Nouvelles normalités Nouvelles pathologies Nouvelles ... - Psynem

6° 6éme Congresso Congrès Européen Europeo de di Psicopatologia Psychopathologie dell’Infanzia de l’Enfance e et dell’Adolescenza
de l’Adolescence
Nuove Nouvelles normalità normalités Nuove Nouvelles patologie pathologies Nuove pratiche Nouvelles pratiques
SATURDAY, May 7 SYMPOSIUMS
SYMPOSIUM 10 Perinatality. Prevention and treatment
MATERNAL DEPRESSION AND ANXIETY: EARLY DETECTION AND RISK FACTORS
IN PREGNANCY AND EARLY POSTPARTUM
Francesca Agostini (1) , Fiorella Monti (1) , Paola Dalla Casa (2),
Antonella Liverani (2) , Catherine Hamon (3) , Nadia Bertozzi (3) .
(1) Psychology Department, Bologna University (Bologna - IT); (2) Pierantoni Hospital, Forlì (Forlì - IT);
(3) Center for Infant and Adolescent Mental Health, Forlì (Forlì - IT)
Introduction. Depressive and anxiety disorders
have been recognized as important psychiatric
disorders in the antenatal and postpartum
period (Faisal-Cury et al., 2007; Reck
et al. 2008). Antenatal anxiety and depression
have been identified as relevant risk factors,
among others (Robertson et al., 2004; Grant et
al., 2008; Milgrom et al., 2008); therefore they
deserve greater attention, in order to improve
preventive strategies (Britton, 2008; Dimidjian,
Goodman, 2009).
A longitudinal study, from the 3rd trimester of
pregnancy until 11 months postpartum, was
developed in order:
a) to evaluate prevalence of antenatal and postnatal
depressive and anxiety disorders in a
middle-class Italian sample;
b) to identify antenatal most significant risk factors
(including obstetric, psychosocial and
psychological variables);
c) to investigate the impact of a psychological
intervention comparing, within women with a
confirmed diagnosis, those who received the
intervention and those who refused it.
Method. 368 Italian women (mean age 31.8
years) were recruited at the antenatal classes
472
at Pierantoni Hospital, Forlì (Italy); most of them
were married, primiparae and with a high level of
education. At the 3rd trimester of pregnancy the
women completed a series of self report measures:
socio-demographic questionnaire, Edinburgh
Postnatal Depression Scale (EPDS; Cox
et al., 1987), State Trait Anxiety Inventory (STAI;
Spielberg, 1970), Rosenberg Self Esteem Scale
(RSE; Rosenberg, 1965), Recent Life Events
Questionnaire (RLE; Bruga et al., 1985) and Multidimensional
Scale of Perceived Social Support
(MSPSS; Zimet et al., 1988). Recommended
score of EPDS and STAI were used to identify
women who were more likely to have a depressive
or anxiety disorder and a clinical interview
(SCID-I; First et al., 1994) was then administered.
If a diagnosis was confirmed, a psychological
intervention (a brief psychodynamic treatment)
was offered to the woman until 3 months postpartum,
when again all the 368 women completed
the questionnaires and underwent the
clinical interview in case of “high depressive or
anxiety risk”.
Results. Data are being analyzed at the moment
in order to achieve the above mentioned aims
and will be presented at the Congress.