The Relationships Between Multidimensional Symptom Burden, Adaptation, and Depression During Pregnancy: A
Wan-Ru Wu1, Li-Chun Lee2, Chin-Hsing Tsai3
1Tzu Chi University, Hualien, Taiwan.
Clinical Nursing Research
|February 10, 2024
Summary
Prenatal depression is linked to physical symptoms and adaptation challenges during pregnancy. Managing symptom burden and improving pregnancy adaptation can help reduce depression risk in expectant mothers.
Area of Science:
- Obstetrics and Gynecology
- Perinatal Mental Health
- Psychiatry
Background:
- Prenatal depression is common, yet its connection to physical symptoms during pregnancy is not well understood.
- Physical symptom burden is multidimensional, encompassing frequency, severity, and life impact.
Purpose of the Study:
- To investigate the relationship between physical symptom burden, pregnancy adaptation, and prenatal depression.
- To identify key predictors of depression in pregnant individuals.
Main Methods:
- Cross-sectional study conducted in a hospital-based setting.
- Included 243 pregnant individuals (aged 20+) without major obstetrical complications.
- Data collected via structured questionnaires on demographics, obstetrics, depression, symptom burden, and pregnancy adaptation.
Main Results:
- Physical symptom burden and pregnancy adaptation explained 32% of the variance in depression scores.
- Predictors of prenatal depression included poor pregnancy adaptation, high symptom impact on life, unmarried status, and moderate symptom severity.
- These findings were specific to low-risk pregnant individuals.
Conclusions:
- Addressing and managing physical symptoms during pregnancy is crucial for mitigating prenatal depression risk.
- Promoting effective adaptation to pregnancy is a key strategy for perinatal mental health.
- Findings highlight the interplay between physical well-being and mental health in pregnancy.
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