Association between adverse childhood experiences and antenatal depression among pregnant women: A computer-simulated network analysis.
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| Název: | Association between adverse childhood experiences and antenatal depression among pregnant women: A computer-simulated network analysis. |
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| Autoři: | Mei X; School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China., Mei R; Department of Breast Oncology, Guangzhou Institute of Cancer Research, the Affiliated Cancer Hospital, Guangzhou Medical University, Guangzhou, China., Yu J; School of Nursing, The University of Hong Kong, Hong Kong, China., Chen F; School of Nursing, Guangzhou Medical University, Guangzhou, China., Li S; School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China., Liang M; School of Nursing, Guangzhou University of Chinese Medicine, Guangzhou, China., Liu Y; Department of Rheumatology, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China. Electronic address: 369666160@qq.com., Ye Z; School of Nursing, Guangzhou Medical University, Guangzhou, China. Electronic address: zengjieye@qq.com. |
| Zdroj: | Journal of affective disorders [J Affect Disord] 2025 Dec 15; Vol. 391, pp. 119960. Date of Electronic Publication: 2025 Jul 19. |
| Způsob vydávání: | Journal Article |
| Jazyk: | English |
| Informace o časopise: | Publisher: Elsevier/North-Holland Biomedical Press Country of Publication: Netherlands NLM ID: 7906073 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-2517 (Electronic) Linking ISSN: 01650327 NLM ISO Abbreviation: J Affect Disord Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Amsterdam, Elsevier/North-Holland Biomedical Press. |
| Výrazy ze slovníku MeSH: | Depression*/epidemiology , Depression*/psychology , Pregnancy Complications*/epidemiology , Pregnancy Complications*/psychology , Adverse Childhood Experiences*/psychology , Adverse Childhood Experiences*/statistics & numerical data , Pregnant People*/psychology, Computer Simulation ; Humans ; Female ; Pregnancy ; Young Adult ; Adult ; Cross-Sectional Studies ; China/epidemiology ; Neural Networks, Computer |
| Abstrakt: | Competing Interests: Declaration of competing interest The authors have no conflicts of interest to disclose. Objectives: This study aims to investigate the differences in depressive symptoms among pregnant women with and without adverse childhood experiences (ACEs), identify distinct core and bridge symptoms of depression in both groups, and target specific symptoms for intervention. Methods: A total of 2719 pregnant women were recruited from the "Be Resilient to Postpartum Depression" program. ACEs and depressive symptoms were assessed using validated scales. Data analysis was conducted using a computer-simulated network analysis approach. Results: A significant positive correlation was found between the total ACEs score and depression score (r = 0.181, P < 0.001). In the non-ACEs group, "I can laugh and see the funny side of things" was the core and most bridge symptoms, as well as the targeted intervention symptom for aggravating the depressive symptoms. In the ACEs group, "I feel cheerful" emerged as the core and most bridge symptoms, while "I look forward with enjoyment to things" was identified as the targeted intervention symptom for aggravating the depressive symptoms. "I still enjoy the things I used to enjoy" was recognized as a targeted symptom for alleviating depressive symptoms in both groups. Conclusion: This study underscores the nuanced relationship between ACEs and antenatal depression, underscoring the need for tailored mental health interventions that consider the history of childhood adversity among pregnant women. (Copyright © 2025 Elsevier B.V. All rights reserved.) |
| Contributed Indexing: | Keywords: Adverse childhood experiences; Antenatal depression; Network analysis; Pregnant women |
| Entry Date(s): | Date Created: 20250722 Date Completed: 20250916 Latest Revision: 20250916 |
| Update Code: | 20250916 |
| DOI: | 10.1016/j.jad.2025.119960 |
| PMID: | 40691902 |
| Databáze: | MEDLINE |
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Nájsť tento článok vo Web of Science | Abstrakt: | Competing Interests: Declaration of competing interest The authors have no conflicts of interest to disclose.<br />Objectives: This study aims to investigate the differences in depressive symptoms among pregnant women with and without adverse childhood experiences (ACEs), identify distinct core and bridge symptoms of depression in both groups, and target specific symptoms for intervention.<br />Methods: A total of 2719 pregnant women were recruited from the "Be Resilient to Postpartum Depression" program. ACEs and depressive symptoms were assessed using validated scales. Data analysis was conducted using a computer-simulated network analysis approach.<br />Results: A significant positive correlation was found between the total ACEs score and depression score (r = 0.181, P < 0.001). In the non-ACEs group, "I can laugh and see the funny side of things" was the core and most bridge symptoms, as well as the targeted intervention symptom for aggravating the depressive symptoms. In the ACEs group, "I feel cheerful" emerged as the core and most bridge symptoms, while "I look forward with enjoyment to things" was identified as the targeted intervention symptom for aggravating the depressive symptoms. "I still enjoy the things I used to enjoy" was recognized as a targeted symptom for alleviating depressive symptoms in both groups.<br />Conclusion: This study underscores the nuanced relationship between ACEs and antenatal depression, underscoring the need for tailored mental health interventions that consider the history of childhood adversity among pregnant women.<br /> (Copyright © 2025 Elsevier B.V. All rights reserved.) |
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| ISSN: | 1573-2517 |
| DOI: | 10.1016/j.jad.2025.119960 |