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Depressive symptoms during pregnancy and postpartum in women and use of antidepressant treatment: a longitudinal cohort study
Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).ORCID iD: 0000-0003-2792-8119
Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).ORCID iD: 0000-0001-7613-4759
2019 (English)In: International Journal of Women's Health, E-ISSN 1179-1411, Vol. 11, p. 109-117Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
Nakladatelstvi Lidove noviny, 2019. Vol. 11, p. 109-117
Keywords [en]
Antidepressant treatment, Depression, Domestic violence, Postpartum, Pregnancy, Untreated
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:mau:diva-14648DOI: 10.2147/IJWH.S185930ISI: 000458621900002PubMedID: 30799960Scopus ID: 2-s2.0-85063366577Local ID: 27828OAI: oai:DiVA.org:mau-14648DiVA, id: diva2:1418169
Available from: 2020-03-30 Created: 2020-03-30 Last updated: 2024-03-27Bibliographically approved

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Sunnqvist, CharlottaSjöström, KarinFinnbogadóttir, Hafrún

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