STRESS, ANXIETY AND DEPRESSION IN WOMEN WITH PRIMIGRAVADA: A STUDY ON PAKISTANI WOMEN

Main Article Content

Afsheen Masood
Rubab Musarrat
Shama Mazahir
Sadia Naz

Abstract

OBJECTIVES: to examine psychosocial predictors of perceived stress, anxiety and depression in women with first-time pregnancy.

METHODS: Sample included 80 women with first pregnancy within the age range of 19-31years, taken from major hospitals of Lahore, Pakistan. Measures comprised of Perceived Stress Scale, Zung Self-Rating Depression Scale and Pregnancy Phase Anxiety scale.

RESULTS: Mean age of the husbands was 29.04+3.94 years, mean duration of marriage was 17.74+14.06 years, and mean education duration was 12.99+3.32 years for wives and 13.86+2.26 years for husbands. Mean score of perceived stress, depression and anxiety was 28.91+5.48, 52.80+8.60 & 130.43+33.04 respectively. Age of the women & husband had significant positive relationship with perceived stress and depression (p< .01).  Model I showed that anxiety emerged as significant predictor of stress (R2=.45. F=63.61, ∆ R2=.45, p<0.01). Similarly, second model of perceived stress showed that anxiety and depression emerged as the significant predictors of stress (R2=.51. F=39.25, ∆ R2=.07, p<0.01). The third model that marital duration of the women as another predictor of stress (R2=.54. F=29.22, ∆ R2=.03, p<0.01). The results showed a significant positive relationship between perceived stress, anxiety and depression. Age of the husband had significant positive relationship with perceived stress while it had no significant relationship with depression and anxiety of the women.

CONCLUSION: Stress, anxiety and depression during pregnancy are significantly correlated in first time pregnant women. Women from early age groups report greater anxiety, depression and stress during first time pregnancy. Depression has propensity to cause stress in first time pregnant women.

 

KEY WORDS: Perceived Stress (Non-MeSH); Anxiety (MeSH); Depression (MeSH); Pregnancy (MeSH); primigravada (MeSH)

Article Details

How to Cite
Masood, A., R. Musarrat, S. Mazahir, and S. Naz. “STRESS, ANXIETY AND DEPRESSION IN WOMEN WITH PRIMIGRAVADA: A STUDY ON PAKISTANI WOMEN”. KHYBER MEDICAL UNIVERSITY JOURNAL, vol. 9, no. 3, Oct. 2017, pp. 117-21, https://www.kmuj.kmu.edu.pk/article/view/16222.
Section
Original Articles

References

Accortt EE, Schetter CD, Peters RM, Cassidy-Bushrow AE. Lower prenatal vitamin D status and postpartum depressive symptomatology in African American women: Preliminary evidence for moderation by inflammatory cytokines. Arch Womens Ment Health 2015;19(2):373-83..

Bandoli G, von Ehrenstein O, Ghosh JKC, Flores ME, Schetter CD, Ritz B. Prenatal Maternal Stress and the Risk of Lifetime Wheeze in Young Offspring: An Examination by Stressor and Maternal Ethnicity. J Immigr Minor Health 2015;18(5):987-95.

Campos B, Ullman JB, Aguilera A, DunkelSchetter C. Familism and psychological health: the intervening role of closeness and social support. Cultur Divers Ethnic Minor Psychol 2014;20(2):191.

Schetter CD, Lobel M. Pregnancy and birth: A multilevel analysis of stress and birth weight. In: Revenson T, Baum A, Singer J, editors. Handbook of health psychology 2. Lawrence Erlbaum; Mahwah, NJ;2011. pp.427–53.

Guardino CM, CD. Coping during pregnancy: a systematic review and recommendations. Health Psychol Rev 2014;8(1):70-94.

Hahn-Holbrook J, Haselton MG, Schetter CD, Glynn LM. Does breastfeeding offer protection against maternal depressive symptomatology? Arch Womens Ment Health 2013;16(5):411-22.

Hahn-Holbrook J, Schetter CD, Arora C, Hobel CJ. Placental corticotropin-releasing hormone mediates the association between prenatal social support and postpartum depression. Clin Psychol Sci 2013;1(3):253-65.

Saxbe DE, Adam EK, Schetter CD, Guardino CM, Simon C, McKinney CO, et al. Cortisol covariation within parents of young children: Moderation by relationship aggression. Psychoneuroendocrinology 2015;62(Suppl C):S121-8.

Schetter CD, Tanner L. Anxiety, depression and stress in pregnancy: implications for mothers, children, research, and practice. Curr Opin Psychiatry 2012;25(2):141-8.

Tanner Stapleton LR, Schetter CD, Dooley LN, Guardino CM, Huynh J, Paek C, et al. The Community Child Health Network Life Stress Interview: a brief chronic stress measure for community health research. Anxiety Stress Coping 2016;29(4):352-66.

Husain N, Creed F, Tomenson B. Depression and social stress in Pakistan. Psychological medicine, 2000, 30:395–402.

Khan MN, Chiumento A, Dherani M, Bristow K, Sikander S, Rahman A. Psychological distress and its associations with past events in pregnant women affected by armed conflict in Swat, Pakistan: a cross sectional study. Confl Health. 2015 Dec 10;9:37.

Gul F, Sherin A, Jabeen M, Khan SA. Association of maternal stress with anxiety and depression during pregnancy. (Poster). RCOG World Congress 2014, Hyderabad India. [Cited on September 27, 2017]. Available from URL: http://www.epostersonline.com/rcog2014/?q=node/776

Rabbani F, Raja FF. The minds of mothers: maternal mental health in an urban squatter settlement of Karachi. J Pak Med Assoc 2000, 50:306–12.

Cohen S. Kessler RC. Gordon LU. Measuring stress: a guide for health and social scientists. New York: Oxford University Press on demand; 1997.

Zung WW, Richards CB, Short MJ. Self-rating depression scale in an outpatient clinic: further validation of the SDS. Arch Gen Psychiatry 1965;13(6):508-15.

Somerville S, Dedman K, Hagan R, Oxnam E, Wittinger M, Byrne S, et al. The Manual for the Perinatal Anxiety Screenining Scale (PASS). 2014 Perth: Department of Health WA; 2015.

Wadhwa PD, Sandman CA, Porto M, Dunkel-Schetter C, Garite TJ. The association between prenatal stress and infant birth weight and gestational age at birth: a prospective investigation. Am J Obstet Gynecol 1993;169(4):858-65.

Fenaroli V, Saita EM. Fear of childbirth: a contribution to the validation of the Italian version of the Wijma Delivery Expectancy/Experience Questionnaire (WDEQ). TPM Test Psychom Methodol Appl Psychol 2013;20(2):1–24.

Evans J, Heron J, Francomb H, Oke S, Golding J. Cohort study of depressed mood during pregnancy and after childbirth. BMJ 2001;323(7307):257–260.

Woods SM, Melville JL, Guo Y, Fan MY, Gavin A. Psychosocial stress during pregnancy. Am J Obstet Gynecol 2010; 202(1):61:e1–7. doi: 10.1016/j.ajog.2009.07.041. Epub 2009 Sep 20

Gelfand, DM, Teti DM, Fox CER. Sources of parenting stress for depressed and non-depressed mothers of infants. J Clin Child Psychol 1992; 21(3): 262–72.

Grant KA, McMahon C, Austin MP. Maternal anxiety during the transition to parenthood: a prospective study. J Affect Disord 2008;108(1):101–11. doi: 10.1016/j.jad.2007.10.002