Impact of gestational complications on adolescent depression

JIAO Ting; DENG Nali; GUO Shuangshuang; YANG Jiewen; TANG Jie

doi:10.16835/j.cnki.1000-9817.2022.05.023

Volume 43 Issue 5

May 2022

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2022 > 43(5): 739-742

JIAO Ting, DENG Nali, GUO Shuangshuang, YANG Jiewen, TANG Jie. Impact of gestational complications on adolescent depression[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(5): 739-742. doi: 10.16835/j.cnki.1000-9817.2022.05.023

Citation:

JIAO Ting, DENG Nali, GUO Shuangshuang, YANG Jiewen, TANG Jie. Impact of gestational complications on adolescent depression[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(5): 739-742. doi: 10.16835/j.cnki.1000-9817.2022.05.023

Citation:

PDF( 361 KB)

Impact of gestational complications on adolescent depression

doi: 10.16835/j.cnki.1000-9817.2022.05.023

1.
School of Public Health, Guangzhou Medical University, Guangzhou (511436), China

Received Date: 2021-11-20
Rev Recd Date: 2021-12-19

Available Online: 2022-05-20

Publish Date: 2022-05-25

Abstract

Abstract

Objective To investigate the incidence of adolescent depressive symptoms in primary and secondary schools in Guangzhou and the effect of gestational complications on adolescent depression, so to provide scientific basis for depression prevention among adolescent. Methods Stratified cluster random sampling method was used to select 808 primary and secondary schools in 11 districts of Guangzhou. A total of 96 756 parents of adolescents aged 10-20 were surveyed for adolescents depressive symptoms and maternal gestational complications. Results The parental reported rates of mild, moderate and major depressive symptoms of adolescents were 5.5%, 3.5%, and 0.5%, respectively. Univariate analysis showed that the severity of adolescent depression symptoms had statistical significance with maternal gestational hypertension, gestational diabetes mellitus, cholestasis, hypothyroidism, hyperthyroidism, gestational anemia and viral hepatitis (χ²=12.42~158.91, P < 0.01). Multivariate Logistic regression showed that maternal gestational diabetes mellitus (OR=1.41, 95%CI=1.18-1.68), hypothyroidism during pregnancy (OR=1.61, 95%CI=1.15-2.26), and hyperthyroidism during pregnancy (OR=1.40, 95%CI=1.03-1.91), anemia during pregnancy (OR=1.46, 95%CI=1.35-1.59), and viral hepatitis during pregnancy (OR=1.67, 95%CI=1.38-2.02) were positively correlated with the severity of adolescent depression symptoms reported by parents(P < 0.05). Conclusion Gestational diabetes mellitus, gestational hypothyroidism, gestational hyperthyroidism, gestational anemia and gestational viral hepatitis are associated with adolescent depressive symptom.
- Pregnancy,
- Disease,
- Depression,
- Emotions,
- Regression analysis,
- Adolescent

FullText(HTML)

References(20)

References

[1]	王熙. 青春期抑郁性别差异及其执行控制功能的研究[D]. 合肥: 安徽医科大学, 2014. WANG X. The study on gender difference of depressive symptoms in adolescent students and their executive control function[D]. Hefei: Anhui Medical Unversity, 2014.
[2]	TANG X, TANG S, REN Z, et al. Prevalence of depressive symptoms among adolescents in secondary school in mainland China: a systematic review and Meta-analysis[J]. J Affect Disord, 2019, 245: 498-507. doi: 10.1016/j.jad.2018.11.043
[3]	邢超, 陶芳标. 儿童青少年抑郁与健康危害行为的关联[J]. 中国学校卫生, 2008, 29(1): 86-89. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS200801063.htm XING C, TAO F B. Association of depression and health-risk behaviors in children and adolescents[J]. Chin J Sch Health, 2008, 29(1): 86-89. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS200801063.htm
[4]	NOMURA Y, MARKS D J, GROSSMAN B, et al. Exposure to gestational diabetes mellitus and low socioeconomic status: effects on neurocognitive development and risk of attention-deficit/hyperactivity disorder in offspring[J]. Arch Pediatr Adolesc Med, 2012, 166(4): 337-43. doi: 10.1001/archpediatrics.2011.784
[5]	NAHUM SACKS K, FRIGER M, SHOHAM-VARDI I, et al. Long-term neuropsychiatric morbidity in children exposed prenatally to preeclampsia[J]. Early Hum Dev, 2019, 130: 96-100. doi: 10.1016/j.earlhumdev.2019.01.016
[6]	韩慧君, 魏珉. 母亲孕期甲状腺功能减低对子代智能的影响[J]. 新生儿科杂志, 2005, 20(6): 280-283. doi: 10.3969/j.issn.1673-6710.2005.06.016 HAN H J, WEI M. The influence of maternal hypothyroidism during pregnancy on offspring intelligence[J]. Chin J Neonatol, 2005, 20(6): 280-283. doi: 10.3969/j.issn.1673-6710.2005.06.016
[7]	YAMASAKI S, ANDO S, RICHARDS M, et al. Maternal diabetes in early pregnancy, and psychotic experiences and depressive symptoms in 10-year-old offspring: a population-based birth cohort study[J]. Schizophr Res, 2019, 206: 52-57. doi: 10.1016/j.schres.2018.12.016
[8]	吕雅杰, 赖丽娟, 李丹玲, 等. 广州市小学生体质健康监测系统问卷的信效度研究[J]. 中国妇幼保健, 2020, 35(8): 1511-1516. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB202008049.htm LYU Y J, LAI L J, LI D L, et al. Study on the reliability and validity of physical health surveillance system questionnaire for primary school students in Guangzhou[J]. Matern Child Health Care China, 2020, 35(8): 1511-1516. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB202008049.htm
[9]	刘书君. 长处和困难问卷(SDQ)中文版的信度和效度研究[D]. 成都: 四川大学, 2006. LIU S J. Reliability and validity of the Chinese version of the SDQ[D]. Chengdu: Sichuan University, 2006.
[10]	ERSKINE H E, BAXTER A J, PATTON G, et al. The global coverage of prevalence of data for mental disorders in children and adolescents[J]. Epidemiol Psychiatr Sci, 2017, 26(4): 395-342. doi: 10.1017/S2045796015001158
[11]	COMPARE A, ZARBO C, SHONIN E, et al. Emotional regulation and depression: a potential mediator between heart and mind[J]. Cardiovasc Psychiatry Neurol, 2014, 2014: 324374.
[12]	THAPAR A, COLLOSHAW S, PINE D S, et al. Depression in adolescence[J]. Lancet, 2012, 379(9820): 1056-1067. doi: 10.1016/S0140-6736(11)60871-4
[13]	苏朝霞, 康妍, 李建明. 青少年抑郁及其相关影响因素研究[J]. 中国健康心理学杂志, 2011, 19(5): 629-631. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL201105055.htm SU Z X, KANG Y, LI J M. Study on adolescent depression and the relevant risk factors[J]. Chin J Health Psychol, 2011, 19(5): 629-631. https://www.cnki.com.cn/Article/CJFDTOTAL-JKXL201105055.htm
[14]	WAHID S S, OTTMAN K, HUDHUD R, et al. Identifying risk factors and detection strategies for adolescent depression in diverse global settings: a Delphi Consensus Study[J]. J Affect Disord, 2021, 5(279): 66-74.
[15]	BOYD A, GOLDING J, MACLEOD J, et al. Cohort profile: the children of the 90 s: the index offspring of the Avon Longitudinal Study of Parents and Children[J]. Int J Epidemiol, 2013, 42(1): 111-127. doi: 10.1093/ije/dys064
[16]	WANG M J, DUNN E C, OKEREKE O I, et al. Maternal vitamin D status during pregnancy and offspring risk of childhood/adolescent depression: results from the Avon Longitudinal Study of Parents and Children (ALSPAC)[J]. J Affect Disord, 2020, 15(265): 255-262.
[17]	VAN DAM J M, GARRETT A J, SCHNEIDER L A, et al. Reduced cortical excitability, neuroplasticity, and salivary cortisol in 11-13-year-old children born to women with gestational diabetes mellitus[J]. E Bio Med, 2018, 31: 143-149.
[18]	GE G M, LEUNG M T Y, MAN K K C, et al. Maternal thyroid dysfunction during pregnancy and the risk of adverse outcomes in the offspring: a systematic review and Meta-analysis[J]. J Clin Endocr Metab, 2020, 105(12): dgaa555.
[19]	JANBEK J, SARKI M, SPECHT I O, et al. A systematic literature review of the relation between iron status/anemia in pregnancy and offspring neurodevelopment[J]. Eur J Clin Nutr, 2019, 73(12): 1561-1578. doi: 10.1038/s41430-019-0400-6
[20]	DACHEW B A, SCOTT J G, BETTS K, et al. Hypertensive disorders of pregnancy and the risk of offspring depression in childhood: findings from the Avon Longitudinal Study of Parents and Children[J]. Dev Psychopathol, 2020, 32(3): 845-851. doi: 10.1017/S0954579419000944