Antepartum depressive, anxiety and comorbid symptoms among men and women in east and west coast of Malaysia: a cross-sectional analysis of a perinatal psychiatric morbidity cohort study
Introduction: Research on antepartum psychiatric morbidities investigating both depressive and anxiety symptoms in women and men is lacking in low- and middle-income countries. This study estimated the prevalence of depressive, anxiety and co-morbid symptoms and explored the associated factors in a...
| Main Authors: | , , , , , |
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| Format: | Proceeding Paper |
| Language: | English |
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2018
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| Online Access: | http://irep.iium.edu.my/66105/ http://irep.iium.edu.my/66105/1/7047%20Dr%20Hashima-7%20IPHC%202018%20Abstract%20Book%20%26%20Cert.pdf |
| _version_ | 1848786509539311616 |
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| author | Nasreen, Hashima E Ab Rahman, Jamalludin Mohd Rus, Razman Kartiwi, Mira Sutan, Rosnah Edhborg, Maigun |
| author_facet | Nasreen, Hashima E Ab Rahman, Jamalludin Mohd Rus, Razman Kartiwi, Mira Sutan, Rosnah Edhborg, Maigun |
| author_sort | Nasreen, Hashima E |
| building | IIUM Repository |
| collection | Online Access |
| description | Introduction: Research on antepartum psychiatric morbidities investigating both depressive and anxiety symptoms in women and men is lacking in low- and middle-income countries. This study estimated the prevalence of depressive, anxiety and co-morbid symptoms and explored the associated factors in a cross-section of Malaysian pregnant women and their husbands.
Methodology: The study used cross-sectional data originating from a prospective cohort study of 911 women and 587 husbands during the third trimester of pregnancy, from health clinics of two states in east and west coast of Malaysia. The validated Malay version of Edinburgh Postnatal Depression Scale, and the anxiety scale of Depression, Anxiety and Stress Scale were used to
measure depressive and anxiety symptoms. Multiple logistic regression analyses identified the determinants of antepartum depressive and anxiety symptoms (ADS and AAS).
Result: Prevalence of ADS was 12.2% in women and 8.4% in men, while AAS was 28.8% in women and 13.3% in men, and co-morbid symptoms was 8.0% in women and 4.0% in men.
Women and men having perceived social/family support were less likely to suffer from ADS. Intimate partner violence, poor relationship with husbands, depression in earlier pregnancy and husband’s depression in current pregnancy in women, and living in rented house, sex preference for the unborn child, stressful life events and wife’s depression in current pregnancy in men were
associated with a greater likelihood of ADS. The determinants for AAS were living in rented house and with parents/in-laws, poor relationship with husbands, restrictions during pregnancy and stressful life events for women, and stressful life events and being unsupported towards wives in household chores for men.
Conclusion: Depressive and anxiety symptoms during pregnancy are prevalent in women and
men, and largely an undetected problem in Malaysia. Administration of couple-based screening
and referral programme during antenatal check-up should be universal practices to identify and
treat the psychiatric morbidities. |
| first_indexed | 2025-11-14T17:10:10Z |
| format | Proceeding Paper |
| id | iium-66105 |
| institution | International Islamic University Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-14T17:10:10Z |
| publishDate | 2018 |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | iium-661052018-12-12T01:14:08Z http://irep.iium.edu.my/66105/ Antepartum depressive, anxiety and comorbid symptoms among men and women in east and west coast of Malaysia: a cross-sectional analysis of a perinatal psychiatric morbidity cohort study Nasreen, Hashima E Ab Rahman, Jamalludin Mohd Rus, Razman Kartiwi, Mira Sutan, Rosnah Edhborg, Maigun RA790 Mental Health. Mental Illness Prevention Introduction: Research on antepartum psychiatric morbidities investigating both depressive and anxiety symptoms in women and men is lacking in low- and middle-income countries. This study estimated the prevalence of depressive, anxiety and co-morbid symptoms and explored the associated factors in a cross-section of Malaysian pregnant women and their husbands. Methodology: The study used cross-sectional data originating from a prospective cohort study of 911 women and 587 husbands during the third trimester of pregnancy, from health clinics of two states in east and west coast of Malaysia. The validated Malay version of Edinburgh Postnatal Depression Scale, and the anxiety scale of Depression, Anxiety and Stress Scale were used to measure depressive and anxiety symptoms. Multiple logistic regression analyses identified the determinants of antepartum depressive and anxiety symptoms (ADS and AAS). Result: Prevalence of ADS was 12.2% in women and 8.4% in men, while AAS was 28.8% in women and 13.3% in men, and co-morbid symptoms was 8.0% in women and 4.0% in men. Women and men having perceived social/family support were less likely to suffer from ADS. Intimate partner violence, poor relationship with husbands, depression in earlier pregnancy and husband’s depression in current pregnancy in women, and living in rented house, sex preference for the unborn child, stressful life events and wife’s depression in current pregnancy in men were associated with a greater likelihood of ADS. The determinants for AAS were living in rented house and with parents/in-laws, poor relationship with husbands, restrictions during pregnancy and stressful life events for women, and stressful life events and being unsupported towards wives in household chores for men. Conclusion: Depressive and anxiety symptoms during pregnancy are prevalent in women and men, and largely an undetected problem in Malaysia. Administration of couple-based screening and referral programme during antenatal check-up should be universal practices to identify and treat the psychiatric morbidities. 2018 Proceeding Paper PeerReviewed application/pdf en http://irep.iium.edu.my/66105/1/7047%20Dr%20Hashima-7%20IPHC%202018%20Abstract%20Book%20%26%20Cert.pdf Nasreen, Hashima E and Ab Rahman, Jamalludin and Mohd Rus, Razman and Kartiwi, Mira and Sutan, Rosnah and Edhborg, Maigun (2018) Antepartum depressive, anxiety and comorbid symptoms among men and women in east and west coast of Malaysia: a cross-sectional analysis of a perinatal psychiatric morbidity cohort study. In: 7th International Public Health Conference, 28th-30th Aug. 2018, Putrajaya Marriott Hotel, Putrajaya, Malaysia. (Unpublished) http://www.pubhealthcollo.org |
| spellingShingle | RA790 Mental Health. Mental Illness Prevention Nasreen, Hashima E Ab Rahman, Jamalludin Mohd Rus, Razman Kartiwi, Mira Sutan, Rosnah Edhborg, Maigun Antepartum depressive, anxiety and comorbid symptoms among men and women in east and west coast of Malaysia: a cross-sectional analysis of a perinatal psychiatric morbidity cohort study |
| title | Antepartum depressive, anxiety and comorbid symptoms among men and women in east and west coast of Malaysia: a cross-sectional analysis of a perinatal psychiatric morbidity cohort study |
| title_full | Antepartum depressive, anxiety and comorbid symptoms among men and women in east and west coast of Malaysia: a cross-sectional analysis of a perinatal psychiatric morbidity cohort study |
| title_fullStr | Antepartum depressive, anxiety and comorbid symptoms among men and women in east and west coast of Malaysia: a cross-sectional analysis of a perinatal psychiatric morbidity cohort study |
| title_full_unstemmed | Antepartum depressive, anxiety and comorbid symptoms among men and women in east and west coast of Malaysia: a cross-sectional analysis of a perinatal psychiatric morbidity cohort study |
| title_short | Antepartum depressive, anxiety and comorbid symptoms among men and women in east and west coast of Malaysia: a cross-sectional analysis of a perinatal psychiatric morbidity cohort study |
| title_sort | antepartum depressive, anxiety and comorbid symptoms among men and women in east and west coast of malaysia: a cross-sectional analysis of a perinatal psychiatric morbidity cohort study |
| topic | RA790 Mental Health. Mental Illness Prevention |
| url | http://irep.iium.edu.my/66105/ http://irep.iium.edu.my/66105/ http://irep.iium.edu.my/66105/1/7047%20Dr%20Hashima-7%20IPHC%202018%20Abstract%20Book%20%26%20Cert.pdf |