Identifying the women at risk of antenatal anxiety and depression: A systematic review
- PMID: 26650969
- PMCID: PMC4879174
- DOI: 10.1016/j.jad.2015.11.014
Identifying the women at risk of antenatal anxiety and depression: A systematic review
Abstract
Background: Pregnancy is a time of increased vulnerability for the development of anxiety and depression. This systematic review aims to identify the main risk factors involved in the onset of antenatal anxiety and depression.
Methods: A systematic literature analysis was conducted, using PubMed, PsychINFO, and the Cochrane Library. Original papers were included if they were written in English and published between 1st January 2003 and 31st August 2015, while literature reviews and meta-analyses were consulted regardless of publication date. A final number of 97 papers were selected.
Results: The most relevant factors associated with antenatal depression or anxiety were: lack of partner or of social support; history of abuse or of domestic violence; personal history of mental illness; unplanned or unwanted pregnancy; adverse events in life and high perceived stress; present/past pregnancy complications; and pregnancy loss.
Limitations: The review does not include a meta-analysis, which may have added additional information about the differential impact of each risk factor. Moreover, it does not specifically examine factors that may influence different types of anxiety disorders, or the recurrence or persistence of depression or anxiety from pregnancy to the postpartum period.
Conclusions: The results show the complex aetiology of antenatal depression and anxiety. The administration of a screening tool to identify women at risk of anxiety and depression during pregnancy should be universal practice in order to promote the long-term wellbeing of mothers and babies, and the knowledge of specific risk factors may help creating such screening tool targeting women at higher risk.
Keywords: Antenatal anxiety; Antenatal depression; Antenatal mental health; Risk factors.
Copyright © 2016 Elsevier B.V. All rights reserved.
Similar articles
-
Folic acid supplementation and malaria susceptibility and severity among people taking antifolate antimalarial drugs in endemic areas.Cochrane Database Syst Rev. 2022 Feb 1;2(2022):CD014217. doi: 10.1002/14651858.CD014217. Cochrane Database Syst Rev. 2022. PMID: 36321557 Free PMC article.
-
Social determinants of antenatal depression and anxiety among women in South Asia: A systematic review & meta-analysis.PLoS One. 2022 Feb 9;17(2):e0263760. doi: 10.1371/journal.pone.0263760. eCollection 2022. PLoS One. 2022. PMID: 35139136 Free PMC article.
-
What If Pregnancy Is Not Seventh Heaven? The Influence of Specific Life Events during Pregnancy and Delivery on the Transition of Antenatal into Postpartum Anxiety and Depression.Int J Environ Res Public Health. 2019 Aug 9;16(16):2851. doi: 10.3390/ijerph16162851. Int J Environ Res Public Health. 2019. PMID: 31405014 Free PMC article.
-
The relationship between social support and mental health problems during pregnancy: a systematic review and meta-analysis.Reprod Health. 2021 Jul 28;18(1):162. doi: 10.1186/s12978-021-01209-5. Reprod Health. 2021. PMID: 34321040 Free PMC article. Review.
-
The co-existence of depression, anxiety and post-traumatic stress symptoms in the perinatal period: A systematic review.Midwifery. 2016 May;36:70-9. doi: 10.1016/j.midw.2016.02.013. Epub 2016 Mar 4. Midwifery. 2016. PMID: 27106946 Review.
Cited by
-
Factors associated with depression during pregnancy in women receiving high- and low-risk prenatal care: a predictive model.Front Psychiatry. 2024 Jul 9;15:1326151. doi: 10.3389/fpsyt.2024.1326151. eCollection 2024. Front Psychiatry. 2024. PMID: 39045551 Free PMC article.
-
Does reversible postpartum contraception reduce the risk of pregnancy condition recurrence? A longitudinal claims-based study from Maine.Ann Epidemiol. 2024 Aug;96:58-65. doi: 10.1016/j.annepidem.2024.06.001. Epub 2024 Jun 15. Ann Epidemiol. 2024. PMID: 38885800
-
Exploring prenatal depression and postpartum depression: Findings from a prospective cohort study at University Hospital Obstetrics in Damascus.Medicine (Baltimore). 2024 May 17;103(20):e38170. doi: 10.1097/MD.0000000000038170. Medicine (Baltimore). 2024. PMID: 38758898 Free PMC article.
-
Factors associated with posttraumatic stress and anxiety among the parents of babies admitted to neonatal care: a systematic review.BMC Pregnancy Childbirth. 2024 May 9;24(1):352. doi: 10.1186/s12884-024-06383-5. BMC Pregnancy Childbirth. 2024. PMID: 38724899 Free PMC article.
-
The Underlying Factors for Postpartum Depression Severity in Iran: A Single-Center Study.J Family Reprod Health. 2023 Sep;17(3):179-184. doi: 10.18502/jfrh.v17i3.13541. J Family Reprod Health. 2023. PMID: 38716297 Free PMC article.
References
-
- Abuidhail J., Abujilban S. Characteristics of Jordanian depressed pregnant women: a comparison study. J. Psychiatr. Ment. Health Nurs. 2014;21:573–579. - PubMed
-
- Abujilban S.K., Abuidhail J., Al-Modallal H., Hamaideh S., Mosemli O. Predictors of antenatal depression among Jordanian pregnant women in their third trimester. Health Care Women Int. 2014;35:200–215. - PubMed
-
- Adewuya A.O., Ola B.A., Aloba O.O., Dada A.O., Fasoto O.O. Prevalence and correlates of depression in late pregnancy among Nigerian women. Depress. Anxiety. 2007;24:15–21. - PubMed
-
- Agostini F., Neri E., Salvatori P., Dellabartola S., Bozicevic L., Monti F. Antenatal depressive symptoms associated with specific life events and sources of social support among Italian women. Matern. Child Health J. 2015;19:1131–1141. - PubMed
Publication types
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical
Miscellaneous