Health-Related Quality of Life Among Pregnant Women With and Without Depression in Hubei, China
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The role of prenatal depression on physical and mental health among women in mainland China has not been previously investigated. The aim of this research was to (a) calculate the prevalence of depression during pregnancy, (b) explore the relationship between depression sample characteristics and quality of life and (c) identify predictors of physical and mental health among pregnant women. This study was designed as a cross-sectional and exploratory survey. A total of 454 pregnant women participated in the study between December 2009 and June 2010 in central China. The data was collected using the Medical Outcomes Study short form 36 v2 and the Edinburgh Postnatal Depression Scale. Participants were recruited at outpatient departments of obstetrics and gynecology. Findings show that almost 40% of pregnant women experience prenatal depression. Depression was significantly associated with physical and mental health-related quality of life (HRQoL). Depression, increased age, higher gestational age, being employed and married were significant predictors of lower physical HRQoL. Depression, lower BMI and having an unintended pregnancy were significant predictors of lower mental HRQoL. Prenatal depression is very common in women from mainland China. Depressed women suffer from impaired physical and mental health; prenatal depression has a negative impact on women’s HRQoL. We recommend that antenatal services integrate screening for depression into routine antenatal care.
KeywordsMainland China Health-related quality of life Prenatal depression Pregnant women
Authors would like to thank all women for their participation.
- 9.Setse, R., Grogan, R., Pham, L., Cooper, L. A., Strobino, D., Powe, N. R., et al. (2009). Longitudinal study of depressive symptoms and health-related quality of life during pregnancy and after delivery: The health status in pregnancy study. Maternal and Child Health Journal, 13(5), 577–587.PubMedCrossRefGoogle Scholar
- 19.United States Department of Health and Human Services, Centers for Disease Control and Prevention. June 3, 2010. Health-related quality of life. http://www.cdc.gov/hrqol/. Accessed September 20, 2010.
- 20.Ware, J. E., Jr., Kosinski, M., Bjorner, J. B., Turner-Bowker, D. M., Gandek, B., & Maruish, M. E. (2007). User’s Manual for the SF-36v2 ® Health Survey (2nd ed.). Lincoln, RI: QualityMetric Incorporated.Google Scholar
- 27.Mautner, E., Greimel, E., Trunovsky, G., Daghofer, F., Egger, J. W., & Lang, U. (2009). Quality of life outcomes in pregnancy and postpartum complicated by hypertensive disorders, gestational diabetes, and preterm birth. Journal of Psychosomatic Obstetrics and Gynaecology, 30(4), 231–237.PubMedCrossRefGoogle Scholar
- 28.Moyer, C. A., Yang, H., Kwawukume, Y., Gupta, A., Zhu, Y., Koranteng, L., et al. (2009). Optimism/pessimism and health-related quality of life during pregnancy across three continents: A matched cohort study in China, Ghana, and the United States. BMC Pregnancy and Childbirth, 9, 39.PubMedCrossRefGoogle Scholar
- 31.Cox, J. L., & Holden, J. M. (2003). Perinatal mental health: A guide to the Edinburgh Postnatal Depression Scale. Gaskell: Royal College of Psychiatrists, London.Google Scholar
- 35.Yao, Y. M. (2010). Study on the economic effects of changing population age structure of China-in demographic dividend perspective. School of Economics, Zhe Jiang University, dissertation.Google Scholar
- 39.Cheng, C. R., Wu, Y. Q., & Wang, Y. Q. (2009). Investigation on effect factors of an antepartum depression. Maternal & Child Health care of China, 24(25), 3553–3554.Google Scholar
- 41.Repokari, L., Punamaki, R. L., Poikkeus, P., Vilska, S., Unkila-Kallio, L., Sinkkonen, J., et al. (2005). The impact of successful assisted reproduction treatment on female and male mental health during transition to parenthood: A prospective controlled study. Human Reproduction, 20(11), 3238–3247.PubMedCrossRefGoogle Scholar
- 43.Kamysheva, E., Skouteris, H., Wertheim, E. H., Paxton, S. J., & Milgrom, J. (2008). Examination of a multi-factorial model of body-related experiences during pregnancy: The relationships among physical symptoms, sleep quality, depression, self-esteem, and negative body attitudes. Body Image, 5(2), 152–163.PubMedCrossRefGoogle Scholar
- 45.Lau, Y., & Yin, L. (2010). Maternal, obstetric variables, perceived stress and health-related quality of life among pregnant women in Macao, China. Midwifery. Available at: http://www.ncbi.nlm.nih.gov/pubmed?term=Maternal%2C%20obstetric%20variables%2C%20perceived%20stress%20and%20health-related%20quality%20of%20life%20among%20pregnant%20women%20in%20Macao%. Accessed September 30, 2010.