Depressive symptoms during pregnancy and postpartum in women and use of antidepressant treatment : a longitudinal cohort study

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Depressive symptoms during pregnancy and postpartum in women and use of antidepressant treatment : a longitudinal cohort study

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Publication Article, peer reviewed scientific
Title Depressive symptoms during pregnancy and postpartum in women and use of antidepressant treatment : a longitudinal cohort study
Author Sunnqvist, Charlotta ; Sjöström, Karin ; Finnbogadóttir, Hafrún
Date 2019
English abstract
Objective; The aim of this study was to investigate whether women, who reported “symptoms of depression” during pregnancy and up to 1.5 years postpartum, who reported domestic violence or not, were treated with antidepressant medication. Material and Methods; A prospective longitudinal cohort study recruited primi- and multiparous women (n=1939). The Edinburgh Postnatal Depression Scale (EPDS), the NorVold Abuse Questionnaire, and a questionnaire about medication during pregnancy were distributed and administered three times, during early, late pregnancy and during the postpartum period. Antidepressant medication was compared between women with EPDS scores < 13 and scores EPDS ≥ 13 as the optimal cut-off for lower and higher symptoms of depression. Results; EPDS scores > 13 were detected in 10.1 % of the women during the whole pregnancy, of those 6.2 % had depressive symptoms already in early pregnancy and 10.0 % during the postpartum period. Women with EPDS scores ≥ 13 and non-exposure to domestic violence were more often non-medicated (p < 0.001). None of the women with EPDS scores ≥ 13 exposed to domestic violence had received any antidepressant medication, albeit the relationship was statistically non-significant. Conclusion; Pregnant women who experienced themselves as having several depressive symptoms, social vulnerability and even a history of domestic violence, did not receive any antidepressant treatment during pregnancy nor postpartum. This study shows the importance of detecting depressive symptoms already during early pregnancy and a need for standardized screening methods.
DOI https://doi.org/10.2147/IJWH.S185930 (link to publisher's fulltext.)
Link https://doi.org/10.2147/IJWH.S185930 .Icon
Publisher Dove
Host/Issue International Journal of Women's Health;
Volume 11
ISSN 1179-1411
Language eng (iso)
Subject Antidepressant treatment
Depression
Domestic violence
Postpartum
Pregnancy
Untreated
Medicine
Research Subject Categories::MEDICINE
Handle http://hdl.handle.net/2043/27828 Permalink to this page
Link to publication in DiVA Find this research publication in DiVA.
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