Table 2. The Relative Risk of Preelampsia for Women with Untreated Depression, Depression and Receiving Psychotherapy, Antidepressant Exposure and No Depression, Antidepressant Exposure and Depression, and Timing of Antidepressant Exposure, Among 21,589 pregnant womem in Kaiser Permanente Northern California, between 2010 and 2012.
Total n | Preeclampsia n (%) | cRRa | 95%CI | aRRb,c | 95%CI | cRR | 95%CI | aRRc | 95%CI | cRR | 95%CI | aRRc | 95%CI | |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Antidepressant exposure and depression | 1732 | 120 (6.9) | 1.62 | 1.33 - 1.98 | 1.37 | 1.06-1.76 | 1.71 | 1.24 - 2.37 | 1.29 | 0.87 - 1.92 | 1.68 | 1.26 - 2.25 | 1.63 | 1.17-2.28 |
First trimester user only | 580 | 25 (4.3) | 0.98 | 0.65 - 1.48 | 0.76 | 0.49-1.19 | 1.04 | 0.64 - 1.68 | 0.74 | 0.43 - 1.27 | 1.02 | 0.65 - 1.61 | 0.94 | 0.57-1.54 |
Second trimester user ever | 1152 | 95 (8.2) | 1.96 | 1.57 - 2.45 | 1.7 | 1.30-2.23 | 2.07 | 1.47 - 2.91 | 1.6 | 1.06-2.41 | 2.03 | 1.50 - 2.76 | 2.05 | 1.44-2.91 |
Antidepressant exposure and no depression | 149 | 4 (2.7) | 0.6 | 0.22 - 1.63 | 0.53 | 0.19 - 1.44 | 0.64 | 0.23 - 1.78 | 0.49 | 0.17-1.42 | 0.62 | 0.23 - 1.73 | 0.61 | 0.22-1.71 |
First trimester user only | 91 | 0 (0) | - | - | - | - | - | - | - | - | - | - | - | - |
Second trimester user ever | 58 | 4 (6.9) | 1.62 | 0.58 - 4.47 | 1.34 | 0.48-3.79 | 1.71 | 0.60 - 4.87 | 1.29 | 0.44-3.79 | 1.68 | 0.59 - 4.74 | 1.56 | 0.54-4.55 |
Depression and psychotherapy | 1961 | 83 (4.2) | 0.96 | 0.76 - 1.22 | 0.8 | 0.61-1.04 | 1.02 | 0.72 - 1.44 | 0.83 | 0.57 - 1.22 | ref | ref | ref | ref |
Untreated depression | 1345 | 56 (4.2) | 0.95 | 0.72 - 1.25 | 0.95 | 0.71 - 1.27 | ref | ref | ref | ref | ||||
No depression | 16402 | 719 (4.4) | ref | ref | ref | ref |
cRR = crude Relative Risk
aRR = adjusted Relative Risk
adjusted for Pre-pregnancy BMI, maternal age, race/ethnicity, marital status, parity, alcohol use, smoking, diabetes, other indications for antidepressant medications, other mental health diagnoses