Discontinuation and re-initiation of antidepressants during pregnancy: A nationwide cohort study
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Noh, Yunha | - |
dc.contributor.author | Choe, Seung-Ah | - |
dc.contributor.author | Kim, Woo Jung | - |
dc.contributor.author | Shin, Ju-Young | - |
dc.date.accessioned | 2022-04-01T16:40:59Z | - |
dc.date.available | 2022-04-01T16:40:59Z | - |
dc.date.created | 2022-04-01 | - |
dc.date.issued | 2022-02-01 | - |
dc.identifier.issn | 0165-0327 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/139382 | - |
dc.description.abstract | Background: Women tend to discontinue antidepressants during pregnancy. We examined the rate of and factors associated with antidepressant discontinuation and re-initiation during pregnancy. Methods: We conducted a nationwide cohort study using Korea's healthcare database. The study cohort included women who were aged 15-50 years, gave birth during 2013-2017, had >1 depression diagnosis, >2 antidepressant prescriptions within 6 months (one within one month of preconception). Cox proportional hazards model was used to evaluate factors associated with antidepressant discontinuation and re-initiation during pregnancy. Results: Among 5207 pregnancies, 4954 (95.1%) discontinued antidepressants during pregnancy, which included 4657 (89.4%) in the first trimester, 1810 (38.9%) of whom re-initiated them during pregnancy or postpartum period. The risk of antidepressant discontinuation increased in women with substance-related disorders (HR 1.17, 95% CI 1.01-1.35), but decreased in women receiving medical aid (0.53, 0.46-0.62) and patients suggestive of severe depression, such as psychiatric comorbidities and long-term antidepressant use before pregnancy. Antidepressant re-initiation occurred frequently in medical aid recipients (1.25, 1.06-1.47), nulliparous women (1.11, 1.01-1.22), and women with severe symptoms. Conclusions: We found high rates of antidepressant discontinuation and re-initiation during pregnancy. Although women suggestive of severe symptoms were less likely to discontinue antidepressants during pregnancy, they were more likely to re-initiate them during their perinatal period, which warrants more detailed guidelines on perinatal depression. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | ELSEVIER | - |
dc.subject | RISK | - |
dc.subject | DEPRESSION | - |
dc.subject | EPISODE | - |
dc.subject | WOMEN | - |
dc.title | Discontinuation and re-initiation of antidepressants during pregnancy: A nationwide cohort study | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Choe, Seung-Ah | - |
dc.identifier.doi | 10.1016/j.jad.2021.10.069 | - |
dc.identifier.scopusid | 2-s2.0-85119412579 | - |
dc.identifier.wosid | 000744255200003 | - |
dc.identifier.bibliographicCitation | JOURNAL OF AFFECTIVE DISORDERS, v.298, pp.500 - 507 | - |
dc.relation.isPartOf | JOURNAL OF AFFECTIVE DISORDERS | - |
dc.citation.title | JOURNAL OF AFFECTIVE DISORDERS | - |
dc.citation.volume | 298 | - |
dc.citation.startPage | 500 | - |
dc.citation.endPage | 507 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | ssci | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Neurosciences & Neurology | - |
dc.relation.journalResearchArea | Psychiatry | - |
dc.relation.journalWebOfScienceCategory | Clinical Neurology | - |
dc.relation.journalWebOfScienceCategory | Psychiatry | - |
dc.subject.keywordPlus | RISK | - |
dc.subject.keywordPlus | DEPRESSION | - |
dc.subject.keywordPlus | EPISODE | - |
dc.subject.keywordPlus | WOMEN | - |
dc.subject.keywordAuthor | Pregnancy | - |
dc.subject.keywordAuthor | Depression | - |
dc.subject.keywordAuthor | Mental health | - |
dc.subject.keywordAuthor | Antidepressive agents | - |
dc.subject.keywordAuthor | Pharmacoepidemiology | - |
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