Antenatal depression and its risk factors: An urban prevalence study in KwaZulu-Natal
There has been a recent increase in interest in antenatal depression, which is associated with adverse obstetric, neonatal and maternal outcomes and has been overlooked and underdiagnosed. Local data on prevalence and risk factors are lacking. To determine the prevalence and risk factors associated...
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Veröffentlicht in: | SAMJ: South African Medical Journal 2012-12, Vol.102 (12), p.940-944 |
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description | There has been a recent increase in interest in antenatal depression, which is associated with adverse obstetric, neonatal and maternal outcomes and has been overlooked and underdiagnosed. Local data on prevalence and risk factors are lacking.
To determine the prevalence and risk factors associated with antenatal depressive symptoms in a KwaZulu-Natal population.
The Edinburgh Postnatal Depression Scale and a socio-demographic questionnaire in English and isiZulu were administered to 387 antenatal outpatients at King Edward VIII Hospital in Durban.
Of the participants, 149 (38.5%) suffered from depression and 38.3% had thought of harming themselves in the preceding 7 days. Risk factors for depression included HIV seropositivity (p=0.02), a prior history of depression (p=0.02), recent thoughts of self-harm (p |
doi_str_mv | 10.7196/SAMJ.6009 |
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To determine the prevalence and risk factors associated with antenatal depressive symptoms in a KwaZulu-Natal population.
The Edinburgh Postnatal Depression Scale and a socio-demographic questionnaire in English and isiZulu were administered to 387 antenatal outpatients at King Edward VIII Hospital in Durban.
Of the participants, 149 (38.5%) suffered from depression and 38.3% had thought of harming themselves in the preceding 7 days. Risk factors for depression included HIV seropositivity (p=0.02), a prior history of depression (p=0.02), recent thoughts of self-harm (p<0.000), single marital status (p=0.04) and unplanned pregnancy (p=0.01). CONCLUSION; The high prevalence of antenatal depressive symptoms and thoughts of deliberate self-harm supports a policy of routine screening for antenatal depression in South Africa, especially in HIV-seropositive women.</description><identifier>ISSN: 0256-9574</identifier><identifier>ISSN: 2078-5135</identifier><identifier>EISSN: 2078-5135</identifier><identifier>DOI: 10.7196/SAMJ.6009</identifier><identifier>PMID: 23498042</identifier><identifier>CODEN: SAMJAF</identifier><language>eng</language><publisher>Rondebosch: Health and Medical Publishing Group</publisher><subject><![CDATA[Adult ; Adult and adolescent clinical studies ; Biological and medical sciences ; Demographic aspects ; Depression ; Depression - epidemiology ; Female ; General aspects ; Health aspects ; Health Care Sciences & Services ; Health Policy & Services ; Hospitals, Urban - statistics & numerical data ; Humans ; Marital Status ; Medical Ethics ; Medical sciences ; Medicine, General & Internal ; Medicine, Legal ; Medicine, Research & Experimental ; Methods ; Mood disorders ; Postpartum depression ; Pregnancy ; Pregnancy Complications - epidemiology ; Prenatal Care - statistics & numerical data ; Prevalence ; Prevalence studies (Epidemiology) ; Prevention ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Risk Factors ; Socioeconomic Factors ; South Africa - epidemiology ; Surveys and Questionnaires ; Urban health ; Urban Population ; Young Adult]]></subject><ispartof>SAMJ: South African Medical Journal, 2012-12, Vol.102 (12), p.940-944</ispartof><rights>2015 INIST-CNRS</rights><rights>COPYRIGHT 2012 Health & Medical Publishing Group</rights><rights>This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 International License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c525t-fea5a552e482c3a45342c4d6c0abdcf53ce764f74b0e73892bad3c655e2afbd33</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,864,885,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26791575$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23498042$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>MANIKKAM, L</creatorcontrib><creatorcontrib>BURNS, J. K</creatorcontrib><title>Antenatal depression and its risk factors: An urban prevalence study in KwaZulu-Natal</title><title>SAMJ: South African Medical Journal</title><addtitle>S Afr Med J</addtitle><description>There has been a recent increase in interest in antenatal depression, which is associated with adverse obstetric, neonatal and maternal outcomes and has been overlooked and underdiagnosed. Local data on prevalence and risk factors are lacking.
To determine the prevalence and risk factors associated with antenatal depressive symptoms in a KwaZulu-Natal population.
The Edinburgh Postnatal Depression Scale and a socio-demographic questionnaire in English and isiZulu were administered to 387 antenatal outpatients at King Edward VIII Hospital in Durban.
Of the participants, 149 (38.5%) suffered from depression and 38.3% had thought of harming themselves in the preceding 7 days. Risk factors for depression included HIV seropositivity (p=0.02), a prior history of depression (p=0.02), recent thoughts of self-harm (p<0.000), single marital status (p=0.04) and unplanned pregnancy (p=0.01). CONCLUSION; The high prevalence of antenatal depressive symptoms and thoughts of deliberate self-harm supports a policy of routine screening for antenatal depression in South Africa, especially in HIV-seropositive women.</description><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Biological and medical sciences</subject><subject>Demographic aspects</subject><subject>Depression</subject><subject>Depression - epidemiology</subject><subject>Female</subject><subject>General aspects</subject><subject>Health aspects</subject><subject>Health Care Sciences & Services</subject><subject>Health Policy & Services</subject><subject>Hospitals, Urban - statistics & numerical data</subject><subject>Humans</subject><subject>Marital Status</subject><subject>Medical Ethics</subject><subject>Medical sciences</subject><subject>Medicine, General & Internal</subject><subject>Medicine, Legal</subject><subject>Medicine, Research & Experimental</subject><subject>Methods</subject><subject>Mood disorders</subject><subject>Postpartum depression</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - epidemiology</subject><subject>Prenatal Care - statistics & numerical data</subject><subject>Prevalence</subject><subject>Prevalence studies (Epidemiology)</subject><subject>Prevention</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Risk Factors</subject><subject>Socioeconomic Factors</subject><subject>South Africa - epidemiology</subject><subject>Surveys and Questionnaires</subject><subject>Urban health</subject><subject>Urban Population</subject><subject>Young Adult</subject><issn>0256-9574</issn><issn>2078-5135</issn><issn>2078-5135</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkktv1DAUhSMEokNhwR9AlhAIFhn8jJPuoop3gUXpho114zjUxWMPtgPqv8dhBsqskGVZtr5zr499quohwWtJuubFef_h3brBuLtVrSiWbS0IE7erFaaiqTsh-VF1L6UrXPaia-5WR5TxrsWcrqqL3mfjIYNDo9lGk5INHoEfkc0JRZu-oQl0DjGdoN6jOQ7gUeF-gDNeG5TyPF4j69H7n_BldnP9cal1v7ozgUvmwX49ri5evfx8-qY--_T67Wl_VmtBRa4nAwKEoIa3VDPggnGq-dhoDMOoJ8G0kQ2fJB-wkazt6AAj040QhsI0jIwdV-td3aStcUFdhTn60lCdL9bVYp1iQvHviSkpgmc7wTaG77NJWW1s0sY58CbMSRHe0YaQwv4fZUS2pQHGBX28Q7-WV1HWTyFH0AuuekYIkx1p5c1lD6gyRrOxOngz2XJ-IHj6j-DSgMuXKbg5ly9Kh-DzHahjSCmaSW2j3UC8VgSrJSFqSYhaElLYR3tb87Ax41_yTyQK8GQPQNLgpghe23TDNaWnkIL9Ap9cvXM</recordid><startdate>20121201</startdate><enddate>20121201</enddate><creator>MANIKKAM, L</creator><creator>BURNS, J. K</creator><general>Health and Medical Publishing Group</general><general>Health & Medical Publishing Group</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope><scope>GPN</scope></search><sort><creationdate>20121201</creationdate><title>Antenatal depression and its risk factors: An urban prevalence study in KwaZulu-Natal</title><author>MANIKKAM, L ; BURNS, J. K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c525t-fea5a552e482c3a45342c4d6c0abdcf53ce764f74b0e73892bad3c655e2afbd33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Biological and medical sciences</topic><topic>Demographic aspects</topic><topic>Depression</topic><topic>Depression - epidemiology</topic><topic>Female</topic><topic>General aspects</topic><topic>Health aspects</topic><topic>Health Care Sciences & Services</topic><topic>Health Policy & Services</topic><topic>Hospitals, Urban - statistics & numerical data</topic><topic>Humans</topic><topic>Marital Status</topic><topic>Medical Ethics</topic><topic>Medical sciences</topic><topic>Medicine, General & Internal</topic><topic>Medicine, Legal</topic><topic>Medicine, Research & Experimental</topic><topic>Methods</topic><topic>Mood disorders</topic><topic>Postpartum depression</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - epidemiology</topic><topic>Prenatal Care - statistics & numerical data</topic><topic>Prevalence</topic><topic>Prevalence studies (Epidemiology)</topic><topic>Prevention</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Risk Factors</topic><topic>Socioeconomic Factors</topic><topic>South Africa - epidemiology</topic><topic>Surveys and Questionnaires</topic><topic>Urban health</topic><topic>Urban Population</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>MANIKKAM, L</creatorcontrib><creatorcontrib>BURNS, J. K</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>SciELO</collection><jtitle>SAMJ: South African Medical Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>MANIKKAM, L</au><au>BURNS, J. K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Antenatal depression and its risk factors: An urban prevalence study in KwaZulu-Natal</atitle><jtitle>SAMJ: South African Medical Journal</jtitle><addtitle>S Afr Med J</addtitle><date>2012-12-01</date><risdate>2012</risdate><volume>102</volume><issue>12</issue><spage>940</spage><epage>944</epage><pages>940-944</pages><issn>0256-9574</issn><issn>2078-5135</issn><eissn>2078-5135</eissn><coden>SAMJAF</coden><abstract>There has been a recent increase in interest in antenatal depression, which is associated with adverse obstetric, neonatal and maternal outcomes and has been overlooked and underdiagnosed. Local data on prevalence and risk factors are lacking.
To determine the prevalence and risk factors associated with antenatal depressive symptoms in a KwaZulu-Natal population.
The Edinburgh Postnatal Depression Scale and a socio-demographic questionnaire in English and isiZulu were administered to 387 antenatal outpatients at King Edward VIII Hospital in Durban.
Of the participants, 149 (38.5%) suffered from depression and 38.3% had thought of harming themselves in the preceding 7 days. Risk factors for depression included HIV seropositivity (p=0.02), a prior history of depression (p=0.02), recent thoughts of self-harm (p<0.000), single marital status (p=0.04) and unplanned pregnancy (p=0.01). CONCLUSION; The high prevalence of antenatal depressive symptoms and thoughts of deliberate self-harm supports a policy of routine screening for antenatal depression in South Africa, especially in HIV-seropositive women.</abstract><cop>Rondebosch</cop><pub>Health and Medical Publishing Group</pub><pmid>23498042</pmid><doi>10.7196/SAMJ.6009</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Adult and adolescent clinical studies Biological and medical sciences Demographic aspects Depression Depression - epidemiology Female General aspects Health aspects Health Care Sciences & Services Health Policy & Services Hospitals, Urban - statistics & numerical data Humans Marital Status Medical Ethics Medical sciences Medicine, General & Internal Medicine, Legal Medicine, Research & Experimental Methods Mood disorders Postpartum depression Pregnancy Pregnancy Complications - epidemiology Prenatal Care - statistics & numerical data Prevalence Prevalence studies (Epidemiology) Prevention Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Risk Factors Socioeconomic Factors South Africa - epidemiology Surveys and Questionnaires Urban health Urban Population Young Adult |
title | Antenatal depression and its risk factors: An urban prevalence study in KwaZulu-Natal |
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