کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6229655 1608120 2016 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Are pregnancy planning and pregnancy timing associated with maternal psychiatric illness, psychological distress and support during pregnancy?
ترجمه فارسی عنوان
آیا برنامه ریزی بارداری و زمان بارداری در ارتباط با بیماری های روانپزشک مادران، ناراحتی روانی و حمایتی در دوران بارداری است؟
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی روانپزشکی و بهداشت روانی
چکیده انگلیسی


- Unclear if unplanned/poorly timed pregnancies associated with psychological distress.
- Prior analyses limited by methodological limitations; no adjustment for confounding.
- Current study: individual assessments in large prospective cohort of pregnant women.
- Key Findings:
- Unplanned and poorly timed pregnancies significantly associated with MDE & high stress.
- Poorly timed pregnancies associated with GAD and low social support.
- Worst outcomes for planned pregnancies that were subsequently deemed poorly timed.
- Findings support screening for unplanned/poorly timed pregnancy during prenatal care.

BackgroundPregnancy planning and timing may be associated with psychiatric illness, psychological distress and support during pregnancy.MethodsWe performed secondary analyses of a prospective cohort of 2654 pregnant women evaluating the impact of depression on preterm birth. We used multivariable logistic regression to test associations between pregnancy planning (“Was this pregnancy planned? Yes/No”) and/or timing (“Do you think this is a good time for you to be pregnant?”) with Composite International Diagnostic Interview generated psychiatric diagnoses and measures of psychological distress and support.Results37% and 13% of participants reported an unplanned or poorly timed pregnancy, respectively. Unplanned pregnancies were associated with a Major Depressive Episode (MDE) (adjusted odds ratio (aOR) 1.69, 95%CI 1.23-2.32) and the Cohen Perceived Stress Scale's (CPSS) highest quartile (aOR 1.74, 95%CI 1.40-2.16). Poorly timed pregnancies were associated with a MDE (aOR 3.47, 95%CI 2.46-4.91) and the CPSS's highest quartile (aOR 5.20, 95%CI 3.93-6.87). Poorly timed pregnancies were also associated with General Anxiety Disorder (GAD; aOR 1.60, 95%CI 1.07-2.40), and the modified Kendler Social Support Inventory's (MKSSI) lowest quartile (aOR 1.64, 95%CI 1.25-2.16). Psychiatric conditions were strongly associated with planned pregnancies that were subsequently deemed poorly timed (MDE=aOR 5.08, 95%CI 2.52-10.25; GAD=aOR 2.28, 95%CI 1.04-5.03); high CPSS=aOR 6.48, 95%CI 3.59-11.69; and low MKSSI=aOR 3.19, 95%CI 1.81-5.62.LimitationsParticipant characteristics may limit generalizability of findings.ConclusionsPregnancy timing was a stronger predictor of maternal psychiatric illness, psychological distress and low social support than pregnancy planning in our cohort.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Affective Disorders - Volume 205, 15 November 2016, Pages 87-94
نویسندگان
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