisher: | Blackwell Publishing Asia |
Issue Date: | 2008 |
ISSN: | 0004-8674 1440-1614 |
Statement of Responsibility: | Belinda Edwards, Cherrie Galletly, Tracy Semmler-Booth, Gus Dekker |
Abstract: | <h4>Objective</h4>This study reports the prevalence of psychosocial risk factors and the incidence of depression in women presenting for their first antenatal visit at a general hospital in a socioeconomically deprived area. We also investigated the association between specific psychosocial risk factors and antenatal depression.<h4>Method</h4>Four hundred and twenty one women completed the Antenatal Psychosocial Questionnaire (APQ) and the Edinburgh Postnatal Depression Scale (EPDS). Logistic regression analysis was used to identify psychosocial risk factors predictive of EPDS caseness.<h4>Results</h4>88% of women endorsed at least one psychosocial risk factor. 35.6% had been abused as children, 34.9% had suffered recent major life stresses, 24.5% had thoughts of self harm, 8% admitted to recently hitting or hurting someone in anger and 5.6% had been victims of violence since becoming pregnant. The incidence of depression, measured using an EPDS cut-off score of 10 or more, was 29.7%. The questionnaires were generally acceptable, apart from questions about drug and alcohol abuse which were not completed by one in five subjects. Factors associated with an increased risk of antenatal depression were being hit by someone since becoming pregnant, having recently hit someone else in anger, obsessional traits, previous feelings of depression and anxiety, and requiring both past and current treatment for emotional problems. Protective factors were having someone to talk to and feeling confident.<h4>Conclusion</h4>Our findings suggest that women birthing at the LMHS are a very vulnerable group. Violence (either by or towards the pregnant women) was the strongest predictor of antenatal depression and may be under recognized. Antenatal screening for psychosocial risk factors and depression was useful and was well accepted by the women and the clinic staff. It is important that appropriate services are available once women at risk are identified. |
Keywords: | Humans Pregnancy Complications Mass Screening Prenatal Care Risk Factors Cross-Sectional Studies Life Change Events Depressive Disorder Pregnancy Violence Spouse Abuse Poverty Areas Adolescent Adult Crime Victims South Australia Female |
Description: | Copyright © 2008 The Royal Australian and New Zealand College of Psychiatrists |
DOI: | 10.1080/00048670701732673 |
Published version: | http://dx.doi.org/10.1080/00048670701732673 |
Appears in Collections: | Aurora harvest Obstetrics and Gynaecology publications |
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