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    Rates and Correlates of Depression Symptoms in a Sample of Pregnant Veterans Receiving Veterans Health Administration Care

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    Authors
    Kroll-Desrosiers, Aimee R.
    Crawford, Sybil L.
    Moore Simas, Tiffany A.
    Clark, Melissa A.
    Bastian, Lori A.
    Mattocks, Kristin M.
    UMass Chan Affiliations
    Department of Obstetrics and Gynecology
    Graduate School of Nursing
    Department of Population and Quantitative Health Sciences
    Document Type
    Journal Article
    Publication Date
    2019-05-16
    Keywords
    Health Services Administration
    Health Services Research
    Maternal and Child Health
    Mental and Social Health
    Military and Veterans Studies
    Psychiatry and Psychology
    Women's Health
    
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    https://doi.org/10.1016/j.whi.2019.04.008
    Abstract
    BACKGROUND: Depression is the most commonly diagnosed medical condition among women veterans ages 18 to 44; however, depression symptoms occurring during pregnancy have not been well-studied in this population. METHODS: Pregnant veterans were recruited from 15 Veterans Health Administration sites across the United States; our sample included 501 participants. Sociodemographic characteristics, military service, health status, and pregnancy related factors, as well as the Edinburgh Postnatal Depression Scale (EPDS) were collected as part of a telephone survey. Additional data were obtained from electronic health record data. We used multivariable logistic regression models to examine factors associated with an EPDS score suggestive of clinically significant depressive symptoms ( > /=10). FINDINGS: Prenatal EPDS scores of 10 or greater were calculated for 28% of our sample. Our final model indicated that factors associated with decreased odds of an EPDS score of 10 or greater included spousal or partner support during pregnancy (adjusted odds ratio [aOR], 0.35; 95% confidence interval [CI], 0.16-0.77) and employment (aOR, 0.40; 95% CI, 0.24-0.67). A past diagnosis of anxiety (aOR, 2.54; 95% CI, 1.43-4.50), past antidepressant use (aOR, 3.27; 95% CI, 1.71-6.24), and active duty service (aOR, 1.91; 95% CI, 1.08-3.37) were associated with increased odds of having an EPDS score of 10 or greater. CONCLUSIONS: This is the first quantitative estimate of depression symptoms in pregnant veterans across multiple veterans affairs facilities. The prevalence of depression symptomology was greater than the high end of prevalence estimates in the general pregnant population. Given that the risk of depression increases during the postpartum period, women who can be identified with depressive symptomatology during pregnancy can be offered critical resources and support before giving birth.
    Source

    Womens Health Issues. 2019 May 16. pii: S1049-3867(18)30486-9. doi: 10.1016/j.whi.2019.04.008. [Epub ahead of print] Link to article on publisher's site

    DOI
    10.1016/j.whi.2019.04.008
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/46816
    PubMed ID
    31105035
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    ae974a485f413a2113503eed53cd6c53
    10.1016/j.whi.2019.04.008
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    Tan Chingfen Graduate School of Nursing Scholarly Publications
    Population and Quantitative Health Sciences Publications

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