TY - JOUR
T1 - Correlates of poor mental health in early pregnancy in obese European women
AU - Sattler, Matteo C.
AU - Jelsma, Judith G.M.
AU - Bogaerts, Annick
AU - Simmons, David
AU - Desoye, Gernot
AU - Corcoy, Rosa
AU - Adelantado, Juan M.
AU - Kautzky-Willer, Alexandra
AU - Harreiter, Jürgen
AU - van Assche, Frans A.
AU - Devlieger, Roland
AU - Jans, Goele
AU - Galjaard, Sander
AU - Hill, David
AU - Damm, Peter
AU - Mathiesen, Elisabeth R.
AU - Wender-Ozegowska, Ewa
AU - Zawiejska, Agnieszka
AU - Blumska, Kinga
AU - Lapolla, Annunziata
AU - Dalfrà, Maria G.
AU - Bertolotto, Alessandra
AU - Dunne, Fidelma
AU - Jensen, Dorte M.
AU - Andersen, Lise Lotte T.
AU - Snoek, Frank J.
AU - van Poppel, Mireille N.M.
PY - 2017/12/4
Y1 - 2017/12/4
N2 - Background: Depression during pregnancy is associated with higher maternal morbidity and mortality, and subsequent possible adverse effects on the cognitive, emotional and behavioral development of the child. The aim of the study was to identify maternal characteristics associated with poor mental health, in a group of overweight/obese pregnant women in nine European countries, and thus, to contribute to better recognition and intervention for maternal depression. Methods: In this cross-sectional observational study, baseline data from early pregnancy (< 20 weeks) of the DALI (Vitamin D and Lifestyle Intervention for gestational diabetes mellitus prevention) study were analyzed. Maternal mental health was assessed with the World Health Organization Well-Being Index (WHO-5). Women were classified as having a low (WHO-5 ≤ 50) or high wellbeing. Results.: A total of 735 pregnant women were included. The prevalence of having a low wellbeing was 27.2%, 95% CI [24.0, 30.4]. Multivariate analysis showed independent associations between low wellbeing and European ethnicity, OR = .44, 95% CI [.25,.77], shift work, OR = 1.81, 95% CI [1.11, 2.93], insufficient sleep, OR = 3.30, 95% CI [1.96, 5.55], self-efficacy, OR = .95, 95% CI [.92,.98], social support, OR = .94, 95% CI [.90,.99], and pregnancy-related worries (socioeconomic: OR = 1.08, 95% CI [1.02, 1.15]; health: OR = 1.06, 95% CI [1.01, 1.11]; relationship: OR = 1.17, 95% CI [1.05, 1.31]). Conclusions: Mental health problems are common in European overweight/obese pregnant women. The identified correlates might help in early recognition and subsequent treatment of poor mental health problems during pregnancy. This is important to reduce the unfavorable effects of poor mental health on pregnancy outcomes. Trial registration:ISRCTN70595832 , 02.12.2011.
AB - Background: Depression during pregnancy is associated with higher maternal morbidity and mortality, and subsequent possible adverse effects on the cognitive, emotional and behavioral development of the child. The aim of the study was to identify maternal characteristics associated with poor mental health, in a group of overweight/obese pregnant women in nine European countries, and thus, to contribute to better recognition and intervention for maternal depression. Methods: In this cross-sectional observational study, baseline data from early pregnancy (< 20 weeks) of the DALI (Vitamin D and Lifestyle Intervention for gestational diabetes mellitus prevention) study were analyzed. Maternal mental health was assessed with the World Health Organization Well-Being Index (WHO-5). Women were classified as having a low (WHO-5 ≤ 50) or high wellbeing. Results.: A total of 735 pregnant women were included. The prevalence of having a low wellbeing was 27.2%, 95% CI [24.0, 30.4]. Multivariate analysis showed independent associations between low wellbeing and European ethnicity, OR = .44, 95% CI [.25,.77], shift work, OR = 1.81, 95% CI [1.11, 2.93], insufficient sleep, OR = 3.30, 95% CI [1.96, 5.55], self-efficacy, OR = .95, 95% CI [.92,.98], social support, OR = .94, 95% CI [.90,.99], and pregnancy-related worries (socioeconomic: OR = 1.08, 95% CI [1.02, 1.15]; health: OR = 1.06, 95% CI [1.01, 1.11]; relationship: OR = 1.17, 95% CI [1.05, 1.31]). Conclusions: Mental health problems are common in European overweight/obese pregnant women. The identified correlates might help in early recognition and subsequent treatment of poor mental health problems during pregnancy. This is important to reduce the unfavorable effects of poor mental health on pregnancy outcomes. Trial registration:ISRCTN70595832 , 02.12.2011.
KW - Depression
KW - Mental health
KW - Obesity
KW - Pregnancy
UR - http://www.scopus.com/inward/record.url?scp=85037364153&partnerID=8YFLogxK
U2 - https://doi.org/10.1186/s12884-017-1595-y
DO - https://doi.org/10.1186/s12884-017-1595-y
M3 - Article
C2 - 29202779
SN - 1471-2393
VL - 17
SP - 404
JO - BMC pregnancy and childbirth
JF - BMC pregnancy and childbirth
IS - 1
M1 - 404
ER -