CHRONIC PRENATAL DEPRESSION AND NEONATAL OUTCOME

Four hundred and thirty pregnant women were recruited at approximately 22 weeks gestation at prenatal clinics. Of these, 86 (20%) were diagnosed as depressed. The women were seen again at approximately 32 weeks gestation and after delivery. Chronicity of depression was evidenced by continuing high depression scores in those women diagnosed as depressed. Comorbid problems were chronically high anxiety, anger, sleep disturbance, and pain scores. Less optimal outcomes for the depressed women included lower gestational age and lower birthweight of their newborns.

[1]  P. Joyce,et al.  Screening and Treatment for Depression During Pregnancy: A Cautionary Note , 2005, Australian and New Zealand journal of psychiatry (Print).

[2]  M. E. Calle,et al.  Risk factors for low birth weight: a review. , 2004, European journal of obstetrics, gynecology, and reproductive biology.

[3]  R. Muller,et al.  Prenatal depression: a randomized controlled trial in the emotional health of primiparous women. , 2004, Research and theory for nursing practice.

[4]  R. Yando,et al.  Prenatal depression effects on the fetus and the newborn , 2004 .

[5]  T. Field,et al.  Prepartum, Postpartum, and Chronic Depression Effects on Newborns , 2004, Psychiatry.

[6]  G. Klerman,et al.  The prevalence of depressive symptoms in college students , 2004, Social psychiatry.

[7]  H. Flynn,et al.  Depressive symptoms among pregnant women screened in obstetrics settings. , 2003, Journal of women's health.

[8]  S. James,et al.  Maternal prenatal depressive symptoms and spontaneous preterm births among African-American women in Baltimore, Maryland. , 2002, American journal of epidemiology.

[9]  L. Cohen,et al.  Depression during pregnancy: diagnosis and treatment options. , 2002, The Journal of clinical psychiatry.

[10]  V. Burt,et al.  Epidemiology of depression throughout the female life cycle. , 2002, The Journal of clinical psychiatry.

[11]  M. McKee,et al.  Health‐Related Functional Status in Pregnancy: Relationship to Depression and Social Support in a Multi‐Ethnic Population , 2001, Obstetrics and gynecology.

[12]  S. Hoffman,et al.  Depressive symptomatology during pregnancy: evidence for an association with decreased fetal growth in pregnancies of lower social class women. , 2000, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[13]  T. Field,et al.  Prenatal depression effects on neonates , 1999 .

[14]  J. Butcher.  Clinical personality assessment : practical approaches , 1995 .

[15]  福田 博一.  State-Trait Anxiety Inventoryによるペインクリニック外来患者の不安の評価 , 1994 .

[16]  L. Radloff.  The CES-D Scale , 1977 .