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

Tamás Bödecs, Orsolya Máté, Boldizsár Horváth, Lajos Kovács, Zoltán Rihmer, Beata Sebestyen, Xenia Gonda, János Sándor

Research output: Contribution to journalArticle


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 insuffi cient 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 fi rst 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 signifi cantly, 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 signifi cant 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.

Original languageEnglish
Pages (from-to)102-108
Number of pages7
JournalInternational Journal of Psychiatry in Clinical Practice
Issue number2
Publication statusPublished - Jun 11 2010


  • Depressive symptoms
  • Folate-supplementation
  • Pregnancy
  • Self-esteem
  • Trait anxiety

ASJC Scopus subject areas

  • Psychiatry and Mental health

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