Depressive symptomatology during pregnancy: Evidence for an association with decreased fetal growth in pregnancies of lower social class women.

Abstract

The relationship between depressive symptom scores on the Center for Epidemiological Studies Depression Scale (CES-D; L. S. Radloff, 1977) at each trimester of pregnancy and a decrement in either fetal growth or gestational duration was evaluated among 666 pregnant women. There was no association overall, but among 222 women from lower occupational status households, each unit increase on the CES-D at 28 weeks gestation was associated with a reduction of 9.1 g (95% confidence interval [CI] = -16.0, -2.3) in gestational-age-adjusted birth weight. When missing data were multiply imputed, the estimate was -4.6 g (95% CI = - 10.7, 1.5). CES-D score was unrelated to fetal growth or gestational duration in analyses among other potentially high-risk subgroups: smokers, women with a history of adverse outcome, and women with social vulnerabilities. These results raise the possibility that among lower status women, depressive mood may be associated with restricted fetal growth.

Cites (64)

1. The CES-D Scale: A Self-Report Depression Scale for Research in the General Population
   Radloff, Lenore Sawyer · 1977 · Applied Psychological Measurement
2. Generalized expectancies for internal versus external control of reinforcement.
   Rotter, Julian B. · 1966 · Psychological Monographs: General and Applied
3. Multiple Imputation for Nonresponse in Surveys
   Rubin, Donald B. · 1987 · Wiley Series in Probability and Statistics
4. A scaled version of the General Health Questionnaire
   Goldberg, D. P., Hillier, V. F. · 1979 · Psychological Medicine
5. The Concepts of Stress and Stress System Disorders: Overview of Physical and Behavioral Homeostasis
   Chrousos, George P. · 1992 · JAMA
6. ASSESSING DEPRESSIVE SYMPTOMS IN FIVE PSYCHIATRIC POPULATIONS: A VALIDATION STUDY
   WEISSMAN, MYRNA M., SHOLOMSKAS, DIANE, POTTENGER, MARGARET, PRUSOFF, BRIGITTE A., LOCKE, BEN Z. · 1977 · American Journal of Epidemiology
7. To Dwell among Friends: Personal Networks in Town and City.
   Roberts, Bryan, Fischer, Claude S. · 1984 · Social Forces
8. THE MEASUREMENT OF SOCIAL CLASS IN EPIDEMIOLOGY
   LIBERATOS, PENNY, LINK, BRUCE G., KELSEY, JENNIFER L. · 1988 · Epidemiologic Reviews
9. Exemplification of a Method for Scaling Life Events: The PERI Life Events Scale
   Dohrenwend, Barbara Snell, Askenasy, Alexander R., Krasnoff, Larry, Dohrenwend, Bruce P. · 1978 · Journal of Health and Social Behavior
10. Activism and Powerful Others: Distinctions within the Concept of Internal-External Control
    Levenson, Hanna · 1974 · Journal of Personality Assessment

Show all 64 references

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