Aim: To determine the prevalence of anxiety-depressive symptomatology and associated risk factors in a population of pregnant women in the low-income neighborhood of Roquetes (Barcelona, Spain).

Design: Quasi-experimental, cross-sectional study.

Location: The study was carried out at the Primary Care Center, Roquetes Canteres, Barcelona.

Participants: Between 2015 and 2017, all pregnant women who visited the Sexual and Reproductive Care Team in Primary Care (ASSIR) or their Family Physician (FP) were invited to take part in a study if they met the following criteria: (a) over 18 years old (b) able to understand in any of the 4 study languages. Of a total of 239 gestating women, 19 declined to participate, 14 moved away from the area and 16 underwent voluntary termination of pregnancy, leaving a sample of 190 subjects.

Material and methods: The Edinburgh Postnatal Depression Scale (EPDS) was used to detect depressive symptomatology, the State-Trait Anxiety Inventory (STAI) was used to assess anxiety, and a sociodemographic data questionnaire was administered. Once all descriptive demographic data from the whole sample was analyzed, baseline clinical and demographic characteristics were compared using the independent t-test for continuous variables and the chi-squared analysis for categorical variables.

Results: The t-test showed that 48% of pregnant women presented an at-risk degree of anxiety-depressive symptomatology, double that found in the general population. Applying a chi-squared test to the at-risk and non-risk groups revealed associated prenatal risk factors including: having a history of violence; living in a rented room, mistreatment in infancy and mental health issues. The ROC curves analysis obtained a cutoff point score of 4 Accumulated Associated Factors (AAF) (AUC 0.765, p < .001, 57% sensitivity and 79% specificity).

Conclusions: Our study shows that rates of anxiety-depressive symptomatology in a population with considerable socio-economic deprivation can more than double. AAF in the population at risk of anxiety and depression were detected, highlighting the need to allocate resources to identification and prevention during pregnancy. This requires the involvement of a multidisciplinary, professional team with a biopsychosocial perspective.

目的：确定罗凯特斯（Roquetes）低收入社区（西班牙巴塞罗那）孕妇人群中焦虑抑郁症状的发生率及相关危险因素。

设计：准实验性横断面研究。

地点：这项研究是在巴塞罗那Roquetes Canteres的初级保健中心进行的。

参与者： 2015年至2017年期间，所有访问过初级保健性与生殖保健小组（ASSIR）或其家庭医生（FP）的孕妇均应参加研究，前提是她们符合以下标准：（a） 18岁（b）能够使用4种学习语言中的任何一种进行理解。在总共239名妊娠妇女中，有19名拒绝参加，有14名妇女离开该地区，有16名自愿终止妊娠，剩下190名受试者。

材料和方法：爱丁堡产后抑郁量表（EPDS）用于检测抑郁症状，状态特质焦虑量表（STAI）用于评估焦虑，并进行社会人口统计学数据问卷调查。一旦分析了来自整个样本的所有描述性人口统计学数据，便使用独立t检验对连续变量进行了比较，并对基线临床和人口统计学特征进行了比较，对分类变量进行了卡方分析。

结果： t检验显示48％的孕妇表现出焦虑抑郁症状的高风险程度，是普通人群的两倍。对高危人群和非高危人群进行卡方检验可发现相关的产前危险因素，包括：有暴力史；住在租住的房间，婴儿期的虐待和心理健康问题。ROC曲线分析获得了4个累积相关因子（AAF）的临界点得分（AUC 0.765，p  <.001，灵敏度为57％，特异性为79％）。

结论：我们的研究表明，在社会经济匮乏的人群中，焦虑抑郁症状的发生率可以增加一倍以上。在处于焦虑和抑郁风险中的人群中发现了AAF，这突出表明需要分配资源以在怀孕期间进行识别和预防。这需要具有生物心理学视角的多学科专业团队的参与。