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2 results on '"McDaid, Frances"'

1. Antenatal depression symptoms in Pacific women: evidence from Growing Up in New Zealand

Author

McDaid, Frances, Underwood, Lisa, Fa’alili-Fidow, Jacinta, Waldie, Karen E., Peterson, Elizabeth R., Bird, Amy, D’Souza, Stephanie, and Morton, Susan

Abstract

ABSTRACT INTRODUCTIONPacific women in New Zealand (NZ) have higher rates of antenatal depression than women from other ethnic groups. AIMTo identify factors that are significantly associated with depression symptoms in pregnant Pacific women living in NZ. METHODSData were collected from 5657 pregnant women, 727 of whom identified their ethnicity as Pacific Island. Antenatal depression symptoms were measured using the Edinburgh Depression Scale with scores above 12 indicating elevated antenatal depression symptoms (ADS). RESULTSPacific women had significantly higher rates of ADS than non-Pacific women, with 23% of pregnant Pacific women experiencing ADS. Factors associated with ADS for Pacific women included age <25 years, moderate to severe nausea during pregnancy, perceived stress, family stress and relationship conflict. Not seeing the importance of maintaining one’s Pacific culture and traditions and negative feelings towards NZ culture were also significantly associated with ADS in Pacific women. One in three Pacific women aged <25 years experienced ADS. Pregnant Pacific women without a family general practitioner (GP) before their pregnancy were 4.5-fold more likely to experience ADS than non-Pacific women with a regular GP. DISCUSSIONFurther attention is required to providing appropriate primary health care for Pacific women of child-bearing age in NZ. Better screening processes and a greater understanding of effective antenatal support for Pacific women is recommended to respond to the multiple risk factors for antenatal depression among Pacific women.

Published
2019
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2. Paternal Depression Symptoms During Pregnancy and After Childbirth Among Participants in the Growing Up in New Zealand Study.

Author

Underwood, Lisa, Waldie, Karen E., Peterson, Elizabeth, D'Souza, Stephanie, Verbiest, Marjolein, McDaid, Frances, and Morton, Susan

Subjects
PRENATAL diagnosis, POSTNATAL care, DIAGNOSIS of mental depression, THERAPEUTICS, MENTAL depression, DEPRESSED persons, UNEMPLOYMENT & psychology, LABOR (Obstetrics), PSYCHOLOGY of fathers, HEALTH status indicators, LONGITUDINAL method, MENTAL status examination, PSYCHOLOGICAL stress, EDINBURGH Postnatal Depression Scale, PSYCHOLOGY
Abstract

Importance: Antenatal and postnatal depression are known to be common and associated with poor outcomes for women and their children. There is little evidence on depression symptoms among men during the perinatal period.Objective: To identify characteristics associated with depression symptoms among men whose partners were pregnant and subsequently gave birth.Design, Setting, and Participants: A longitudinal cohort study provided data from a demographically diverse sample of 3523 New Zealand men who completed interviews during their partner's pregnancy and 9 months after the birth of their child. Participants were drawn from a cohort whose partners were pregnant women with a due date between April 25, 2009, and March 25, 2010, who were enrolled in the Growing Up in New Zealand study. Data analysis was conducted from September 1, 2015, to January 8, 2016.Main Outcomes and Measures: Depression symptoms were measured using the Edinburgh Postnatal Depression Scale and the 9-item Patient Health Questionnaire; elevated depression symptoms were defined as scores higher than 12 and 9, respectively.Results: The mean (SD) age of the participants at the antenatal interview was 33.20 (6.25) years (range, 16-63 years). Elevated antenatal paternal depression symptoms affected 82 fathers (2.3%) and were associated with perceived stress (odds ratio [OR], 1.38; 95% CI, 1.30-1.47) and fair to poor health during their partner's pregnancy (OR, 2.06; 95% CI, 1.18-3.61). Elevated postnatal paternal depression symptoms affected 153 (4.3%) of fathers and were associated with perceived stress in pregnancy (OR, 1.12; 95% CI, 1.08-1.17), no longer being in a relationship with the mother 9 months after childbirth (OR, 6.36; 95% CI, 2.28-17.78), having fair to poor health at 9 months (OR, 3.29; 95% CI, 2.10-5.16), being unemployed at 9 months (OR, 1.86; 95% CI, 1.11-3.10), and a history of depression (OR, 2.84; 95% CI, 1.69-4.78).Conclusions and Relevance: Expectant fathers were at risk of depression symptoms if they felt stressed or were in poor health. Rates of elevated depression symptoms were higher during the postpartum period and were associated with adverse social and relationship factors. Identifying fathers most at risk of depressive symptoms and when best to target interventions (antenatal or postnatal) may be beneficial to men and their families. [ABSTRACT FROM AUTHOR]

Published
2017
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