scholarly journals Maternal depression symptoms during the first 21 months after giving birth

2020 ◽  
pp. 140349482097796
Author(s):  
Michael Rosander ◽  
Anita Berlin ◽  
Karin Forslund Frykedal ◽  
Mia Barimani

Aims: The first year after childbirth involves a major transition for women, which can accentuate inadequacies and feelings of powerlessness, making them vulnerable to depression. The aim of this study was to investigate the prevalence and frequency of maternal postpartum depressive symptoms at different times after giving birth (0–21 months). Methods: Data were collected cross-sectionally using a web questionnaire containing the Edinburgh Postnatal Depression Scale (EPDS). A total of 888 mothers with children in the age range 0–21 months responded. Results: The results showed different levels of depression over the range of months included in the study. The overall prevalence using EPDS ⩾ 12 was 27.8%. There were higher levels at 9–12 months and 17–21 months. The highest levels of symptoms of depression were found at nine, 12, and 17 months after birth, and the lowest levels at two and 16 months. Conclusions: Many mothers experience symptoms of depression after giving birth that can continue well beyond the child’s first year. We have identified different levels of depression at different points in time after giving birth, with highs and lows throughout the first 21 months. This highlights a need to screen for depression more than once during the first years, as well as a closer cooperation between midwives and child healthcare nurses in supporting mothers in the transition to motherhood. This is an important aspect of public health, which not only involves mothers with symptoms of depression, but also their ability to care for their child and a possible negative impact on the child’s development.

Author(s):  
Zuzana Škodová ◽  
Ľubica Bánovčinová ◽  
Eva Urbanová ◽  
Marián Grendár ◽  
Martina Bašková

Background: Postpartum depression has a negative impact on quality of life. The aim of this study was to examine the factor structure and psychometric properties of the Slovak version of the Edinburgh Postnatal Depression Scale (EPDS). Methods: A paper and pencil version of the 10-item EPDS questionnaire was administered personally to 577 women at baseline during their stay in hospital on the second to fourth day postpartum (age, 30.6 ± 4.9 years; 73.5% vaginal births vs. 26.5% operative births; 59.4% primiparas). A total of 198 women participated in the online follow-up 6–8 weeks postpartum (questionnaire sent via e-mail). Results: The Slovak version of the EPDS had Cronbach’s coefficients of 0.84 and 0.88 at baseline (T1) and follow-up, respectively. The three-dimensional model of the scale offered good fit for both the baseline (χ2(df = 28) = 1339.38, p < 0.001; CFI = 0.99, RMSEA = 0.02, and TLI = 0.99) and follow-up (χ2(df = 45) = 908.06, p < 0.001, CFI = 0.93, RMSEA = 0.09, and TL = 0.90). A risk of major depression (EPDS score ≥ 13) was identified in 6.1% in T1 and 11.6% in the follow-up. Elevated levels of depression symptoms (EPDS score ≥ 10) were identified in 16.7% and 22.7% of the respondents at baseline and follow-up, respectively. Conclusions: The Slovak translation of the EPDS showed good consistency, convergent validity, and model characteristics. The routine use of EPDS can contribute to improving the quality of postnatal health care.


2019 ◽  
Vol 38 (5) ◽  
pp. 427-450
Author(s):  
Sarah M. C. Robertson ◽  
Stephen D. Short ◽  
Abigail Asper ◽  
Kelly Venezia ◽  
Catherine Yetman ◽  
...  

Introduction: The first year of college can be particularly difficult for students, as they typically face a number of emotional, developmental, social, and financial challenges. Expressive writing (EW) is a writing intervention that requires participants to write about their thoughts and feelings related to a particular event over several days. Methods: Participants in this study included 90 first-year undergraduate students. Participants were assigned to the EW condition (writing about their thoughts and feelings related to their transition to college) or a control condition (writing about any object or event of their choosing). Participants completed 3 consecutive days of writing, and then completed two follow-up visits that occurred one month and six months post-intervention. Participants were divided into two groups based on their initial depression scores (one group with minimal symptoms, and a second group with mild/moderate/severe symptoms). Results: Among participants in the mild/moderate/severe group, those in the EW condition demonstrated significant decreases in depression symptoms over the six-month study period, while participants in the control condition did not. Among this same subset of participants, those in the EW condition also demonstrated significantly fewer physician visits due to physical illness when compared to the control group. Changes in depression and physical illness visits were not found for participants with minimal symptoms of depression. Discussion: EW is a low-cost procedure that has been empirically demonstrated to alleviate symptoms of depression six months post-intervention. However, this finding only held for participants who were initially categorized in the group of participants with mild/moderate/severe symptoms of depression (as opposed to those participants initially categorized with minimal symptoms of depression). Clinical implications and future directions are discussed.


2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Thi Kim Ly Do ◽  
Thi Thanh Huong Nguyen ◽  
Thi Thu Huong Pham

Postpartum depression (PPD) places a burden on maternal health. PPD exerts a negative impact on mothers’ health and children’s life. The purpose of this research was to identify the prevalence of PPD and the risk factors contributing to PPD. Therefore, a cross-sectional quantitative study was conducted. 116 women were categorized into two groups. One category included new mothers who received scores of Edinburgh Postpartum Depression Scale (EPDS) 12 or more. The other category included mothers who received scores less than 12. Descriptive statistic and then binary logistic regression were also performed. For EPDS ≥ 12, the prevalence of PPD was 27.6% among new mothers during the first year after delivery. Level of education, diseases during pregnancy, being the first-time mothers, dissatisfaction about family, and limited communication and interaction with others were significant predictors of PPD.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Joseba Wulff ◽  
Agneta Malmgren Fänge ◽  
Connie Lethin ◽  
Carlos Chiatti

Abstract Background Around 50 million people worldwide are diagnosed with dementia and this number is due to triple by 2050. The majority of persons with dementia receive care and support from their family, friends or neighbours, who are generally known as informal caregivers. These might experience symptoms of depression and anxiety as a consequence of caregiving activities. Due to the different welfare system across European countries, this study aimed to investigate factors associated with self-reported depression and anxiety among informal dementia caregivers both in Sweden and Italy, to ultimately improve their health and well-being. Methods This comparative cross-sectional study used baseline data from the Italian UP-TECH (n = 317) and the Swedish TECH@HOME (n = 89) studies. Main outcome variables were the severity of self-reported anxiety and depression symptoms, as measured by the Hospital Anxiety and Depression Scale (HADS). HADS scores were investigated using descriptive and bivariate statistics to compare means and standard deviations. Linear regressions were used to test for associations between potential factors and self-reported symptoms of depression and anxiety. Results Italian informal caregivers reported more severe symptoms of depression and anxiety than Swedish caregivers. In Italy, a higher number of hours of caregiving was associated with anxiety symptoms (β = − 1.205; p = 0.029), being 40–54 years-old with depression symptoms (β = − 1.739; p = 0.003), and being female with symptoms of both depression (β = − 1.793; p < 0.001) and anxiety (β = 1.474; p = 0.005). In Sweden, a higher number of hours of caregiving and being < 39 years-old were associated with depression symptoms (β = 0.286; p < 0.000; β = 3.945; p = 0.014) and a higher number of hours of caregiving, the lack of additional informal caregivers and dementia severity were associated with anxiety symptoms (β = 0.164; p = 0.010; β = − 1.133; p = 0.033; β = − 1.181; p = 0.031). Conclusion Multiple factors are associated with self-reported symptoms of depression and anxiety among informal caregivers in Sweden and Italy. Factors found in this study partly differ between the two countries, suggesting the important role of cultural and social factors affecting the experience of caregiving. A deeper knowledge of these factors may increase the knowledge on potential protective and risk factors, provide information to policymakers and ultimately improve the psychological well-being of informal caregivers to people with dementia across Europe.


2011 ◽  
Vol 29 (4) ◽  
pp. 413-420 ◽  
Author(s):  
Janine Giese-Davis ◽  
Kate Collie ◽  
Kate M.S. Rancourt ◽  
Eric Neri ◽  
Helena C. Kraemer ◽  
...  

Purpose Numerous studies have examined the comorbidity of depression with cancer, and some have indicated that depression may be associated with cancer progression or survival. However, few studies have assessed whether changes in depression symptoms are associated with survival. Methods In a secondary analysis of a randomized trial of supportive-expressive group therapy, 125 women with metastatic breast cancer (MBC) completed a depression symptom measure (Center for Epidemiologic Studies–Depression Scale [CES-D]) at baseline and were randomly assigned to a treatment group or to a control group that received educational materials. At baseline and three follow-up points, 101 of 125 women completed a depression symptom measure. We used these data in a Cox proportional hazards analysis to examine whether decreasing depression symptoms over the first year of the study (the length of the intervention) would be associated with longer survival. Results Median survival time was 53.6 months for women with decreasing CES-D scores over 1 year and 25.1 months for women with increasing CES-D scores. There was a significant effect of change in CES-D over the first year on survival out to 14 years (P = .007) but no significant interaction between treatment condition and CES-D change on survival. Neither demographic nor medical variables explained this association. Conclusion Decreasing depression symptoms over the first year were associated with longer subsequent survival for women with MBC in this sample. Further research is necessary to confirm this hypothesis in other samples, and causation cannot be assumed based on this analysis.


2016 ◽  
Vol 13 (8) ◽  
pp. 903-909 ◽  
Author(s):  
Stacey E. Aaron ◽  
Chris M. Gregory ◽  
Annie N. Simpson

Background:One-third of individuals with stroke report symptoms of depression, which has a negative impact on recovery. Physical activity (PA) is a potentially effective therapy. Our objective was to examine the associations of subjectively assessed PA levels and symptoms of depression in a nationally representative stroke sample.Methods:We conducted a cross-sectional study of 175 adults in the National Health and Nutrition Examination Survey 2011–2012 cycle. Moderate, vigorous, and combination equivalent PA metabolic equivalent (MET)-minutes per week averages were derived from the Global Physical Activity Questionnaire, and .the 2008 Physical Activity Guidelines/American College of Sports Medicine recommendations of ≥500 MET-minutes per week of moderate, vigorous, or combination equivalent PA were used as cut points. Depression symptoms were measured using the Patient Health Questionnaire-9.Results:Meeting moderate PA guidelines resulted in 74% lower odds of having depression symptoms (P < .0001) and 89% lower odds of major symptoms of depression (P = .0003). Meeting vigorous guidelines showed a 91% lower odds of having mild symptoms of depression (P = .04). Participating in some moderate, vigorous, or combination equivalent PA revealed the odds of depression symptoms 13 times greater compared with meeting guidelines (P = .005); odds of mild symptoms of depression were 9 times greater (P = .01); and odds of major symptoms of depression were 15 times greater (P = .006).Conclusions:There is a lower risk of developing mild symptoms of depression when vigorous guidelines for PA are met and developing major symptoms of depression when moderate guidelines met. Participating in some PA is not enough to reduce the risk of depression symptoms.


2015 ◽  
Vol 2 (2) ◽  
pp. 130-135
Author(s):  
Wiwin Martiningsih ◽  
Fransnedo Dhiky Kurnia C ◽  
Sri Winarni

AIDS is a collection of specific clinical conditions that are the end result of infection by HIV. This raises the issue of psychiatric illness, namely depression. Depression is what causes the quality of life of patients with HIV / AIDS become less well. To handle this condition needed social support from family. The purposes of this study were to identify family support and levels of depression, and analyzed the correlation between the two variables. This study used correlative as research design. Purposive sampling is used to get samples. The total of study subjects were 34 people who registered in the registration book in January to October 2013, and visited hospitals in Cendana Polyclinic Ngudi Waluyo Hospital Wlingi and included the inclusion criteria. Family support data was obtained base of questionnaire and depression levels was obtained by The Zung Self-Rating Depression Scale questionnaire. Data showed that 94,1% respondents got family support well and  97,1% respondent have not depression symptoms. The correlation between family support with depression levels analyzed using Spearman's rho test with a significance level of p = 0.000, showed that the correlation between family support for the patient's level of depression of HIV / AIDS significantly. From this study can be concluded that the respondents with good family support did not experience symptoms of depression. Families need to provide support for its members who suffer from HIV / AIDS in order to prevent depression.


Author(s):  
Jasminka Bobić ◽  
Adrijana Koscec Bjelajac ◽  
Marija Bakotić ◽  
Jelena Macan

The present study aimed to investigate the course of symptoms of depression in female university students over a four-year period, while also exploring the predictive value of four personality traits with regard to symptoms of depression. The sample comprised 74 female first-year university students. Symptoms of depression were assessed using the Zung Self-Rating Depression Scale and were collected twice over a four-year interval, while the personality traits of extraversion, neuroticism, psychoticism and lie tendencies were assessed by the Eysenck Personality Questionnaire only at the baseline. The results revealed that after a four-year period the depression symptoms increased in intensity/frequency on 10 out of 20 items as well as in the summary score, and decreased only in diurnal variations, which wasfavourable outcome. Multiple regression analysis indicated that out of the four personality traits only neuroticism was a significant predictor of the summary depression score four years later. This means that young female students with higher scores in neuroticism, although still in the normal or average range, would very probably have a more pronounced and less well-regulated emotional response to a stressful period of their university education.


2021 ◽  
Vol 131 (1) ◽  
pp. 62-66
Author(s):  
Edyta Gałęziowska ◽  
Karolina Kicińska ◽  
Zdzisława Szadowska-Szlachetka ◽  
Renata Domżał-Drzewicka

Abstract Introduction. Postpartum depression (post-natal depression, pure postpartum depression, PPD) is one of three types of post-natal mood disorders. The degree (severity) of this disorder may be defined as moderate or severe. A milder form of depression is postpartum sadness (baby blues), while the untreated depression can develop into a very severe form of depression called postpartum psychosis Aim. The aim of the work was to analyse the incidence and severity of postpartum depression symptoms in women in the first year after giving birth, evaluated by the Edinburgh Postnatal Depression Scale, and the social support received and expected by them. Material and methods. This paper presents the severity of depressive symptoms in 150 women measured by the Edinburgh Postnatal Depression Scale in the first year after their giving birth as well as the support received by them and the demand for it. Results. More than half of the women filling in the Edinburgh Postnatal Depression Scale achieved a result indicating a high risk of postpartum depression (more than 12 points). The severity of postpartum depression symptoms depended on the place of residence of women, was related to attendance antenatal classes, breastfeeding and the support received. Conclusions. It would be advisable to initially assess the risk of postpartum depression in women immediately after childbirth and the social support available to them.


2021 ◽  
Author(s):  
Solfrid Romundstad ◽  
Torfinn Hynnekleiv

Abstract Background: The study aimed to examine whether there are associations between levels of depression symptoms and levels of the inflammation marker albuminuria. Materials and methods: The 8303 participants in this cross-sectional study were subjects from the second survey of the Trøndelag Health Study (HUNT, Norway). Depression symptoms were assessed by the Hospital Anxiety and Depression Scale (HADS). Logistic regression analysis was performed to estimate the odds ratio (OR) for moderately increased albuminuria (ACR > 3.0 mg/mmol) according to different HADS subgroups and -scores.Results: Unadjusted ORs for moderately increased albuminuria were significantly increased in those with HADS > 8 (OR 1.27, 95% CI 1.05-1.54, p=0.013) and HADS > 11 (OR 1.59, 95% CI 1.19-2.14, p=0.002). However, after adjusting for age and sex, only HADS > 11 was significantly associated with ACR > 3.0 mg/mmol (OR 1.46, 95% CI 1.08-1.98, p=0.014), and after multivariable adjustments for cardiovascular risk factors and comorbidity, there were no significant associations. Conclusion: The positive and significant association between moderately increased albuminuria and symptoms of depression found in unadjusted analyses weakened and disappeared after adjustments. Although individuals with depressive symptoms had albuminuria more often than individuals without such symptoms, albuminuria may reflect other comorbidity and inflammation conditions than depression.


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