Evidence map›Paper›PMID 20966690›Full record

ArticleObstetrics and gynecology2010

Depressive disorders during pregnancy: prevalence and risk factors in a large urban sample.

Jennifer L Melville, Amelia Gavin, Yuqing Guo, Ming-Yu Fan, Wayne J Katon

Open access · greenAbstract read
In one paragraph

Article in Obstetrics and gynecology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 142 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
142citing papers in PubMed, 7 pooled it
15.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

142 citing papers in PubMed, 7 syntheses or guidelines pooled it, 314 citations in OpenAlex.

  1. Pooled it
  2. Prenatal Attachment and Perinatal Depression: A Systematic Review.International journal of environmental research and public health · 2020
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  10. The Pan African medical journal
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  13. Validation of the Greek Version of Tilburg Pregnancy Distress Scale (TPDS).Advances in experimental medicine and biology · 2026
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82 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Jennifer L MelvilleDepartment of Obstetrics and Gynecology, Schools of Social Work and Nursing, University of Washington School of Medicine, Seattle, Washington 98104-2499, USA. jmelvi@uw.edu
Amelia Gavin
Yuqing Guo
Ming-Yu Fan
Wayne J Katon
University of Washington · US

Funding

Methods and Data CoreR24HD042828 · NICHD · UNIVERSITY OF WASHINGTON · PI ELLIS, JOHN MARK · 2002 to 2016
$9.3M
Institute for Translational Health Science (KL2)KL2RR025015 · NCRR · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2007 to 2011
$9.3M
Reducing Disparities and Improving Care for Depression in OB-GYN ClinicsR01MH085668 · NIMH · UNIVERSITY OF WASHINGTON · PI UNUTZER, JURGEN · 2009 to 2013
$2.3M
Population-Based Psychiatric Intervention--Primary CareK24MH069471 · NIMH · UNIVERSITY OF WASHINGTON · PI KATON, WAYNE J · 2004 to 2011
$1.0M
NCRR NIH HHS 1KL2RR025015-01NCRR NIH HHS KL2 RR025015NICHD NIH HHS R24 HD042828NIMH NIH HHS K24 MH069471NIMH NIH HHS R01 MH085668
6 · The paper itself

Abstract

objectiveTo estimate the prevalence of major and minor depression, panic disorder, and suicidal ideation during pregnancy while also identifying factors independently associated with antenatal depressive disorders.

methodsIn this prospective study, participants were 1,888 women receiving ongoing prenatal care at a university obstetric clinic from January 2004 through January 2009. Prevalence of psychiatric disorders was measured using the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) criteria based on the Patient Health Questionnaire. Multiple logistic regression identified factors associated with probable major depressive disorder and any depressive disorder.

resultsAntenatal depressive disorders were present in 9.9% with 5.1% (97) meeting criteria for probable major depression and 4.8% (90) meeting criteria for probable minor depression. Panic disorder was present in 3.2% (61), and current suicidal ideation was reported by 2.6% (49). Among patients with probable major depression, 29.5% (28) reported current suicidal ideation. Psychosocial stress (odds ratio [OR], 1.29; 95% confidence interval [CI], 1.21-1.36), domestic violence (OR 3.45; 95% CI 1.46-8.12), chronic medical conditions (OR 3.05; 95% CI 1.63-5.69), and race (Asian: OR 5.81; 95% CI 2.55-13.23; or African American: OR 2.98; 95% CI 1.24-7.18) each significantly increased the odds of probable antepartum major depressive disorder, whereas older age (OR 0.92; 95% CI 0.88-0.97) decreased the odds. Factors associated with odds of any depression were similar overall except that Hispanic ethnicity (OR 2.50; 95% CI 1.09-5.72) also independently increased the odds of any depression.

conclusionAntenatal major and minor depressive disorders are common and significantly associated with clinically relevant and identifiable risk factors. By understanding the high point prevalence and associated factors, clinicians can potentially improve the diagnosis and treatment rates of serious depressive disorders in pregnant women. LEVEL OF EVIDENCE: II.

Indexed as

Urban PopulationAdolescentAdultDepressive DisorderFemaleHumansMiddle AgedPanic DisorderPregnancyPregnancy ComplicationsPrevalenceRisk FactorsSpouse AbuseStress, PsychologicalSuicideYoung Adult

Identifiers

PMID20966690
PMCPMC3068619
OpenAlexW1969021057

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.