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International Journal of Psychiatry in Clinical Practice Volume 14, 2010 - Issue 2
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ORIGINAL ARTICLE

Barriers of antenatal folate-supplementation: The role of depression and trait-anxiety on periconceptional folate-intake

Tamás Bödecs Department of Health Visiting, Institute of Public Health, Recreation and Health Promotion, Faculty of Health Sciences, University of Pécs, Szombathely Campus, Hungary
,
Orsolya Máté Department of Public Health and Epidemiology, Institute of Public Health, Recreation and Health Promotion, Faculty of Health Sciences, University of Pécs, Pécs, Hungary
,
Boldizsár Horváth Department of Midwifery, Institute of Nursing and Patient Care, Faculty of Health Sciences, University of Pécs, Szombathely Campus, Hungary
,
Lajos Kovács Department of Obstetrics and Gynecology, Vas County Markusovszky Hospital, Szombathely, Hungary
,
Zoltán Rihmer Department of Clinical and Theoretical Mental Health, Semmelweis University, Faculty of Medicine, Budapest, HungaryCorrespondence[email protected]
,
Beata Sebestyen National Center for Healthcare Audit and Inspection, National Center of Public Health, Budapest, Hungary
,
Xenia Gonda Department of Clinical and Theoretical Mental Health, Semmelweis University, Faculty of Medicine, Budapest, Hungary; Department of Pharmacology and Pharmacotherapy, Faculty of Medicine, Semmelweis University, Budapest, Hungary
&
János Sándor Division of Biostatistics and Epidemiology, Department of Preventive Medicine, Faculty of Public Health, University of Debrecen, Hungary
 show all
Pages 102-108 | Received 14 May 2009, Accepted 12 Oct 2009, Published online: 08 Jan 2010
 
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Abstract

Objective. The aim of the research was to reveal the effect of antenatal depressive symptoms and trait-anxiety on folate supplementation. Higher levels of depression, and trait-anxiety were hypothesized to be associated with insufficient folate intake among pregnant women in early pregnancy. Methods. Level of depressive symptoms, trait-anxiety, self-esteem, social capital, self-related health, and demographic factors (age, number of siblings, marital, educational, employment, and socioeconomic-status) were established among 185 Hungarian women in the first trimester of their pregnancies. Depressive symptoms and trait-anxiety were evaluated with the Short Hungarian Version of the Beck Depression Inventory and the Hungarian version of the Spielberger State-Trait Anxiety Inventory form Y (STAI-Y). Results. The higher levels of both trait-anxiety and self-esteem decreased the folate-intake significantly, OR=0.925 (95%CI=0.863–0.991; P=0.026) and OR=0.897 (95%CI=0.808–0.996; P=0.041) while depressive symptoms did not have an effect on it. The lower level of education (less than 8 elementary years) had similar effects (OR=0.228 [95%CI=0.064–0.817], P=0,023). The lack of trust had a significant role too (P=0.043): those, who were distrustful with other people, also had a lower chance of supplementation (OR=0.620; 95%CI=0.390–0.986). Conclusions. The way to increase the openness towards folate-supplementation leads through the treatment of psychological disturbances and the restoration of social trust.

Acknowledgements

Our study was supported by research grant from the Hungarian Ministry of Health (ETT:137/2006.) The study sponsor had no role in study design, in the collection or analysis of data, or in the decision to submit the paper for publication.

Statement of interest: The authors have no conflict of interest with any commercial or other associations in connection with the submitted article.

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