Depression and perceived stress during first-time pregnancy in a sample of Mexican couples
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Abstract
Objective. To assess levels of perceived stress and depression associated with first-time pregnant couples. Method. Cross-sectional correlational study with convenience sampling, using the Beck Depression Inventory (BDI-II) and the Perceived Stress Scale (PSS). Ninety-four first-time pregnant Mexican couples from a public health institution participated. Results. Significant differences between sexes were observed, but in both parents, stress does not show severity (< 28) and depression is at null to minimal levels (M = 4.64, SD = 3). Spearman correlations between groups are positive and significant in perceived stress (rs = 0.26, p = 0.001) and depression (rs = 0.30, p = 0.001). Conclusion. The findings reveal low severity, but according to the cutoff points, women exhibit higher prevalence of stress (10.6%) and depression (24.5%), compared to men (6.4% and 9.6% respectively), agreeing with other reports. The associations between the couple show dependence, therefore, a close relationship in which the behavior of one affects the outcome of the other is assumed; this represents a risk factor for the dyad. A deeper look into risk factors associated with the public health problem involving the variables of the study is proposed.
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Alves, S., Fonseca, A., Canavarro, M. C., & Pereira, M. (2018). Dyadic Coping and Dyadic Adjustment in Couples with Women with High Depressive Symptoms During Pregnancy. Journal of Reproductive and Infant Psychology, 36(5), 504-518. https://doi.org/10.1080/02646838.2018.1490496
Amr, M., El Gilany, A., & El-Hawary, A. (2008). Does Gender Predict Medical Students' Stress in Mansoura, Egypt? Medical Education Online, 13, 12. https://doi.org/10.3885/meo.2008.Res00273
Aneja, J., Chavan, B. S., Huria, A., Goel, P., Kohli, N., & Chhabra, P. (2018). Perceived Stress and its Psychological Correlates in Pregnant Women: An Indian Study.International Journal of Culture and Mental Health, 11(3), 268-279. https://doi.org/10.1080/17542863.2017.1364284
Asociación Americana de Psiquiatría [APA]. (2014). Manual diagnóstico y estadístico de los trastornos mentales DSM-5. Panamericana.
Baldoni, F., Giannotti, M., Casu, G., Luperini, V., & Spelzini, F. (2020). A Dyadic Study on Perceived Stress and Couple Adjustment During Pregnancy: The Mediating Role of Depressive Symptoms. Journal of Family Issues, 41(11), 1935-1955. https://doi.org/10.1177/0192513X20934834
Beck, A., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An Inventory for Measuring Depression. Archive of General Psychiatry, 4(6), 561-571. https://doi.org/10.1001/archpsyc.1961.01710120031004
Berenzon, S., Lara, M. A., Robles, R. y Medina-Mora, M. E. (2013). Depresión: estado del conocimiento y la necesidad de políticas públicas y planes de acción en México. Salud Pública de México, 55(1), 74-80. https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=39978
Brandão, T., Brites, R., Hipólito, J., Pires, M., & Nunes, O. (2019). Dyadic Coping, Marital Adjustment and Quality of Life in Couples During Pregnancy: An Actor-Partner Approach. Journal of Reproductive and Infant Psychology, 38(1), 49-59. https://doi.org/10.1080/02646838.2019.1578950
Brodey, B. B., Goodman, S. H., Baldasaro, R. E., Brooks-DeWeese, A., Wilson, E. M., Brodey, I. S. B., & Doyle, N. M. (2016). Development of the Perinatal Depression Inventory (PDI)-14 Using Item Response Theory: A Comparison of the BDI-II, EPDS, PDI, and PHQ-9. Archives of Women’s Mental Health, 19(2), 307-316. https://doi.org/10.1007/s00737-015-0553-9
Burke, C. T., & Perndorfer, C. C. (2015). Negative Emotional Responses to Motherhood-Related Support Receipt During Pregnancy Predict Postpartum Depressive Symptoms. Anxiety, Strees and Coping, 29(5), 580-588. https://doi.org/10.1080/10615806.2015.1092023
Cameron, E. E., Sedov, I. D., & Tomforh-Madsen, L. M. (2016). Prevalence of Paternal Depression in Pregnancy and the Postpartum: An Updated Meta-Analysis. Journal Affective Disorders, 206, 189-203. https://doi.org/10.1016/j.jad.2016.07.044
Cankorur, V. S., Abas, M., Berksun O., & Stewart, R. (2015). Social Support and the Incidence and Persistence of Depression Between Antenatal and Postnatal Examinations in Turkey: A cohort study. BMJ Open, 5(4), e006456. https://doi.org/10.1136/bmjopen-2014-006456
Ceballos-Martínez, I., Sandoval-Jurado, L., Jaimes-Mundo, E., Medina-Peralta, G., Madera-Gamboa, J. y Fernández-Arias, Y. F. (2010). Depresión durante el embarazo. Epidemiología en mujeres mexicanas. Revista Médica del Instituto Mexicano del Seguro Social, 48(1), 71-74. https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=36884
Clout, D., & Brown, R. (2015). Sociodemographic, Pregnancy, Obstetric, and Postnatal Predictors of Postpartum Stress, Anxiety and Depression in New Mothers. Journal of Affective Disorders, 188, 60-67. https://doi.org/10.1016/j.jad.2015.08.054
Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A Global Measure of Perceived Stress. Journal of Health and Social Behavior, 24(4), 385-396. https://doi.org/10.2307/2136404
Da Costa, D., Larouche, J., Dritsa, M., & Brender, W. (1999). Variations in Stress Levels Over the Course of Pregnancy: Factors Associated with Elevated Hassles, State Anxiety and Pregnancy-Specific Stress. Journal of Psychosomatic Research, 47(6), 609-621. https://doi.org/10.1016.S0022.3999(99)00064-1
Da Costa, D., Zelkowitz, P., Dasgupta, K., Sewitch, M., Lowensteyn, I., Cruz, R., Hennegan, K., & Khalifé, S. (2015). Dads Get Sad Too: Depressive Symptoms and Associated Factors in Expectant First-Time Fathers. American Journal of Men’s Health, 11(5), 1376-1384. https://doi.org/10.1177/1557988315606963
Da Costa, D., Zelkowitz, P., Letourneau, N., Howlett, A., Dennis, C. L., Russell, B., Grover, S., Lowensteyn, I., Chan, P., & Khalifé, S. (2017). HealthyDads.ca: What do Men Want in a Website Designed to Promote Emotional Wellness and Healthy Behaviors During the Transition to Parenthood? Journal of Medical Internet Research, 19(10), e325. https://doi.org/10.2196/jmir.7415
Davé, S., Peterson, I., & Sherr, L. (2010). Incidence of Maternal and Parental Depression in Primary Care. Archives of Pediatrics and Adolescent Medicine, 164(11), 1038-1044. https://doi.org/10.1001/archpediatrics.2010.184
De Castro, F., Place, J. M., Allen-Leigh, B., Rivera-Rivera, L., & Billings, D. (2016). Provider Report of the Existence of Detection and Care of Perinatal Depression: Quantitative Evidence from Public Obstetric Units in Mexico. Salud Pública de México, 58(4), 468-471. https://doi.org/10.21149/spm.v58i4.8028
Delgado-Quiñones, E. G., López-Trejo, L. A., Mariscal-Rivera, C. E., Hernández-Rivera, L. N. y Orozco-Sandoval, R. (2015). Prevalencia de depresión en embarazadas en primer nivel de atención de la Unidad de Medicina Familiar 171 del Instituto Mexicano del Seguro Social. Revista Médica MD, 6(4), 237-241. https://www.imbiomed.com.mx/articulo.php?id=106029
Edhborg, M., Carlberg, M., Simon, F., & Lindberg, L. (2016). Waiting for Better Times: Experiences in the First Postpartum Year by Swedish Fathers with Depressive Symptoms. American Journal of Men´s Health, 10(5), 428-439. https://doi.org/10.1177/1557988315574740
Edward, K., Castle, D., Mills, C., Davis, L., & Casey, J. (2015). An Integrative Review of Paternal Depression. American Journal of Men´s Health, 9(1), 26-34. https://doi.org/10.1177/1557988314526614
Elliott, S. A., Rugg, A. J., Watson, J. P., & Brough, D. I. (1983). Mood Changes During Pregnancy and After the Birth of a Child. British Journal of Clinical Psychology, 22(4), 295-308. https://doi.org/10.1111/j.2044-8260.1983.tb00616.x
Escribà-Agüir, V., & Artazcoz, L. (2011). Gender Differences in Postpartum Depression: A Longitudinal Cohort Study. Journal of Epidemiology and Community Health, 65(4), 320-326. https://doi.org/10.1136/jech.2008.085894
Estrada, B. D., Delgado, C., Landero, R. y González, M. T. (2015). Propiedades psicométricas del modelo bifactorial del BDI-II (versión española) en muestras mexicanas de población general y estudiantes universitarios. Universitas Psychologica, 14(1), 125-136. https://doi.org/10.11144/Javeriana.upsy14-1.ppmb
Field, T., Diego, M., Hernández-Reif, M., Figueiredo, B., Deeds, O., Contogeorgos, J., & Ascencio, A. (2006). Prenatal Paternal Depression. Infant Behavior and Development, 29(4), 579-583. https://doi.org/10.1016/j.infbeh.2006.07.010
Ghaffar, R., Iqbal, Q., Khalid, A., Saleem, F., Hassali, M. A., Baloch, N. S., & Bashaar, M. (2017). Frequency and predictors of anxiety and depression among pregnant women attending tertiary healthcare institutes of Quetta City, Pakistan. BioMed Central Women’s Health, 17, 51. https://doi.org/10.1186/s12905-017-0411-1
Goletzke, J., Kocalevent, R. D., Hansen, G., Rose, M., Becher, H., Hecher, K., Arck, P. C., & Diemert, A. (2017). Prenatal Stress Perception and Coping Strategies: Insights from a Longitudinal Prospective Pregnancy Cohort. Journal of Psychosomatic Research, 102, 8-14. https://doi.org/10.1016/j.jpsychores.2017.09.002
González, M. T., & Landero, R. (2007). Factor Structure of Perceived Stress Scale (PSS) in a Sample from Mexico. The Spanish Journal of Psychology, 10(1), 199-206. https://doi.org/10.1017/s1138741600006466
Goodman, J. H. (2004). Paternal Postpartum Depression, its Relationship to Maternal Postpartum Depression, and Implications for Family Health. Journal of Advanced Nursing, 45(1), 26-35. https://doi.org/10.1046/j.1365-2648.2003.02857.x
Gressier, F., Tabat-Bouher, M., Cazas, O., & Hardy, P. (2015). Dépression Paternelle du Post-Partum: Revue de la Littérature. La Presse Médicale, 44(4), 418-424. https://doi.org/10.1016/j.lpm.2014.09.022
Hammarlund, K., Andersson, E., Tenenbaum, H., & Sundler, A.J. (2015). We are Also Interested in How Fathers Feel: A Qualitative Exploration of Child Health Center Nurses’ Recognition of Postnatal Depression in Fathers. BioMed Central Pregnancy and Childbirth, 15, 290-296. https://doi.org/10.1186/s12884-015-0726-6
Kamalak, Z., Köşüş, N., Köşüş, A., Hizli, D., Akçal, B., Kafali, H., Canbal, M., & Isaoğlu, Ü. (2016). Adolescent Pregnancy and Depression: Is There an Association? Clinical and Experimental Obstetrics & Gynecology, 43(3), 427-430. https://pubmed.ncbi.nlm.nih.gov/27328506/
Kim, P., & Swain, J. E. (2007). Review: Sad Dads: Paternal Postpartum Depression. Psychiatry, 42(2), 35-47. https://pubmed.ncbi.nlm.nih.gov/20805898/
Kumar, S. A., Brock, R. L., & DiLillo, D. (2021). Partner Support and Connection Protect Couples During Pregnancy: A Daily Diary Investigation. Journal of Marriage and Family, 84(2), 494-514. doi: 10.1111/jomf.12798
Lam, N., Contreras, H., Mori, E., Cuesta, F., Gutiérrez C., Neyra, M., Gil, E. y Córdova, G. (2009). Comparación de dos cuestionarios autoaplicables para la detección de síntomas depresivos en gestantes. Anales de la Facultad de Medicina, 70(1), 28-32. http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1025-55832009000100005
Lara, M. A., Le, H. N., Letechipia, G., & Hochhausen, L. (2009). Prenatal Depression in Latinas in the U.S. and Mexico. Maternal and Child Health Journal, 13(4), 567-576. https://doi.org/10.1007/s10995-008-0379-4
Lara, M. A. y Navarrete, L. (2012). Detección de depresión en mujeres embarazadas mexicanas con la CES-D. Salud Mental, 35(1), 57-62. https://www.medigraphic.com/pdfs/salmen/sam-2012/sam121i.pdf
Lara, M. A., Navarrete, L., & Nieto, L. (2016). Prenatal Predictors of Postpartum Depression and Postpartum Depressive Symptoms in Mexican Mothers: A Longitudinal Study. Archives Women´s Mental Health, 19, 825-834. https://doi.org/10.1007/s00737-016-0623-7
Lee, M., Kim, Y. S., & Lee, M. K. (2021). The Mediating Effect of Marital Intimacy on the Relationship Between Spouse-Related Stress and Prenatal Depression in Pregnant Couples: An Actor-Partner Interdependent Model Test. Int. J. Environ. Res. Public Health, 18(2), E487. https://doi.org/10.3390/ijerph18020487
Loutzenhiser, L., McAuslan, P., & Sharpe, D. P. (2015). The Trajectory of Maternal and Paternal Fatigue and Factors Associated with Fatigue Across the Transition to Parenthood. Clinical Psychologist, 19(1), 15-27. https://doi.org/10.1111/cp.12048
Madsen, S. A., & Juhl, T. (2007). Paternal Depression in the Postnatal Period Assessed with Traditional and Male Depression Scales. The Journal of Men's Health & Gender, 4(1), 26-31. https://doi.org/10.1016/j.jmhg.2006.10.017
Mangialavori, S., Terrone, G., Cantiano, A., Franquillo, A. C., Di Scalea, G. L., Ducci, G., & Cacioppo, M. (2019). Dyadic Adjustment and Prenatal Parental Depression: A Study with Expectant Mothers and Fathers. Journal of Social and Clinical Psychology, 38(10), 860-881. https://doi.org/10.1521/jscp.2019.38.10.860
Marcos-Nájera, R., Rodríguez-Muñoz, M. F., Izquierdo-Méndez, N., Olivares-Crespo, M. E. y Soto, C. (2017). Depresión perinatal: rentabilidad y expectativas de la intervención preventiva. Clínica y Salud, 28(2), 49-52. https://doi.org/10.1016/j.clysa.2017.05.001
Matthey, S. (2011). Assessing the Experience of Motherhood: The Being a Mother Scale (BAM-13). Journal of Affective Disorders, 128(1-2), 142-152. https://doi.org/10.1016/j.jad.2010.06.032
Meier, F., Milek, A., Rauch-Anderegg, V., Benz-Fragnière, C., Nieuwenboom, J. W., Schmid, H., Halford, W. K., & Bodenmann, G. (2020). Fair Enough? Decreased Equity of Dyadic Coping Across the Transition to Parenthood Associated with Depression of First-Time Parents. PloS One, 15(2), e0227342. https://doi.org/10.1371/journal.pone.0227342
Moral, J., González, M. T. y Landero, R. (2011). Estrés percibido ira y burnout en amas de casa mexicanas. Revista Iberoamericana de Psicología y Salud, 2(2), 123-143. https://www.redalyc.org/pdf/2451/245118507001.pdf
Morrison, J. (2015). DSM-5 Guía para el diagnóstico clínico. Manual Moderno.
Navarrete, L. E., Lara-Cantú, M. A., Navarro, C., Gómez, M. E. y Morales, F. (2012). Factores psicosociales que predicen síntomas de ansiedad posnatal y su relación con los síntomas depresivos en el posparto. Revista de Investigación Clínica, 64(6), 625-633. https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=42769
Navarro, A., Torres, S., Subirá, S. y García-Esteve, L. (2017). Epidemiología de los trastornos perinatales. En L. García-Esteve y M. Valdés, Manual de Psiquiatría Perinatal. Guía para el manejo de los trastornos mentales durante el embarazo, postparto y lactancia (pp. 43-55). Panamericana.
O´Hara, M. W. (1995). Postpartum Depression. Causes and Consequences. Springer-Verlag.
Parfitt, Y., & Ayers, S. (2014). Transition to Parenthood and Mental Health in First-Time Parents. Infant Mental Health Journal, 35(3), 263-273. https://doi.org/10.1002/imhj.21443
Paulson, J. F., & Bazemore, S. D. (2010). Prenatal and Postpartum Depression in Fathers and its Association with Maternal Depression: A Meta-Analysis. JAMA, 303(19), 1961-1969. https://doi.org/10.1001/jama.2010.605
Paulson, J. F., Bazemore, S. D., Goodman, J. H., & Leiferman, J. A. (2016). The Course and Interrelationship of Maternal and Paternal Perinatal Depression. Archives of Women´s Mental Health, 19(4), 655-663. https://doi.org/10.1007/s00737-016-0598-4
Peñacoba-Puente, C., Carmona-Monge, F. J., Marín-Morales, D., & Naber, K. (2012). Coping Strategies of Spanish Pregnant Women and their Impact on Anxiety and Depression. Research in Nursing & Health, 36(1), 54-64. https://doi.org/10.1002/nur.21513
Quezada, L. C. y González, M. T. (2012). El papel de los estresores y las condiciones de estado civil para explicar la depresión y el estrés en adolescentes gestantes. Psicología del Caribe, 29(1), 19-46. https://rcientificas.uninorte.edu.co/index.php/psicologia/article/view/3270/9194
Reyna-Martínez, M., González, M. T. y Vanegas, M. (2020). Adaptación de la escala de apoyo social familiar y de amigos (AFA-R) como medida del apoyo social de pareja en mujeres mexicanas embarazadas. Ansiedad y Estrés, 26(2-3), 129-135. https://doi.org/10.1016/j.anyes.2020.06.004
Roubinov, D. S., Luecken, L. J., Crnic, K. A., & Gonzales, N. A. (2014). Postnatal Depression in Mexican American Fathers: Demographic, Cultural, and Familial Predictors. Journal of Affective Disorders, 152-154, 360‐368. https://doi.org/10.1016/j.jad.2013.09.038
Sainz, K. G., Chávez, B. E., Díaz, M. E., Sandoval, M. A. y Robles, M. A. (2013) Ansiedad y depresión en pacientes embarazadas. Atención Familiar, 20(1), 25-27. https://doi.org/10.1016/S1405-8871(16)30082-7
Schumacher, M., Zubaran, C., & White, G. (2008). Bringing Birth-Related Paternal Depression to the Fore. Women and Birth, 21(2), 65-70. https://doi.org/10.1016/j.wombi.2008.03.008
Secretaría de Gobernación. (2014). Decreto por el que se reforman, adicionan y derogan diversas disposiciones del Reglamento de la Ley General de Salud en Materia de Investigación para la Salud. Diario Oficial de la Federación. 02 de abril de 2014. https://www.dof.gob.mx/nota_detalle.php?codigo=5339162&fecha=02/04/2014
Séjourné, N., Vaslot, V., Beaumé, M., & Chabrol, H. (2012). Intensité de la Dépression Postnatale dans un Échantillon de Pères Francais. Psychologie Française, 57(3), 215-222. https://doi.org/10.1016/j.psfr.2012.03.009
Su, K. P, Chiu, T. H., Huang, C. L., Ho, M., Lee, C. C., Wu, P. L., Lin, C. Y., Liau, C.H., Liao, C. C., Chiu, W. C., & Pariante, C. M. (2007). Different Cutoff Points for Different Trimesters? the Use of Edinburgh Postnatal Depression Scale and Beck Depression Inventory to Screen for Depression in Pregnant Taiwanese Women. Gen Hosp Psychiatry, 29(5), 436-41. doi: 10.1016/j.genhosppsych.2007.05.005
Tavares, I. M., Schlagintweit, H. E., Nobre, P. J., & Rosen, N. O. (2019). Sexual Well-Being and Perceived Stress in Couples Transitioning to Parenthood: A Dyadic Analysis. International Journal Clinical and Health Psychology, 19(3), 198-208. https://doi.org/10.1016/j.ijchp.2019.07.004
Valdés, M. & García-Esteve, Ll. (2017). Estrés prenatal materno. En Ll. García-Esteve, y M. Valdés (Eds.), Manual de psiquiatría perinatal. Guía para el manejo de los trastornos mentales durante el embarazo, postparto y lactancia (pp. 43-55). Panamericana.
Wang, S. Y., & Chen, C. H. (2006). Psychosocial Health of Taiwanese Postnatal Husbands and Wives. Journal of Psychosomatic Research, 60(3), 303-307. https://doi.org/10.1016/j.jpsychores.2005.08.012
World Health Organization [WHO]. (2017). Depression and Other Common Mental Disorders. Global Health Estimates. World Health Organization.
World Medical Association [WMA]. (2013). World Medical Association Declaration of Helsinki. Ethical Principles for Medical Research Involving Human Subjects. JAMA, 310(20), 2191-2194. https://doi.org/10.1001/jama.2013.281053
Yonkers, K. A., Gotman, N., Smith, M. V., Forray, A., Belanger, K., Brunetto, W. L., Lockwood, C. J. (2011). Does antidepressant use attenuate the risk of a major depressive episode in pregnancy? Epidemiology, 22(6), 848-854. https://doi.org/10.1097/EDE.0b013e3182306847