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23.04.2019 | Original Article

Adversity in childhood and depression in pregnancy

verfasst von: Abdul Wajid, Sander Veldhuyzen van Zanten, Muhammad Kashif Mughal, Anne Biringer, Marie-Paule Austin, Lydia Vermeyden, Dawn Kingston

Erschienen in: Archives of Women's Mental Health | Ausgabe 2/2020

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Abstract

Adverse childhood experiences (ACEs) have been found to be associated with various health conditions; however, there is dearth of evidence on the relationship between ACEs and prenatal depression. This study was conducted to determine the association between overall ACE score and prenatal depression symptoms, assess the moderating effect of social support and partner support on this relationship, and determine the association between individual ACE scores and prenatal depression. A secondary analysis was conducted of data from an RCT that assessed the feasibility of e-screening for maternal mental health among 636 pregnant women recruited from antenatal clinics. Two logistic regression models were built to reach our objectives. Over 80% of the participants were older than 25 years and had education beyond high school. Eighteen percent of the women had an ACE score of four or more. Univariable analysis found a 2.5-fold increase in the odds of prenatal depression for women with an ACEs score of ≥ 4. When examining the overall ACE score, lack of social support during pregnancy [AOR = 4.16; 95%CI (2.10–10.35)] and partner’s relationship [AOR = 2.23; 95%CI (1.12–4.44)] were associated with prenatal depression while among the individual ACE scores, living with a person who went to prison was found to be associated with prenatal depression even when controlled for all variables. No moderating effect was found. These findings suggest for the improvement of partner’s relationship and provision of social support before women conceive, in order to mitigate the effect of these adversities.

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Titel: Adversity in childhood and depression in pregnancy
verfasst von: Abdul Wajid
Sander Veldhuyzen van Zanten
Muhammad Kashif Mughal
Anne Biringer
Marie-Paule Austin
Lydia Vermeyden
Dawn Kingston
Publikationsdatum: 23.04.2019
Verlag: Springer Vienna
Erschienen in: Archives of Women's Mental Health / Ausgabe 2/2020
Print ISSN: 1434-1816
Elektronische ISSN: 1435-1102
DOI: https://doi.org/10.1007/s00737-019-00966-4

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Adversity in childhood and depression in pregnancy

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