期刊
JOURNAL OF WOMENS HEALTH
卷 20, 期 7, 页码 983-989出版社
MARY ANN LIEBERT, INC
DOI: 10.1089/jwh.2010.2662
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资金
- Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health [T32 HD052462]
- Samuel and Althea Stroum Fellowship
- Seattle chapter of Achievement Rewards for College Scientists
- NCRR [5 KL2 RR025015]
- NIMH [K24 MH069741]
Background: Prior studies have reported inconsistent findings regarding the association of antenatal depression with pregnancy-related diabetes. This study examined the association of diabetes and antenatal depression. Methods: We conducted a cross-sectional analysis of baseline data from a prospective cohort study of pregnant women receiving prenatal care at a single University of Washington Medical Center clinic between January 2004 and January 2009. The primary exposure was diabetes in pregnancy (no diabetes, preexisting diabetes, or gestational diabetes [GDM]). Antenatal depression was defined by the Patient Health Questionnaire-9 (PHQ-9) score or current use of antidepressants. Antenatal depression was coded as (1) any depression (probable major or minor depression by PHQ-9 or current antidepressant use) and (2) major depression (probable major depression by PHQ-9 or current antidepressant use). Logistic regression was used to quantify the association between diabetes in pregnancy and antenatal depression. Results: The prevalences of preexisting diabetes, GDM, any antenatal depression, and major antenatal depression were 9%, 18%, 13.6%, and 9.8%, respectively. In the unadjusted analysis, women with preexisting diabetes had 54% higher odds of any antenatal depression compared to those without diabetes (odds ratio [OR] 1.54, 95% confidence interval [CI] 1.08-2.21). After adjusting for important covariates the association was attenuated (OR 1.16, 95% CI 0.79-1.71). Results were similar for antenatal major depression. GDM was not associated with increased odds for any antenatal depression or antenatal major depression. Conclusions: Neither preexisting diabetes nor GDM was independently associated with increased risk of antenatal depression.
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