Determinants of depressive symptoms in the early weeks after miscarriage

R. Neugebauer, J. Kline, P. O'Connor, P. Shrout, J. Johnson, A. Skodol, J. Wicks, M. Susser

Research output: Contribution to journalArticle

Abstract

Objectives. We tested whether and under what conditions miscarriage increases depressive symptoms in the early weeks following loss. Methods. We interviewed 232 women within 4 weeks of miscarriage and 283 pregnant women and 318 community women who had not recently been pregnant. Depressive symptoms were measured with the Center for Epidemiologic Studies Depression (CES-D) Scale. Results. Among women who had miscarried, the proportion who were highly symptomatic on the CES-D was 3.4 times that of pregnant women and 4.3 times that of community women. Among childless women, the proportion of women who had miscarried who were highly symptomatic was 5.7 times that of pregnant women and 11.0 times that of community women. Women who had miscarried were equally depressed regardless of length of gestation; among pregnant women, depressive symptoms declined with length of gestation. Among women who had miscarried, symptom levels did not vary with attitude toward the pregnancy; among pregnant women, depressive symptoms were elevated in those with unwanted pregnancies. Prior reproductive loss and advanced maternal age (35+ years) were not associated with symptom levels in any cohort. Conclusions. Depressive symptoms are markedly increased in the early weeks following miscarriage. This effect is substantially modified by number of living children, length of gestation at loss, and attitude toward pregnancy.

Original languageEnglish (US)
Pages (from-to)1332-1339
Number of pages8
JournalAmerican journal of public health
Volume82
Issue number10
DOIs
StatePublished - Jan 1 1992

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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    Neugebauer, R., Kline, J., O'Connor, P., Shrout, P., Johnson, J., Skodol, A., Wicks, J., & Susser, M. (1992). Determinants of depressive symptoms in the early weeks after miscarriage. American journal of public health, 82(10), 1332-1339. https://doi.org/10.2105/AJPH.82.10.1332