Frequency of perinatal depression in Serbia and associated risk factors.

Autor: Dmitrovic BK; Mental Health Unit, PHC Zvezdara, Belgrade, Serbia Bojana.kitanovic@gmail.com., Dugalić MG; Institute of Gynecology and Obstetrics, Clinical Center of Serbia, Belgrade, Serbia Faculty of Medicine, University of Belgrade, Belgrade, Serbia., Balkoski GN; Faculty of Medicine, University of Belgrade, Belgrade, Serbia Clinic for Psychiatry, Clinical Center of Serbia, Belgrade, Serbia., Dmitrovic A; Institute of Gynecology and Obstetrics, Clinical Center of Serbia, Belgrade, Serbia Faculty of Medicine, University of Belgrade, Belgrade, Serbia., Soldatovic I; Faculty of Medicine, University of Belgrade, Belgrade, Serbia Institute for Medical Statistics and Informatics, Belgrade, Serbia.
Jazyk: angličtina
Zdroj: The International journal of social psychiatry [Int J Soc Psychiatry] 2014 Sep; Vol. 60 (6), pp. 528-32. Date of Electronic Publication: 2013 Dec 02.
DOI: 10.1177/0020764013511067
Abstrakt: Objective: To screen 212 women for depression symptoms during pregnancy and postpartum in Serbia.
Methods: Questionnaires that covered key demographic and obstetric information and Edinburgh Postnatal Depression Scale (EPDS) were administered at the third trimester of pregnancy and at 8 weeks postpartum.
Results: In all, 21% of the sample was screened as depression positive during pregnancy. Subsequently, efforts were made to follow up 195 women through postpartum. Of the 195 women, 11% were screened positive during postpartum. Risk factors were low education level, low satisfaction with financial situation, high-risk pregnancy and depression during pregnancy. Logistic regression with backward elimination showed that women who had high-risk pregnancy have threefold increased risk of postpartum depression, and women who had antenatal depressive symptoms have 10-fold increased risk of postpartum depression.
Conclusion: In countries where screening tool for depression is not applied routinely in obstetrics settings, clinicians should be aware of risk factors, frequency and level of depressive symptoms during pregnancy and postpartum.
(© The Author(s) 2013.)
Databáze: MEDLINE