Prevalence and associated factors of anxiety and depression among advanced maternal age pregnancy
Keywords:
Anxiety, depression, advanced maternal age pregnancyAbstract
Background: Advanced maternal age is associated with increased rate of various obstetrics risks. Nowadays, there is increasing prevalence of advanced maternal age in Thailand. However, there is still lack of study in anxiety and depression among this group of pregnant women.
Objectives: To examine the prevalence of anxiety and depression as well as associated factors among women with advanced maternal age pregnancy
Methods: We recruited 124 pregnant women age 35 years old who were in their third trimester (gestational age
28 weeks) of pregnancy. The subjects were asked to rate: The State-Trait Anxiety Inventory (STAI Form Y) - both state and trait version, The Edinburgh Postnatal Depression Scale (EPDS) - Thai version, The Personal Resource Questionnaire (PRQ) - Part II, and The Dyadic Adjustment Scale (DAS). Univariate and multivariate statistics were used to examine the associated factors of antenatal depression and anxiety.
Results: The prevalence of anxiety and depression were 47.6% and 12.1%, respectively. Lower marital satisfaction and high concern regarding baby care were found to be significantly associated with anxiety (P < 0.05 and P < 0.01, respectively). Antenatal anxiety was associated with higher severity of concern on pregnancy and delivery related issues, higher STAI-trait score, higher EPDS score, lower PRQ score and lower DAS score with significantly higher STAI-state score (P < 0.01). Considering on antenatal depression, marital status (separated/ divorced), having no cramp during 3rd trimester, higher anxiety trait, antenatal anxiety-and history of amniocentesis were found to be significantly associated with antenatal depression (P < 0.01). Moreover, higher severity of concern on pregnancy and delivery related issues, STAI-state score, higher STAI-trait score, lower PRQ score and lower DAS score were associated with significantly higher EPDS score (P < 0.01).
Conclusions: The prevalence of anxiety in advanced maternal age pregnant women in this study is somewhat higher than in general pregnant women, while the depression is lower than in general pregnant women. Awareness of risk factors may help medical personnel in identifying women of advanced maternal age pregnancy who are at risk for depression and anxiety and provide strategies in helping this group of women.
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