Prevalence of Antenatal Depression in Women Enrolled in an Outreach Program in Canada
Abstract
Objective To determine the prevalence of depression and its correlates in pregnancy and to establish the appropriateness of using the Edinburgh Postnatal Depression Scale with inner-city, high-risk pregnant women.Design Convenience sample of women enrolled in a prenatal outreach program. Women were recruited and the Edinburgh Postnatal Depression Scale was administered during home visits.Participants 39 women, most of whom were Aboriginal, participating in a prenatal outreach program.Main outcome measure Edinburgh Postnatal Depression Scale score of >or=10 suggests minor depressive symptoms and >or=13 suggests probable major depression.Results 27% of women reported symptoms consistent with major depression. The Aboriginal women had higher levels of depressive symptoms than the non-Aboriginal women. Women who had stopped using tobacco or alcohol during pregnancy had more depressive symptoms than those who had quit before pregnancy. Acceptability of the Edinburgh Postnatal Depression Scale for use with high-risk, Aboriginal, and non-Aboriginal pregnant women was supported.Conclusions The prevalence of depressive symptoms and concurrent substance use within this population is a major public health problem. Nurses can incorporate the Edinburgh Postnatal Depression Scale into routine prenatal visits to identify women at risk for depression.
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The Edinburgh Postnatal Depression Scale has been validated to screen for mild or major depression both antepartum and postpartum.
“The EPDS has been validated to screen for mild or major depression both antepartum and postpartum [49].”
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“The EPDS has been validated to screen for mild or major depression both antepartum and postpartum [49].”
Method
- Authors
- Bowen, A., & Muhajarine, N.
- Affiliations
- University of Saskatchewan (CA)
- Corresponding author
- Bowen, Angela
- Venue
- Journal of Obstetric, Gynecologic & Neonatal Nursing
- Publisher
- Elsevier BV
- Published
- 2006-07
- Volume
- 35
- Issue
- 4
- Pages
- 491-498
- ISSN
- 0090-0311 (ISSN-L)
- 0884-2175
- OpenAlex
- W2050932938
- Cited by
- 141
- References
- 33
- Citations by year
- 2025: 5 · 2024: 3 · 2023: 20 · 2022: 7 · 2021: 7 · 2020: 7 · 2019: 2 · 2018: 6 · 2017: 7 · 2016: 6 · 2015: 7 · 2014: 13 · 2013: 13 · 2012: 7
- FWCI
- 5.99
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Obstetric, Gynecologic & Neonatal Nursing (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of Saskatchewan
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Keywords
- antenatal depression, Edinburgh Postnatal Depression Scale, Aboriginal women, high-risk pregnancy, smoking during pregnancy, alcohol use during pregnancy, substance use, depressive symptoms
- MeSH terms
- Community-Institutional Relations, Depressive Disorder, Female, Home Care Services, Humans, Indians, North American, Mass Screening, Nursing Assessment, Pilot Projects, Pregnancy, Pregnancy Complications, Prenatal Care, Psychiatric Status Rating Scales, Surveys and Questionnaires, Risk Factors, Saskatchewan, Severity of Illness Index, Socioeconomic Factors, Urban Health, Prevalence, Linear Models, Logistic Models, Pregnancy, High-Risk, Nurse's Role
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