Home > Review Articles > Pregnancy > The prevalence of symptoms of depression and anxiety, and the level of life stress and worry in New Zealand Māori and non-Māori women in late pregnancy

The prevalence of symptoms of depression and anxiety, and the level of life stress and worry in New Zealand Māori and non-Māori women in late pregnancy

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Authors:
Summary:

This study involved 406 Māori women (mean age, 27.6 years) and 738 non-Māori women (mean age, 31.6 years), who all completed a questionnaire in late pregnancy recording their prior history of mood disorders; self-reported current depressive symptoms (≥13 on the Edinburgh Postnatal Depression Scale), current anxiety symptoms (≥6 on the anxiety items from the Edinburgh Postnatal Depression Scale), significant life stress (≥2 items on the Life Stress Scale) and dysfunctional worry (>12 on the Brief Measure of Worry Scale). Compared with non-Māori women, Māori women were more likely to report depressive symptoms (15% vs 22%), anxiety symptoms (20% vs 25%), significant life stress (30% vs 55%) and a period of poor mood during the current pregnancy (14% vs 18%). Of those who had experienced ≥2 weeks of poor mood during the current pregnancy, less than half had sought help. Younger age independently predicted depressive symptoms, significant life stress and dysfunctional worry. Women with a prior history of depression were more likely to experience negative affect in pregnancy.

Comment:
As a GP I know that I tend to focus on postnatal depression and stress, and fail to screen for depression, stress and anxiety during the pregnancy. Reflecting on my practice, there are certainly signs of stress in the young Māori mums-to-be whether it be hormonal, sleep-related or external including financial, housing and relationship strain. I’ll certainly look to identify and manage these better.
Reference: Aust N Z J Psychiatry. 2017;51(2):168-76
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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