Title
Preconception menstrual cycle disorder and antenatal depression: a cross-sectional study with prerecorded information
Date Issued
01 January 2021
Access level
metadata only access
Resource Type
journal article
Author(s)
Sasaki N
Akiyama H
Kawakami N
Nishi D.
The University of Tokyo
The University of Tokyo
The University of Tokyo
Center of Neurology and Psychiatry
Publisher(s)
Taylor and Francis Ltd.
Abstract
Objectives: This study aimed to evaluate the association between pre-pregnancy menstrual cycle characteristics (i.e. cycle-length variability and cycle length) and antenatal depression. Methods: This study retrieved the data from the baseline survey of the randomized controlled trial with pregnant women at 16–20 weeks gestation who used a pregnancy tracking app. The antenatal depression was assessed using the Edinburgh Postnatal Depression Scale (EPDS) at 16–20 weeks gestation, and the cutoff point of 10/11 was adopted. Pre-conceptional menstrual cycle information was obtained via a prerecorded period tracking app. Cycle-length variability was defined as the average difference in the lengths between cycles, dichotomized into regular (≤6 days) and irregular (>6 days). Cycle length was coded as a categorical variable: <25 days, 25–26 days, 27–29 days (regular), 30–31 days, 32–33 days, and 34+ days. The associations of cycle disorders with EPDS scores were examined using regression analysis and a multiple logistic regression model adjusted for covariates. Results: The total of 3473 participants were analyzed in this study. Irregular cycle variability (>6 days) was significantly associated with high EPDS scores (adjusted: standardized beta = 0.049, p = 0.003) and with high cutoff EPDS scores (over 11) (adjusted OR = 1.40 [1.02–1.94], p = 0.038) but not with cycle length. Conclusion: Irregular menstrual cycle before pregnancy was associated with depression during pregnancy. The health of the menstrual cycle during preconception needs to be further explored to promote healthy maternal mental health.
Language
English
OCDE Knowledge area
Obstetricia, Ginecología
Subjects
Scopus EID
2-s2.0-85121391135
Source
Journal of Psychosomatic Obstetrics and Gynecology
Resource of which it is part
Journal of Psychosomatic Obstetrics and Gynecology
ISSN of the container
0167482X
Sponsor(s)
This work was supported by Japan Society for the Promotion of Science under a Grant-in-Aid for Scientific Research (A) [19H01073 to DN] funded this work. The study's sponsor had no role in the study design, data collection, data analysis, data interpretation, or report writing. The authors had access to the data in the study and the final responsibility for submitting the paper.
Daisuke Nishi received personal fees from Startia, Inc., en-power, Inc., MD.net, and Mitsubishi Heavy Industries Kobe Shipyard outside the submitted work. Norito Kawakami is currently receiving grants from Fujitsu LTD., Fujitsu Software Technologies LTD, SB At Work Corp., personal fees from Occupational Health Foundation, Japan Dental Association, Sekisui Chemicals, Junpukai Health Care Center, Osaka Chamber of Commerce and Industry, and non-financial support from Japan Productivity Center as relevant financial activities outside the submitted work. Additionally, MTI LTd. has been involved in this study, as mentioned in the manuscript.
Sources of information:
Directorio de Producción Científica
Scopus