Influence of perceived stress on prenatal depression in Surinamese women enrolled in the CCREOH study

Reproductive Health

Arti Shankar¹  Hannah H. Covert¹  Wilco C. W. R. Zijlmans²  Ashna D. Hindori-Mohangoo³  Emily W. Harville⁴  Maureen Y. Lichtveld⁵  Firoz Abdoel Wahid⁶  Meerte-Sigrid MacDonald-Ottevanger⁷  Anisma R. Gokoel⁸ 

[1] Department of Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA, USA;Department of Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA, USA;Faculty of Medical Sciences, Anton de Kom University of Suriname, Paramaribo, Suriname;Foundation for Perinatal Interventions and Research in Suriname (PeriSur), Paramaribo, Suriname;Department of Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA, USA;Foundation for Perinatal Interventions and Research in Suriname (PeriSur), Paramaribo, Suriname;Department of Epidemiology, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA, USA;Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA, USA;Scientific Research Center Suriname, Academic Hospital Paramaribo, Paramaribo, Suriname;Department of Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA, USA;Scientific Research Center Suriname, Academic Hospital Paramaribo, Paramaribo, Suriname;Department of Medical Microbiology, Academic University Medical Center, Amsterdam, The Netherlands;Scientific Research Center Suriname, Academic Hospital Paramaribo, Paramaribo, Suriname;Faculty of Medical Sciences, Anton de Kom University of Suriname, Paramaribo, Suriname;

关键词: Prenatal;    Probable depression;    Social support;    Perceived stress;    Resilience;    Suriname;   

DOI  :  10.1186/s12978-021-01184-x

来源: Springer

【 摘 要 】

BackgroundPrenatal depression may have adverse health effects on mothers and their offspring. Perceived stress is an important risk factor for depression during pregnancy. Studies have shown that both perceived stress and depression may negatively influence birth outcomes. While 20% of pregnancies in Suriname, a middle-income Caribbean country located in northern South America, results in adverse birth outcomes, data on prenatal depression and its risk factors are lacking. This study aimed to assess the influence of perceived stress on depression during pregnancy in Surinamese women.MethodsSurvey data were used from 1143 pregnant women who participated in the Caribbean Consortium for Research in Environmental and Occupational Health-MeKiTamara prospective cohort study that addresses the impact of chemical and non-chemical environmental exposures in mother/child dyads in Suriname. The Edinburgh Depression Scale and Cohen Perceived Stress Scale were used to screen for probable depression (cut-off ≥ 12) and high stress (cut-off ≥ 20), respectively. The association between perceived stress and depression was examined using bivariate and multiple logistic regression analyses, adjusted for social support (including resilience) and maternal demographics.ResultsThe prevalence of high perceived stress during the first two trimesters and the third trimester were 27.2% and 24.7% respectively. 22.4% of the participants had probable depression during first or second trimester and 17.6% during the third trimester. Women experiencing high stress levels during the first two trimesters had 1.92 increased odds (95% CI 1.18–3.11, p = 0.008) of having probable depression during the third trimester of pregnancy than those with low stress levels. Pregnant women with low individual resilience during early pregnancy (52.1%) had 1.65 (95% CI 1.03–2.63, p = 0.038) increased odds of having probable depression during later stages of pregnancy compared to those with high individual resilience. Low educational level (p = 0.004) and age of the mother (20–34 years) (p = 0.023) were significantly associated with probable depression during the third trimester.ConclusionsEarly detection and management of stress and depression during pregnancy are important. Health education programs, targeting the reduction of stress during pregnancy, may help to reduce depression and its potential adverse health effects on the mother and child.

【 授权许可】

CC BY