DEPRESSION, ANXIETY, STRESS IN THE THIRD TRIMESTER OF PREGNANCY AND THE RELATIONSHIP WITH HUSBAND/PARTNER
Main Article Content
Abstract
Objectives: 1) To determine the prevalence of symptoms of depression, anxiety, and stress in pregnant women during the last trimester of pregnancy using the DASS-21 scale; 2) To investigate the association between the husband/partner relationship and depression, anxiety, stress in pregnant women during the third trimester of pregnancy.
Subjects and Methods: This was a cross-sectional descriptive study on 232 pregnant women in their third trimester of pregnancy at Hue University of Medicine and Pharmacy Hospital and Hue Central Hospital from July 2024 to May 2025.
Results: Anxiety symptoms were the most common manifestations, with a prevalence of 22,8%, while depression and stress were less frequent, with similar rates 6,5%. Relationship characteristics with a husband/partner associated with depression, anxiety, and stress in the third trimester of pregnant women (p<0,05) included: a negative overall assessment of the relationship, disagreements, violence, and lack of support.
Conclusion: Screening for depression, anxiety, and stress is essential in prenatal care. Relationships with husbands/partners are statistically significantly associated with depression, anxiety, and stress in women during the third trimester of pregnancy.
Article Details
Keywords
Depression, anxiety, stress, pregnant women, third trimester.
References
2. Chauhan A, Potdar J. Maternal Mental Health During Pregnancy: A Critical Review. Cureus. 2022;14(10):e30656.doi:10.7759/cureus.30656.
3. Nasreen HE, Kabir ZN, Forsell Y, Edhborg M. Prevalence and associated factors of depressive and anxiety symptoms during pregnancy: a population based study in rural Bangladesh. BMC Womens Health. 2011;11:22.doi:10.1186/1472-6874-11-22.
4. Aziz HA, Yahya HDB, Ang WW, Lau Y. Global prevalence of depression, anxiety, and stress symptoms in different trimesters of pregnancy: A meta-analysis and meta-regression. J Psychiatr Res. 2025;181:528-46.doi:10.1016/j.jpsychires.2024.11.070.
5. Alqahtani AH, Al Khedair K, Al-Jeheiman R, Al-Turki HA, Al Qahtani NH. Anxiety and depression during pregnancy in women attending clinics in a University Hospital in Eastern province of Saudi Arabia: prevalence and associated factors. Int J Womens Health. 2018;10:101-8.doi:10.2147/ijwh.S153273.
6. Dunkel Schetter C, Tanner L. Anxiety, depression and stress in pregnancy: implications for mothers, children, research, and practice. Curr Opin Psychiatry. 2012;25(2):141-8.doi:10.1097/YCO.0b013e3283503680.
7. Glover V. Maternal depression, anxiety and stress during pregnancy and child outcome; what needs to be done. Best Pract Res Clin Obstet Gynaecol. 2014;28(1):25-35.doi:10.1016/j.bpobgyn.2013.08.017.
8. Neggers Y, Goldenberg R, Cliver S, Hauth J. The relationship between psychosocial profile, health practices, and pregnancy outcomes. Acta Obstet Gynecol Scand. 2006;85(3):277-85.doi:10.1080/00016340600566121.
9. Wadhwa PD, Entringer S, Buss C, Lu MC. The contribution of maternal stress to preterm birth: issues and considerations. Clin Perinatol. 2011;38(3):351-84.doi:10.1016/j.clp.2011.06.007.
10. Phạm Thị Thu Phương, Đặng Thị Minh Trang, Thái Thanh Trúc. Trầm cảm, lo âu và các yếu tố liên quan ở phụ nữ mang thai tại thành phố Hồ Chí Minh. Tạp chí Y học Thành phố Hồ Chí Minh. 2020;24(1):64-72.
11. Nguyễn Thiện Phương, Nguyễn Thị Thu Thủy, Hồ Thị Vi, và cộng sự. Trầm cảm ba tháng cuối thai kỳ và các yếu tố liên quan. Tạp chí Phụ sản 2020;18(2):30-6.doi:10.46755/vjog.2020.2.1106.
12. Redinger S, Pearson RM, Houle B, Norris SA, Rochat TJ. Antenatal depression and anxiety across pregnancy in urban South Africa. J Affect Disord. 2020;277:296-305.doi:10.1016/j.jad.2020.08.010.
13. Lovibond SH, Lovibond PF. Manual for the Depression Anxiety Stress Scales. 2nd ed. Sydney, Australia: Psychology Foundation1995.
14. Tran TD, Tran T, Fisher J. Validation of the depression anxiety stress scales (DASS) 21 as a screening instrument for depression and anxiety in a rural community-based cohort of northern Vietnamese women. BMC Psychiatry. 2013;13:24.doi:10.1186/1471-244x-13-24.
15. Van Nguyen H, Laohasiriwong W, Saengsuwan J, Thinkhamrop B, Wright P. The relationships between the use of self-regulated learning strategies and depression among medical students: an accelerated prospective cohort study. Psychol Health Med. 2015;20(1):59-70.doi:10.1080/13548506.2014.894640.
16. Davis D, Sheehy A, Nightingale H, de Vitry-Smith S, Taylor J, Cummins A. Anxiety, stress, and depression in Australian pregnant women during the COVID-19 pandemic: A cross sectional study. Midwifery. 2023;119:103619.doi:10.1016/j.midw.2023.103619.
17. Nhị TT, Hạnh NTT, Gammeltoft TM. Emotional violence and maternal mental health: a qualitative study among women in northern Vietnam. BMC Womens Health. 2018;18(1):58.doi:10.1186/s12905-018-0553-9.
18. Alan Dikmen H, Tetikçok CO. The effect of physical and emotional partner violence exerted during pregnancy on prenatal attachment and depression levels in pregnant women. Dev Psychobiol. 2023;65(7):e22429.doi:10.1002/dev.22429.