scholarly journals Incidence of Postpartum Depression and Its Association With Antenatal Psychiatric Symptoms: A Longitudinal Study in 25 Villages of Rural South Karnataka

2021 ◽  
pp. 025371762199106
Author(s):  
Meera George ◽  
Avita Rose Johnson ◽  
Sulekha T.
Keyword(s):  
Longitudinal Study ◽  
Postpartum Depression ◽  
Psychiatric Disorders ◽  
Low Socioeconomic Status ◽  
Rural Women ◽  
Rural Areas ◽  
Psychiatric Symptoms ◽  
Depression Scale ◽  
Newborn Care ◽  
Care Program

Background: Postpartum depression (PPD) is the commonest mental health disorder post-childbirth, yet there is a paucity of data in rural areas regarding the actual incidence of PPD, which excludes pre-existing or antenatal depression. To estimate the incidence of PPD among rural women of south Karnataka and identify predictors of PPD, including antenatal psychiatric disorders. Methods: A longitudinal study in 25 villages in south Karnataka among 150 pregnant women in the third trimester of pregnancy using simple random sampling. Baseline data collected and revised Clinical Interview Schedule used to screen antenatal psychiatric disorders. Participants followed-up 6–8 weeks postpartum, end-line data collected, and Edinburg Postnatal Depression Scale administered. Chi-square and Fischer’s exact tests for association between PPD and covariates. Logistic regression to calculate adjusted odds ratios. Results: Prevalence of antenatal psychiatric disorders was 15.3%. The incidence of PPD was 11%. A significantly higher proportion of PPD was found among women with adverse events in the last year, low socioeconomic status, and perceived lack of care/support at home. Predictors of PPD were antenatal psychiatric disorders (AOR = 4.3, 95% CI = 1.22–5.11; P = 0.028), mothers reporting worry about their infant’s health (AOR = 7.7, 95% CI = 1.22–48.32; P = 0.012) and mothers receiving postpartum care by caregivers other than their own mother (AOR = 4.0, 95% CI = 1.13–8.09; P = 0.030). Conclusions: Our study found that one in ten rural women is developing PPD and there is a strong link between PPD and antenatal psychiatric disorders and family factors. This calls for capacity building of general physicians and village-level workers and strengthening of the Home-Based Newborn Care Program, where weekly postpartum home visits by ASHA are an opportunity for screening and counselling mothers.

Maternal depression and its correlates – a longitudinal study

2021 ◽  
pp. 1-13
Author(s):  
Nabia Tariq ◽  
Humera Naeem ◽  
Ayesha Tariq ◽  
Sajida Naseem
Keyword(s):  
Longitudinal Study ◽  
Postpartum Depression ◽  
Care Center ◽  
Linear Regression Analysis ◽  
Depression Scale ◽  
Lower Class ◽  
Antenatal Depression ◽  
Postnatal Period ◽  
Health Care Center ◽  
Institutional Review

Abstract Objective: To estimate the burden of Antenatal Depression (AND) and Postpartum Depression (PPD) and explore possible predictors of Perinatal Depression (PND). Methods: A longitudinal study was conducted in the department of obstetrics and gynecology in Shifa International hospital and its community health care center in Islamabad, Pakistan from October 2018 to May 2019 after taking Ethical approval of institutional review board and ethical committee. It included 200 women in their third trimester of pregnancy. Women not consenting, chronic or critically ill, having psychological disorders, medical co morbid or on medications were excluded. Socioeconomic and obstetrical history was recorded on a separate Performa and Edinburgh Postnatal Depression Scale was used for screening of depression in these women. SPSS was used for data analysis. Linear regression analysis was done to see the association between antenatal and postpartum depression scores. Results: Women in postnatal period had higher Depression scores than women in antenatal period. 12.5% women had AND whereas 36.5% had PPD. Results also suggest that AND increases the risk of PPD. The results also imply that PPD scores are higher in women having unplanned pregnancies and multigravida. Moreover, women belonging to middle and lower class were more prone to PND. Conclusion: It was concluded that AND was strongly associated with PPD indicating AND to be a significant predictor of PPD. Social class and parity are directly linked with prevalence of PND. Continuous...

scholarly journals Coping Styles in Pregnancy, Their Demographic and Psychological Influences, and Their Association with Postpartum Depression: A Longitudinal Study of Women in China

2020 ◽  
Vol 17 (10) ◽  
pp. 3654
Author(s):  
Min Yu ◽  
Wenjie Gong ◽  
Beck Taylor ◽  
Yiyuan Cai ◽  
Dong (Roman) Xu
Keyword(s):  
Longitudinal Study ◽  
Postpartum Depression ◽  
Coping Styles ◽  
Depression Scale ◽  
Self Esteem ◽  
Positive Coping ◽  
Resilience Scale ◽  
Psychological Influences ◽  
Negative Coping ◽  
In Pregnancy

We aimed to investigate the coping styles of Chinese pregnant women, identify factors associated with coping and further explore the effect of coping during pregnancy on postpartum depression. A longitudinal study was performed from early pregnancy to six-week postpartum. A total of 1126 women were recruited by convenience sampling and participants who completed eight questionnaires at four time points were included (three self-developed questionnaires, Coping Style Questionnaire, Generalized Anxiety Disorder-7, Brief Resilience Scale, Rosenberg Self-esteem Scale, Edinburgh Postnatal Depression Scale) (n = 615). Linear regression analyses were used to identify the possible factors for coping and their association with postpartum depression. The mean scores of positive coping and negative coping were 2.03 and 1.21, respectively. Women with a higher educational level scored higher on both positive and negative coping in pregnancy. Resilience was associated with both positive and negative coping, while self-esteem only related to positive coping (p < 0.05). Postpartum depression was associated with both positive and negative coping (p < 0.05). The women in our study reported using positive coping styles more than negative coping antenatally. Positive and negative coping behaviors could be used simultaneously. Increasing self-esteem and resilience antenatally might promote more positive coping and further reduce the occurrence of postpartum depression.

scholarly journals Chronic Lung Diseases and the Risk of Depressive Symptoms Based on the China Health and Retirement Longitudinal Study: A Prospective Cohort Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Xueling Ren ◽  
Shengshu Wang ◽  
Yan He ◽  
Junsong Lian ◽  
Qian Lu ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Longitudinal Study ◽  
Rural Areas ◽  
Lung Diseases ◽  
Risk Model ◽  
Depression Scale ◽  
Epidemiological Studies ◽  
Baseline Survey ◽  
Chronic Lung Diseases

Chronic lung diseases (CLDs) can reduce patients’ quality of life. However, evidence for the relationship between CLD and occurrence with depressive symptoms remains unclear. This study aims to determine the associations between CLD and depressive symptoms incidence, using the data from the China Health and Retirement Longitudinal Study (CHARLS). CLD was identified via survey questionnaire and hospitalization. The follow-up survey was conducted in 2018 and depressive symptoms were assessed by the 10-item Center for Epidemiological Studies Depression Scale (CES-D-10). A total of 10,508 participants were studied with an average follow-up period of 3 years. A total of 2706 patients (25.8%) with newly diagnosed depressive symptoms were identified. The standardized incidence rate of depressive symptoms in baseline population with and without chronic pulmonary disease was 11.9/100 and 8.3/100 person-years, respectively. The Cox proportional risk model showed that CLD was a significant predictor of depressive symptoms (HR: 1.449, 95% CI: 1.235–1.700) after adjusting for covariates, and the HRs of depressive symptoms were higher in those participants with current smoking (HR: 1.761, 95% CI: 1.319–2.352), men (HR: 1.529, 95% CI: 1.236–1.892), living in rural areas (HR: 1.671, 95% CI: 1.229–2.272), with dyslipidemia (HR: 1.896, 95% CI: 1.180–3.045), and suffering from comorbidity (HR: 1.518, 95% CI: 1.104–2.087) at baseline survey. CLD was an independent risk factor of depressive symptoms in China. The mental health of CLD patients deserves more attention.

scholarly journals Importance of Midwifery Care in the Prevention of Postpartum Depression

2021 ◽  
Vol 12 (4) ◽  
pp. 98-106
Author(s):  
K. Janouskova
Keyword(s):  
Postpartum Depression ◽  
Research Method ◽  
Depression Scale ◽  
Newborn Care ◽  
Control Group ◽  
Preventive Strategies ◽  
Midwifery Care ◽  
Important Place ◽  
Health Complications ◽  
Experimental Group

Introduction. This article focuses on the importance of mid- wife care for women in the puerperium period for the preven- tion of postpartum depression. This care is mostly preventive; therefore, education occupies an important place. Using ap- propriate education and preventive strategies, many compli- cations or problems, such as postpartum depression, can be minimized or recognized in time. Methodology: The research method was acontrolled nursing experiment. The essence was to compare two different groups and find to what extent the care of amidwife contributes to the prevention of postpartum depression. The experimental group consisted of 100 women with the care of amidwife in the puer- perium period, where three visits took place during the puerperium period, throughout which the Edinburgh Postpartum Depression Scale EPDS was used to assess mental health. The control group consisted of 100 women without the care of amidwife in the puerperium period. Aquestionnaire was sent to these women at the end of the sixth week, along with an EPDS scale. Results:Astatistically significant correlation was found be- tween the risk of postpartum depression and problems with neonatal care (p = 0.016). There was also astatistically signif- icant difference in the incidence of problems with newborn care according to the presence of amidwife (p = 0.005) and midwifery care in the area of breastfeeding (p = 0.049). The distribution of the results of the EPDS scale did not differ sta- tistically significantly (p = 0.775) depending on the care of amidwife. Conclusion:The results showed that the care of amidwife leads to the prevention of health complications in women in the puerperium period. The care of amidwife does not lead to the identification of postpartum depression more often, but symptoms are recognized earlier, and treatment is started. Amidwife's care can also reduce the predisposition to postpar- tum depression. Women attended to by a midwife showed fewer problems with breastfeeding or newborn care, which are two of the predictors of postpartum depression risks.

scholarly journals Immediate Effects of COVID-19 Outbreak on Psychiatric Outpatients: Posttraumatic Stress and Influencing Factors

2020 ◽  
Author(s):  
Burc Cagri Poyraz ◽  
Cana Aksoy Poyraz ◽  
Senol Turan ◽  
Omer Faruk Demirel ◽  
Yasin Kavla ◽  
...  
Keyword(s):  
Psychiatric Disorders ◽  
Posttraumatic Stress ◽  
Psychiatric Symptoms ◽  
Depression Scale ◽  
Well Being ◽  
Psychological Status ◽  
Poor Sleep ◽  
Subjective Sleep Quality ◽  
Cross Sectional ◽  
The Impact

We aimed to investigate the effects of COVID-19 outbreak and public health measures on the psychological well-being of patients with psychiatric disorders. This cross-sectional study assessed 436 outpatients recruited from a tertiary psychiatry clinic in Istanbul, Turkey, nearly one month after the government introduced strict measures of lockdown against the ongoing outbreak. Respondents completed a web-based survey on sociodemographic data, subjective sleep quality, and a range of psychiatric symptoms using the Impact of Events Scale-Revised (IES-R), and Hospital Anxiety and Depression Scale (HADS). Respondents reported high frequencies of clinically significant posttraumatic stress disorder (PTSD) (32.6%, IES-R score equal to or above 33), anxiety (36.4%, HADS anxiety score > 10), and depression (51%, HADS depression score > 10). 20.5% of respondents described that their psychological status worsened during the COVID-19 outbreak, and 12.1% of respondents described poor or very poor sleep in the prior month. Positive predictors of increased PTSD symptoms included the chronic medical diseases, knowing someone in the social vicinity diagnosed with the COVID-19 infection, job loss or being on temporary leave after the outbreak, and increased exposure time to TV or social media. In contrast, male gender, older age, higher educational attainment, and the psychiatric diagnoses of schizophrenia and (to a lesser degree) bipolar disorder were the negative predictors. Our results suggest that patients with psychiatric disorders are prone to substantial psychological distress during the COVID-19 outbreak, and various individual, behavioral, and social factors mediate this effect.

Foundation for the Prevention and Pathological Aspects of Diseases of the Mucous Membranes of the Oral Cavity (Review)

2020 ◽  
Vol 3 (6) ◽  
pp. 8-11
Author(s):  
Bakaev Zh. N.
Keyword(s):  
Oral Cavity ◽  
Rural Women ◽  
Rural Areas ◽  
Southern China ◽  
Age Groups ◽  
Urban Residents ◽  
Volgograd Region ◽  
Mucous Membranes ◽  
The Russian Federation ◽  
Two Age Groups

According to the authors, the prevalence of SOPR diseases is from 3 to 20%.In a study of 1573 residents of southern China in two age groups who use tobacco and alcohol, the incidence of SOPR was higher among men living in rural areas compared to urban residents. Among women aged 35-44 years, the incidence was higher in urban women, and in the 65-77-year-old group in rural women. In the course of studies in Brazil, among 335 patients older than 60 years, 646 diseases of the SOPR were identified. Similar results were obtained in the analysis of SOPR diseases in the Volgograd region of the Russian Federation

FACTORS INFLUENCING ENTREPRENEURIAL SUCCESS AMONG THE RURAL WOMEN ENTREPRENEURS IN BANGLADESH

2020 ◽  
Author(s):  
Dalowar Hossan
Keyword(s):  
Government Policy ◽  
Rural Women ◽  
Rural Areas ◽  
Women Entrepreneurs ◽  
Descriptive Statistics ◽  
Entrepreneurial Success ◽  
Factors Influencing ◽  
Proper Training ◽  
Convenience Sampling ◽  
The Government

The aim of this study is to investigate the factors influencing the entrepreneurial success of rural women entrepreneurs in Bangladesh. Non-probability sampling specifically convenience sampling is used to draw the sample and data is collected using the self-administered survey. Regression analysis and descriptive statistics are used to analyze the data. The study discloses that motivational factors, government policy and financial support have significant influence on the rural women entrepreneurial success in Bangladesh. Due to lack of suitable training and proper development as well as ICT knowledge, the rural women of Bangladesh could not accomplish the achievement. Half of the total populations of Bangladesh are female and most of them live in rural areas. Therefore, the government and the policymakers in Bangladesh should develop the potential of rural women entrepreneurs by providing development facilities, proper training, and ICT knowledge.

PREVALENCE AND RELATED FACTORS OF POSTNATAL DEPRESSION IN HIV INFECTED WOMEN

2014 ◽  
pp. 140-152
Author(s):  
Manh Hoan Nguyen ◽  
Ngoc Thanh Cao
Keyword(s):  
Regression Analysis ◽  
Postpartum Depression ◽  
Hiv Infection ◽  
Postnatal Depression ◽  
Past History ◽  
Depression Scale ◽  
Multivariate Regression Analysis ◽  
Related Factors ◽  
History Of ◽  
History Of Depression

Background and Objective: HIV infection is also a cause of postpartum depression, however, in Vietnam, there has not yet the prevalence of postpartum depression in HIV infected women. The objective is to determine prevalence and related factors of postpartum depression in HIV infected women. Materials and Methods: From November 30th, 2012 to March 30th, 2014, a prospective cohort study is done at Dong Nai and Binh Duong province. The sample includes135 HIV infected women and 405 non infected women (ratio 1/3) who accepted to participate to the research. We used “Edinburgh Postnatal Depression Scale (EPDS) as a screening test when women hospitalized for delivery and 1 week, 6weeks postpartum. Mother who score EPDS ≥ 13 are likely to be suffering from depression. We exclude women who have EPDS ≥ 13 since just hospitalize. Data are collected by a structural questionaire. Results: At 6 weeks postpartum, prevalence of depression in HIV infected women is 61%, in the HIV non infected women is 8.7% (p < 0.001). There are statistical significant differences (p<0.05) between two groups for some factors: education, profession, income, past history of depression, child’s health, breast feeding. Logistical regression analysis determine these factors are related with depression: late diagnosis of HIV infection, child infected of HIV, feeling guilty of HIV infected and feeling guilty with their family. Multivariate regression analysis showed 4 factors are related with depression: HIV infection, living in the province, child’s health, past history of depression. Conclusion: Prevalence of postpartum depression in HIV infected women is 61.2%; risk of depression of postnatal HIV infected women is 6.4 times the risk of postnatal HIV non infected women, RR=6.4 (95% CI:4.3 – 9.4). Domestic women have lower risk than immigrant women from other province, RR=0.72 (95% CI:0.5 – 0.9). Past history of depression is a risk factor with RR=1.7 (95% CI:1.02 – 0.9. Women whose child is weak or die, RR=1.7(95% CI:0.9 – 3.1). Keywords: Postpartum depression, HIV-positive postpartum women

The Value of Neuroimaging Techniques in the Translation and Transdiagnostic Validation of Psychiatric Diagnoses - Selective Review

2020 ◽  
Vol 20 (7) ◽  
pp. 540-553 ◽  
Author(s):  
Anna Todeva-Radneva ◽  
Rositsa Paunova ◽  
Sevdalina Kandilarova ◽  
Drozdstoy St. Stoyanov
Keyword(s):  
Psychiatric Disorders ◽  
Psychiatric Symptoms ◽  
Medical Science ◽  
Self Report ◽  
Current Status ◽  
Diagnostic Tools ◽  
Main Concept ◽  
Directional Change ◽  
The Mind ◽  
Neuroimaging Techniques

: Psychiatric diagnosis has long been perceived as more of an art than a science since its foundations lie within the observation, and the self-report of the patients themselves and objective diagnostic biomarkers are lacking. Furthermore, the diagnostic tools in use not only stray away from the conventional medical framework but also remain invalidated with evidence-based concepts. However, neuroscience, as a source of valid objective knowledge has initiated the process of a paradigm shift underlined by the main concept of psychiatric disorders being “brain disorders”. It is also a bridge closing the explanatory gap among the different fields of medicine via the translation of the knowledge within a multidisciplinary framework. : The contemporary neuroimaging methods, such as fMRI provide researchers with an entirely new set of tools to reform the current status quo by creating an opportunity to define and validate objective biomarkers that can be translated into clinical practice. Combining multiple neuroimaging techniques with the knowledge of the role of genetic factors, neurochemical imbalance and neuroinflammatory processes in the etiopathophysiology of psychiatric disorders is a step towards a comprehensive biological explanation of psychiatric disorders and a final differentiation of psychiatry as a well-founded medical science. : In addition, the neuroscientific knowledge gained thus far suggests a necessity for directional change to exploring multidisciplinary concepts, such as multiple causality and dimensionality of psychiatric symptoms and disorders. A concomitant viewpoint transition of the notion of validity in psychiatry with a focus on an integrative validatory approach may facilitate the building of a collaborative bridge above the wall existing between the scientific fields analyzing the mind and those studying the brain.

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