Self-reported depression and negative pregnancy outcomes

doi:10.1016/0895-4356(92)90149-H

Journal of Clinical Epidemiology

Volume 45, Issue 10, October 1992, Pages 1093-1099

https://doi.org/10.1016/0895-4356(92)90149-H Get rights and content

Abstract

Studies addressing the association of depressive symptoms late in pregnancy with pregnancy outcome are lacking. We administered the revised Beck Depression Inventory (BDI) in the third trimester to 323 inner-city adolescents and 389 adults, who were mostly from U.S. minority groups (28.7% Puerto Rican, 61.8% black, 9.6% white). The BDI total score was regressed (as a continuous variable) on indicators of poor pregnancy outcome. There was no relationship of BDI scores with pregnancy outcome in the adolescents. However, among the adult gravidas the risk of a poor outcome rose 5–7% (p < 0.05) for each point the BDI total score increased. For the adults, at a cut-off score of 21 for the BDI, suggestive of clinical depression, the risk of delivering a low birth weight infant of < 2500 g was 3.97 (95 % confidence interval [CI] 3.80–4.15); the risk for having a preterm delivery at < 37 completed weeks' gestation was 3.39 (95% CI 3.24–3.56); and their risk of having a small-for-gestational-age infant at < 10th percentile for standards was 3.02 (95% CI 2.88–3.17). Future research should address the physiological mechanisms associated with symptoms of depression that might contribute to an increased risk of poor outcomes and extend the findings to gravidas from different socioeconomic strata.

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Original articleSelf-reported depression and negative pregnancy outcomes

Abstract

Am J Obstet Gynecol

Am J Clin Nutr

Am J Obstet Gynecol

Am J Obstet Gynecol

Prevalence rates and demographic characteristics associated with depression in pregnancy and the postpartum

J Consult Clin Psychol

Revised Beck Depression Inventory scores of inner-city adolescents: pre- and postpartum

Psychol Rep

Controlled prospective study of postpartum mood disorders: comparison of childbearing and nonchildbearing women

J Abnorm Psychol

Controlled prospective study of postpartum mood disorders: psychological, environmental and hormonal variables

J Abnorm Psychol

Causal attributions and perinatal depression

J Abnorm Psychol

Post-partum “blues,” depression, and psychosis: a review

J Psychosomat Obstet Gynecol

Drug use among adolescent mothers: profile of risk

Pediatrics

Infants of postpartum depressed mothers: temperament and cognitive status

J Abnorm Psychol

Young maternal age and parity: influences on pregnancy outcome

Ann Epidemiol

Issues and recommendations regarding use of the Beck Depression Inventory

Cognitive Therapy Res

Original article
Self-reported depression and negative pregnancy outcomes