Poor Dietary Diversity Is Associated With Postpartum Depression: A Cross-Sectional Study

Abstract Objectives Postpartum depression (PPD), a major maternal health concern, gives negative effects on women health, child development and family well-being. Recently, diet quality has emerged as a possible preventative measure in ameliorating PPD, however the evidence-base exploring this association is immature. The aim of this study was to investigate the association between diet diversity and depression of postpartum women. Methods A cross-sectional study was conducted on 554 postpartum women who set up files after delivery within 2 years at 10 community health service centers in Beijing from July to September 2017. The Edinburgh Postnatal Depression Scale(EPDS) in Chinese version was used to access the status of depression. Dietary intake was determined using a semi-quantitative food frequency questionnairea (FFQ). Dietary diversity score (DDS) was calculated based on scoring to the eight-food groups with frequency according to the Chinese Dietary Guidelines (2016). DDS ranged from 0–32, and was classified into two groups: low (≤26.5) and high (>26.5). Logistic regression models were used to estimate relationships between DDS and PPD. Results A total of 163 women (29.4%) were depressed above the EPDS cut-off score (≥ 13 scores). Mean (±-s.d.) of DDS was 27.9 ± 3.4. 28.7% of the subjects (n = 159) had low DDS and 71.3% (n = 481) had high DDS. After statistical adjustment for age and society correlation factors, lower DDS was significantly associated with PPD ([aOR] = 1.81, 95% [CI] = 1.13 - 2.89). Conclusions The present study found that low DDS, which means poor dietary diversity was associated with PPD in Chinese women after delivery within 2 years. Funding Sources This study was funded by grants from Chinese Academy of Medical Sciences Innovation Fund for Medical Sciences (2019-I2M-2-007).

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Low Consumption of Vegetables Is Associated with Postpartum Depression: A Cross Section Study

Current Developments in Nutrition ◽

10.1093/cdn/nzaa054_184 ◽

2020 ◽

Vol 4 (Supplement_2) ◽

pp. 1112-1112

Author(s):

Jian Zhao

Keyword(s):

Postpartum Depression ◽

Depression Scale ◽

Evidence Base ◽

Cross Sectional Study ◽

Health Concern ◽

Postpartum Women ◽

Food Groups ◽

Medical Sciences ◽

Cross Sectional ◽

Low Consumption

Abstract Objectives Postpartum depression (PPD) is a critical public health concern, giving negative effects on women health and child development. Recently, diet quality has emerged as a possible preventative measure in ameliorating PPD, however the evidence-base exploring this association is immature. The aim of this study was to examine the association between consumption of food groups and depression of postpartum women within 2 years. Methods A cross-sectional study was conducted on 554 postpartum women who set up files after delivery within 2 years at 10 community health service centers in Beijing from July to September 2017. The Edinburgh Postnatal Depression Scale(EPDS) and a validated food frequency questionnaire (FFQ) were used to measure the status of depression and the consumption of food groups. The association of certain food groups with PPD were estimated by logistic regression. Results A total of 163 women (29.4%) were depressed above the EPDS cut-off score (≥13 scores). Lower consumption of vegetables and fruits were found in 59.0% and 63.5% of postpartum women separately. Meanwhile, higher consumption of meat and eggs were found in 68.6% and 63.4% of postpartum women separately. After statistical adjustment for age and society correlation factors, low consumption of vegetables (adjusted odds ratio [aOR] = 1.98, 95% confidence interval [CI] = 1.16–3.38) was significantly associated with PPD. Conclusions Low consumption of vegetables was associated with PPD. Funding Sources This study was funded by grants from Chinese Academy of Medical Sciences Innovation Fund for Medical Sciences.

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Relationship between postpartum depression and lactation status at a Japanese perinatal center: A cross-sectional study

F1000Research ◽

10.12688/f1000research.20704.2 ◽

2020 ◽

Vol 8 ◽

pp. 1845 ◽

Cited By ~ 1

Author(s):

Shunji Suzuki

Keyword(s):

Postpartum Depression ◽

Exclusive Breastfeeding ◽

Edinburgh Postnatal Depression Scale ◽

Depression Scale ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Face To Face ◽

Perinatal Center ◽

Feeding Methods

Background: Some studies have demonstrated that breastfeeding can protect mothers from postpartum depression; therefore, we examined the association between postpartum depression and lactation status at one month after delivery at a Japanese perinatal center. Methods: We reviewed the obstetric records of all (total 809) nulliparous healthy women with vaginal singleton delivery at 37-41 weeks’ gestation at our institute between July 2018 and June 2019. A face-to-face interview with the women was conducted on admission for delivery to ask whether or not they hoped to perform exclusive breastfeeding for their babies, and an additional interview was conducted one month after delivery to ask about their feeding methods currently. Maternal mental status was examined based on the scores using the Edinburgh Postnatal Depression Scale (EPDS), and women with EPDS scores of ≥9 points were regarded as ‘positive screening’. Results: 592 women (73.1%) hoped to perform exclusive breastfeeding for their babies on admission. Of these, at one month, 442 (74.7%) performed exclusive breastfeeding, while 150 (25.3%) performed mixed or artificial feeding. The average EPDS scores and the incidence of EPDS scores ≥9 points in the women performing exclusive breastfeeding were 4.3 ± 3.6 and 14.3% (63/442), respectively. They did not differ from those in the women performing mixed or artificial breast feeding [4.2 ± 3.7, p = 0.60 and 13.3% (20/150), p = 0.78]. Conclusion: Development of postpartum depression does not seem to be associated with incomplete breastfeeding at our hospital, and therefore there are other risk factors indicated in the development of postpartum depression.

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Associations between physical behaviour patterns and levels of depressive symptoms, anxiety and well-being in middle-aged adults: a cross-sectional study using isotemporal substitution models

BMJ Open ◽

10.1136/bmjopen-2017-018978 ◽

2018 ◽

Vol 8 (1) ◽

pp. e018978 ◽

Cited By ~ 12

Author(s):

Christina B Dillon ◽

Elaine McMahon ◽

Grace O’Regan ◽

Ivan J Perry

Keyword(s):

Depressive Symptoms ◽

Sedentary Behaviour ◽

Depression Scale ◽

Well Being ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Physical Behaviour ◽

Light Activity ◽

Middle Aged Adults

ObjectiveTo examine the compositional effects of physical behaviour on mental health.DesignCross-sectional study.SettingA population-representative random sample (Mitchelstown cohort) was recruited from a large primary care centre in Mitchelstown, County Cork, Ireland.ParticipantsIn total 3807 potential participants were selected from the practice list. Following exclusion of duplicates, deaths and ineligibles, 3043 were invited to participate and of these, 2047 (49.2% men) completed the questionnaire and physical examination components of the baseline assessment during the study period (April 2010 and May 2011). Accelerometers were introduced into the study in January 2011. Of the 745 participants seen between January and May of 2011, 475 (44.6% men) subjects (response rate 64%) agreed to participate and of these 397 (46.1% men) had valid accelerometer data.Primary and secondary outcome measuresParticipants wore the wrist GENEActiv accelerometer for 7 consecutive days. Data were summarised into 60 s epochs and activity categorised as sedentary behaviour, light or moderate-to-vigorous physical activity (MVPA). Levels of depressive and anxiety symptoms were assessed using the Centre for Epidemiologic Studies Depression scale and the Hospital Anxiety and Depression Scale. Well-being was assessed using the WHO-5 well-being scale.ResultsIn adjusted isotemporal models, a 30 min increase in light activity per day was associated with a significant decrease in levels of anxiety symptoms (B=−0.34; 95% CI −0.64 to −0.04) and a significant increase in levels of well-being (B=0.58; 95% CI 0.05 to 1.11). No statistically significant associations were observed between any physical behaviour and depressive symptoms or when sedentary behaviour was substituted with MVPA (P>0.05).ConclusionAlthough based on a cross-sectional study, the findings suggest that substituting light activity for sedentary behaviour may have positive associations with symptoms of anxiety and reported well-being among middle-aged adults.

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Prevalence of Postpartum Depression Among Lactating Mothers of Infant Twins and Singletons in Igboora, Oyo State, Nigeria

Current Developments in Nutrition ◽

10.1093/cdn/nzab046_071 ◽

2021 ◽

Vol 5 (Supplement_2) ◽

pp. 774-774

Author(s):

Oluwatosin Leshi ◽

Christianna Rotimi-Williams ◽

Olajumoke Leshi

Keyword(s):

Postpartum Depression ◽

Depression Scale ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Funding Sources ◽

Breastfeeding Practices ◽

Lactating Mothers ◽

The Mean ◽

Source Of Information

Abstract Objectives The objective to assess the prevalence of postpartum depression among lactating mothers of infant twins and singletons in Igboora, Oyo state, Nigeria. Methods The cross-sectional study was carried out in Igboora, a twinning community in south western Nigeria. Snowballing technique was used to reach 85 and 90 mothers of twins and singletons respectively. Interview based questionnaires were administered to the mothers to assess their breastfeeding practices and Edingburgh Postpartum Depression Scale was used to assess depression. Analysis was done using IBM-SPSS version 21.0. Student T-test was be used to compare the mean score of postpartum depression for single mothers and twin mothers at p < 0.05. Results About 6 out of every ten respondents (55.6% for singleton; 64.7% for twins) had received previous education on breastfeeding and the main major source of information was hospital settings (55.6% for mothers of singletons and 61.2% for twin mothers). Twenty-seven and 36.5% of mothers of singletons and twins respectively indicated to have received adequate support from their spouses and mothers-in-law. Less than half (44.8% singletons; 44.7% twins) of the mothers-initiated breastfeeding within one hour of birth while majority of the mothers (94.4% for singletons and 83.5% for twins) introduced colostrum to their babies, just about half; 51.1% and 55.3% of the mothers of singletons and twins respectively introduced prelacteal feed to their children. Overall, breastfeeding was found to be better practiced among mothers of singletons than mothers of twins with less than half (48.2%) of the mothers reporting good breastfeeding practices while about two-thirds (64.4%) of the mothers of singletons had good breastfeeding practices. Mothers of singletons were more depressed than the mothers of twins (21.1% and 11.8% respectively). However, no significant association was observed between postpartum depression and breastfeeding practices among both the mothers of singletons and twins in this study. Conclusions Increased prevalence of postpartum depression was recorded among the respondents, mothers of singletons are more likely to have postpartum depression than mothers of twins. Funding Sources There was no funding for this study.

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Determination of the Prevalence of Postpartum Depression and Risk Factors Among Postpartum Patients at a Tertiary Government Urban Hospital Using the Edinburgh Postnatal Depression Scale-Filipino Translation (EPDS-F): A Cross-Sectional Study

10.21203/rs.3.rs-34244/v1 ◽

2020 ◽

Author(s):

Maria Carmina Lorenzana Santiago ◽

Maria Antonia Esteban Habana

Keyword(s):

Risk Factors ◽

Regression Analysis ◽

Postpartum Depression ◽

Postnatal Depression ◽

Edinburgh Postnatal Depression Scale ◽

Mode Of Delivery ◽

Depression Scale ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

Abstract Background Postpartum depression (PPD) occurs in 10-15% of deliveries worldwide. Unfortunately there is a dearth of local studies on its exact prevalence. Method This cross-sectional study aimed to determine the prevalence of and risk factors for PPD among postpartum patients at a tertiary government hospital using the Edinburgh Postnatal Depression Scale-Filipino Translation (EPDS-F), a 10-point questionnaire translated into Filipino and previously validated. Four hundred patients within 8 weeks postpartum were recruited and their EPDS-F scores and sociodemographic, medical and personal history, and delivery and perinatal outcome data were obtained. Results The overall prevalence of PPD was 14.5%, which is within the known worldwide prevalence. Among those that had family incomes below PhP10,000, the proportion that had high EPDS-F scores was 68.8%, while those that had low EPDS-F scores was 48.8% (significant at p=0.001). Among those that finished below tertiary education, the proportion that had high EPDS-F scores was 81%, while those that had low EPDS-F scores was 59.9% (significant at p=0.002). Among those who delivered vaginally, 62.1% had high EPDS-F scores vs 44.2% low EPDS-F (p=0.03). Of those that had epidural anesthesia (106 or 26.5%), 44.8% had high EPDS scores and 26.0% had low EPDS-F scores (p=0.04). Regression analysis showed that having an abdominal delivery is correlated with a lower EPDS-F score by 0.87% by logistic regression and 0.46 % by probit regression. Having a higher educational attainment and monthly income are associated with a lower EPDS-F score by regression analysis. Conclusions The prevalence may be skewed because a tertiary government institution caters to delicate pregnancies and those in low socioeconomic brackets. It may be worthwhile to compare responses from a public versus a private institution, also urban versus rural areas. It would be interesting also to evaluate the mode of delivery variable and how exactly it correlates with the development of postpartum depression.

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Incidence and predictors of postpartum depression among postpartum mothers in Kuala Lumpur, Malaysia: A cross-sectional study

PLoS ONE ◽

10.1371/journal.pone.0259782 ◽

2021 ◽

Vol 16 (11) ◽

pp. e0259782

Author(s):

Mohd Izzuddin Hairol ◽

Sha’ari Ahmad ◽

Sharanjeet Sharanjeet-Kaur ◽

Lei Hum Wee ◽

Fauziah Abdullah ◽

...

Keyword(s):

Postpartum Depression ◽

Household Income ◽

Depression Scale ◽

Cross Sectional Study ◽

Health Clinic ◽

Kuala Lumpur ◽

Sectional Study ◽

Cross Sectional ◽

Socioeconomic Characteristics ◽

Postpartum Mothers

Postpartum depression (PPD) is one of the mental health complications that may arise following childbirth. This cross-sectional study explores the association between socioeconomic factors and PPD literacy with PPD incidence in 350 participants (mean age: 30.58±4.72 years) at one to six months postpartum, who attended the Kuala Lumpur Health Clinic from May to October 2020. PPD incidence and literacy were assessed using the validated Malay versions of the Edinburgh Postpartum Depression Scale (EPDS) and the Postpartum Depression Literacy Scale (PoDLiS), respectively. The participants’ socioeconomic characteristics were collected using a self-administered questionnaire. Chi-square tests were performed to determine the association between these factors and PPD incidence. Binary logistic regression models were used to determine the odds ratios (OR). The incidence of postpartum depressive symptoms was 14.29%. Those with low household income were twice likely to have PPD symptoms (OR:2.58, 95% CI:1.23–5.19; p = 0.01) than those with higher incomes. Unemployment (i.e., participants who were housewives/homemakers) was associated with higher PPD incidence (Χ2(2, 350) = 6.97, p = 0.03), but it was not a significant PPD predictor. In conclusion, PPD incidence in the sample of Kuala Lumpur postpartum mothers is significantly associated with low household income. Other socioeconomic characteristics, including PPD literacy, were not significant predictors of PPD incidence.

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Postpartum Depression in a Public Hospital in Cyprus. Prevalence, Risk Factors

European Psychiatry ◽

10.1016/j.eurpsy.2017.01.2018 ◽

2017 ◽

Vol 41 (S1) ◽

pp. S155-S155

Author(s):

K. Argyropoulos ◽

G. Andreou ◽

D. Avramidis ◽

P. Gourzis ◽

G. Charalambous ◽

...

Keyword(s):

Risk Factors ◽

At Risk ◽

Postpartum Depression ◽

Depression Scale ◽

Well Being ◽

Cross Sectional Study ◽

Health Condition ◽

Long Term Effects ◽

Cross Sectional ◽

Screening Programs

IntroductionPostpartum depression (PPD) is a serious mental health condition. Untreated PPD places the mother and infant at risk and is associated with significant long-term effects on child development and behavior.ObjectivesAppropriate screening for and prompt recognition and treatment of depression after the birth of a child are essential for maternal and child well-being.AimsThe purpose of the present study was to estimate the prevalence of PPD in the first 5 days after the birth of a neonate and to investigate associations with several risk factors.MethodsA cross-sectional study was conducted among 150 mothers, in a public obstetric hospital in Nicosia, Cyprus. A questionnaire was administered including socio-demographic characteristics. The Greek version of the Edinburgh postnatal depression scale (EPDS), a 10–item questionnaire to identifying women who are at risk of PPD, was used to estimate depression among the participants.ResultsAccording to EPDS, 42% of the mothers screened positive for risk of developing PPD. Higher risk was observed in very young mothers (<20 years) (66.6% vs 15%), in women with history of psychological disorders (86.95% vs 33.85%), in single mothers (71.69% vs 22.8%), in women with serious problems during the pregnancy (74% vs 23.95%) and in mothers with not healthy neonate (75.7% vs 32.4%).ConclusionThe study reveals a high prevalence of PPD and identifies various risk factors associated with developing PPD. The use of maternal depression screening programs such as the EPDS may help to recognize an elevated risk of postpartum depression and to ensure a healthier mother-child relationship.

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Impact of postpartum depression on quality of life

European Psychiatry ◽

10.1016/j.eurpsy.2017.01.1844 ◽

2017 ◽

Vol 41 (S1) ◽

pp. s901-s902 ◽

Cited By ~ 2

Author(s):

R. Feki ◽

I. Feki ◽

D. Trigui ◽

I. Baâti ◽

R. Sallemi ◽

...

Keyword(s):

Quality Of Life ◽

Postpartum Depression ◽

Depression Scale ◽

Well Being ◽

World Health ◽

Postpartum Women ◽

Cross Sectional ◽

World Health Organization Quality ◽

The Mean

IntroductionWomen during the postpartum period experience many physiological, psychological, and social changes. Quality of life (QOL) is a sense of well-being and arises from satisfaction or dissatisfaction with various aspects of life including health, employment, socioeconomic state, psychological-emotional state, and family.ObjectivesThe purpose of this study was to identify influence of childbirth experience and postpartum depression on QOL.MethodsThis is a descriptive cross-sectional study regarding 150 postpartum women receiving cares in the hospital of Sfax and examined during the first and the sixth week post-delivery. Data collection tools in this study were demographic questionnaire, Edinburgh Postnatal Depression Scale (EPDS), and world health organization quality of life-bref (WHOQOL-bref). Data were analyzed using SPSS.ResultsThe mean age of our sample (n = 150) was 29.61 years. During the sixth week study period, 126 of 150 were examined.A personal psychiatric history of depression was found in 9.3% of cases.The current pregnancy was undesired in 15.3% of cases.The prevalence of postpartum depression in the first week was 14.7% and 19.8% in the sixth week after delivery.The mean score of quality of life was 81.62 ± 9.09.Scores of quality of life and all its dimensions were significantly lower in depressive women.ConclusionBecause enormous changes develop in postpartum women, we suggest supportive measures for mother by her mother-in-law family, and caregivers to improve the QOL and health status of the mother and her child and to prevent postpartum depression.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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