title: Obstetric and psychosocial risk factors for depressive symptoms during pregnancy.
abstract: We aimed to determine the psychosocial and obstetric correlates of depressive symptomatology during pregnancy in South-Eastern Hungary. A total of 1719 women were screened for depression in four counties in 2006 and 2007, based on a Leverton Questionnaire (LQ) score of ≥12 at 14-24 weeks of gestation. The LQ scores indicated a probable depressive illness (PDI) in 17.2% of the study group. The best predictors in a multiple regression analysis were history of major depression (adjusted odds ratio [AOR]=3.23), and major life events (AOR=2.43). A perceived lack of social support from partner (AOR=1.79) and lack of support by family (AOR=1.23) were also significant determinants. Lack of planning of pregnancy (AOR=1.12) and a history of unfavourable obstetric outcome (AOR=1.42) also seem to predispose to PDI. Overall, psychosocial factors appeared important in the prediction of PDI, whereas economic features did not.
authors.affiliation: Department of Psychiatry, University of Cambridge, Addenbrooke's Hospital, Cambridge, United Kingdom.
authors.forename: Robert B
authors.initials: RB
authors.lastname: Dudas
authors.forename: Sarolta
authors.initials: S
authors.lastname: Csatordai
authors.forename: Iván
authors.initials: I
authors.lastname: Devosa
authors.forename: Annamária
authors.initials: A
authors.lastname: Töreki
authors.forename: Bálint
authors.initials: B
authors.lastname: Andó
authors.forename: Katalin
authors.initials: K
authors.lastname: Barabás
authors.forename: Attila
authors.initials: A
authors.lastname: Pál
authors.forename: Zoltan
authors.initials: Z
authors.lastname: Kozinszky
mesh_terms: D000328:Adult; D003863:Depression / Q000453:epidemiology / Q000209:etiology*; D005260:Female; D006801:Humans; D006814:Hungary / Q000453:epidemiology; D008016:Life Change Events; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology / Q000209:etiology*; D015995:Prevalence; D012307:Risk Factors; D012923:Social Class; D012944:Social Support; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires