Association between nausea and vomiting of pregnancy and postpartum depression: the Japan Environment and Children's Study.

IF 2.1 3区医学 Q2 OBSTETRICS & GYNECOLOGY

Journal of Psychosomatic Obstetrics & Gynecology Pub Date : 2022-03-01 Epub Date: 2020-03-04 DOI:10.1080/0167482X.2020.1734792

Sifa Marie Joelle Muchanga, Masamitsu Eitoku, Etongola Papy Mbelambela, Hitoshi Ninomiya, Tatsuo Iiyama, Kaori Komori, Kahoko Yasumitsu-Lovell, Naomi Mitsuda, Rahma Rashid Tozin, Nagamasa Maeda, Mikiya Fujieda, Narufumi Suganuma

{"title":"Association between nausea and vomiting of pregnancy and postpartum depression: the Japan Environment and Children's Study.","authors":"Sifa Marie Joelle Muchanga, Masamitsu Eitoku, Etongola Papy Mbelambela, Hitoshi Ninomiya, Tatsuo Iiyama, Kaori Komori, Kahoko Yasumitsu-Lovell, Naomi Mitsuda, Rahma Rashid Tozin, Nagamasa Maeda, Mikiya Fujieda, Narufumi Suganuma","doi":"10.1080/0167482X.2020.1734792","DOIUrl":null,"url":null,"abstract":"Objective: Postpartum depression (PPD) is a global emotional distress that affects women and their offspring regardless of their culture. The association between nausea and vomiting of pregnancy (NVP) and PPD has been widely described only for the severe form of NVP. We aimed to assess the relationship between PPD and NVP with regards to its severity.Methods: Data from the Japan Environment and Children's Study (JECS), a birth cohort study, were analyzed. PPD was assessed using the Edinburgh Postnatal Depression Scale (EPDS). Multiple logistic regression models were performed to assess the association between NVP and PPD.Results: Out of the 80,396 women included in the study 14% had PPD. Among them 4,640 (42.1%) had mild NVP; 3,295 (29.9%) had moderate NVP whereas 1,481 (13.4%) had severe NVP. All forms of NVP were associated with PPD and the association gradually increased with the severity of NVP symptoms with odd ratio (OR): 1.26; 95% confidence interval (CI): 1.18-1.35 for mild, OR: 1.28; 95% CI: 1.19-1.38 for moderate and OR: 1.54; 95% CI: 1.42-1.68 for severe NVP.Conclusion: Japanese women with NVP were more susceptible to develop PPD and the more severe the NVP symptoms were, the greater the risk of PPD. Thus, close monitoring of NVP-affected women is recommended.","PeriodicalId":50072,"journal":{"name":"Journal of Psychosomatic Obstetrics & Gynecology","volume":"43 1","pages":"2-10"},"PeriodicalIF":2.1000,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0167482X.2020.1734792","citationCount":"9","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Psychosomatic Obstetrics & Gynecology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/0167482X.2020.1734792","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2020/3/4 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}

引用次数: 9

Abstract

Objective: Postpartum depression (PPD) is a global emotional distress that affects women and their offspring regardless of their culture. The association between nausea and vomiting of pregnancy (NVP) and PPD has been widely described only for the severe form of NVP. We aimed to assess the relationship between PPD and NVP with regards to its severity.

Methods: Data from the Japan Environment and Children's Study (JECS), a birth cohort study, were analyzed. PPD was assessed using the Edinburgh Postnatal Depression Scale (EPDS). Multiple logistic regression models were performed to assess the association between NVP and PPD.

Results: Out of the 80,396 women included in the study 14% had PPD. Among them 4,640 (42.1%) had mild NVP; 3,295 (29.9%) had moderate NVP whereas 1,481 (13.4%) had severe NVP. All forms of NVP were associated with PPD and the association gradually increased with the severity of NVP symptoms with odd ratio (OR): 1.26; 95% confidence interval (CI): 1.18-1.35 for mild, OR: 1.28; 95% CI: 1.19-1.38 for moderate and OR: 1.54; 95% CI: 1.42-1.68 for severe NVP.

Conclusion: Japanese women with NVP were more susceptible to develop PPD and the more severe the NVP symptoms were, the greater the risk of PPD. Thus, close monitoring of NVP-affected women is recommended.

查看原文本刊更多论文

妊娠期恶心呕吐与产后抑郁的关系:日本环境与儿童研究。

目的:产后抑郁症(PPD)是一种全球性的情绪困扰，不论其文化背景如何，都会影响到女性及其后代。妊娠期恶心和呕吐(NVP)与PPD之间的关联已被广泛描述，但仅限于严重形式的NVP。我们的目的是评估PPD和NVP在严重程度上的关系。方法:对日本环境与儿童研究(JECS)的出生队列研究数据进行分析。PPD采用爱丁堡产后抑郁量表(EPDS)进行评估。采用多元logistic回归模型评估NVP与PPD之间的关系。结果:在80396名参与研究的女性中，14%患有产后抑郁症。其中轻度NVP 4640例(42.1%);3295例(29.9%)为中度NVP, 1481例(13.4%)为重度NVP。所有形式的NVP均与PPD相关，且随着NVP症状的严重程度，相关性逐渐增强，奇数比(OR): 1.26;轻度95%置信区间(CI): 1.18-1.35, OR: 1.28;中度95% CI: 1.19-1.38, OR: 1.54;严重NVP的95% CI: 1.42-1.68。结论:日本NVP患者更易发生PPD，且NVP症状越严重，发生PPD的风险越大。因此，建议密切监测受nvp影响的妇女。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Psychosomatic Obstetrics & Gynecology 医学-妇产科学

CiteScore

6.10

自引率

3.20%

发文量

审稿时长

>12 weeks

期刊介绍： The Journal of Psychosomatic Obstetrics and Gynecology was founded in 1982 in order to provide a scientific forum for obstetricians, gynecologists, psychiatrists and psychologists, academic health professionals as well as for all those who are interested in the psychosocial and psychosomatic aspects of women’s health. Another of its aims is to stimulate obstetricians and gynecologists to pay more attention to this very important facet of their profession.