Table 3.
Multivariate logistic regression analysis for four triage models for mental disorders during pregnancy
| Model 1 | Model 2 | Model 3 | Model 4 | |||||
|---|---|---|---|---|---|---|---|---|
| Psychiatric items (short set) 2 | OR | (95% CI) | ||||||
| Hospital admission for mental disorder ever (women herself) | ||||||||
| No (REF) | 1 | |||||||
| Yes | 1.23 | (0.52 - 2.89) | ||||||
| Hospital admission of a first-degree relative for mental disorder ever | ||||||||
| No (REF) | 1 | |||||||
| Yes | 1.05 | (0.50 - 2.19) | ||||||
| Psychotropic medication use ever | ||||||||
| No (REF) | 1 | |||||||
| Yes | 7.96 | (4.59 - 13.80) | ||||||
| Psychiatric items (intermediate set) 3 | ||||||||
| OR | (95% CI) | OR | (95% CI) | OR | (95% CI) | |||
| Traumatic experience ever | ||||||||
| No (REF) | 1 | 1 | 1 | |||||
| Yes | 3.00 | (1.58 - 5.70)** | 2.78 | (1.36 - 5.64)** | 1.89 | (0.91 - 3.90) | ||
| Feelings of a depressed mood ever | ||||||||
| No (REF) | 1 | 1 | 1 | |||||
| Yes | 3.57 | (1.83 - 6.96)** | 2.31 | (1.10 - 4.85)* | 3.58 | (1.74 - 7.39)** | ||
| Panic attac ever | 1 | 1 | 1 | |||||
| No (REF) | 1 | 1 | 1 | |||||
| Yes | 2.59 | (1.35 - 4.94)** | 2.50 | (1.23 - 5.10)* (1.23 - 5.10) | 3.57 | (1.75 - 7.28)** | ||
| Current psychiatric symptoms | 1 | 1 | 1 | |||||
| No (REF) | 1 | 1 | 1 | |||||
| Yes | 5.08 | (2.07 - 12.46)** | 2.44 | (0.89 - 6.68) | 4.56 | (1.80 - 11.53)** | ||
| Current severe depressive or anxious symptoms | 1 | 1 | 1 | |||||
| No (REF) | 1 | 1 | 1 | |||||
| Yes | 2.40 | (1.00 - 5.76) | 0.73 | (0.25 - 2.11) | 2.38 | (0.95 - 5.98) | ||
| Psychiatric items (extended set) 3 | OR | (95% CI) | ||||||
| Edinburgh Depression Scale score4 | 1.26 | (1.16 - 1.37) | ||||||
| Psychosocial items (comprehensive set) 3 | OR | (95% CI) | ||||||
| Sexual or physical abuse5 | 1 | |||||||
| No (REF) | 5.87 | (1.88 - 18.27)** | ||||||
| Yes | ||||||||
| Alcohol consumption during pregnancy6 | ||||||||
| No (REF) | 1 | |||||||
| Yes, untill pregnancy was known | 1.10 | (0.57 - 2.15) | ||||||
| Yes, still | 9.13 | (1.78 - 46.74)** | ||||||
| Unplanned pregnancy | ||||||||
| No (REF) | 1 | |||||||
| Yes | 3.00 | (1.52 - 5.90)** | ||||||
1 Diagnosis based on Structured Clinicial Interview of DSM-IV disorders axis I and II (SCID I and SCID II).
2 all determinants were entered.
3 stepwise backwards logistic regression, last step of the regression model is reported.
4 Including 10 items.
5 Defined as current sexual/physical abuse, or still suffering from a past history of sexual/physical abuse.
6 Defined as consuming at least one glass of alcohol a week.
*p < 0.05, **p < 0.01.
Model 1, short set of 3 items , x² = 75.3, p < 0.001. Nagelkerke's R² = 0.276, HL (Hosmer & Lemeshow) = 6.312.
Model 2, intermediate set of 5 items, x² = 171.1, p < 0.001. Nagelkerke's R² = 0.547, HL = 1.454.
Model 3, intermediate ste + Edinburgh Depression Scale, together: extended set of 15 items, x² = 210.1, p < 0.001. Nagelkerke's R² = 0.637, HL = 6.432.
Model 4, intermediate set + 3 psychosocial items, together: comprehensive set of 8 items, x² = 199.9, p < 0.001. Nagelkerke's R² = 0.615, HL = 14.566.