scholarly journals Psychosocial and obstetric determinants of women signalling distress during Edinburgh Postnatal Depression Scale (EPDS) screening in Sydney, Australia

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Sarah Khanlari ◽  
John Eastwood ◽  
Bryanne Barnett ◽  
Sabrina Naz ◽  
Felix Akpojene Ogbo
Keyword(s):  
Childhood Abuse ◽  
Postnatal Depression ◽  
Burden Of Illness ◽  
Perinatal Care ◽  
Depression Scale ◽  
Population Level ◽  
Antenatal Depression ◽  
Antenatal Depressive Symptoms ◽  
Scale Properties ◽  
Sydney Australia

Abstract Background and objectives The perinatal period presents a high-risk time for development of mood disorders. Australia-wide universal perinatal care, including depression screening, make this stage amenable to population-level preventative approaches. In a large cohort of women receiving public perinatal care in Sydney, Australia, we examined: (1) the psychosocial and obstetric determinants of women who signal distress on EPDS screening (scoring 10–12) compared with women with probable depression (scoring 13 or more on EPDS screening); and (2) the predictive ability of identifying women experiencing distress during pregnancy in classifying women at higher risk of probable postnatal depression. Methods We analysed routinely collected perinatal data from all live-births within public health facilities from two health districts in Sydney, Australia (N = 53,032). Perinatal distress was measured using the EPDS (scores of 10–12) and probable perinatal depression was measured using the EPDS (scores of 13 or more). Logistic regression models that adjusted for confounding variables were used to investigate a range of psychosocial and obstetric determinants and perinatal distress and depression. Results Eight percent of this cohort experienced antenatal distress and about 5 % experienced postnatal distress. Approximately 6 % experienced probable antenatal depression and 3 % experienced probable postnatal depression. Being from a culturally and linguistically diverse background (AOR = 2.0, 95% CI 1.8–2.3, P < 0.001), a lack of partner support (AOR = 2.9, 95% CI 2.3–3.7) and a maternal history of childhood abuse (AOR = 1.9, 95% CI 1.6–2.3) were associated with antenatal distress. These associations were similar in women with probable antenatal depression. Women who scored 10 to12 on antenatal EPDS assessment had a 4.5 times higher odds (95% CI 3.4–5.9, P < 0.001) of experiencing probable postnatal depression compared with women scoring 9 or less. Conclusion Antenatal distress is more common than antenatal depressive symptoms and postnatal distress or depression. Antenatal maternal distress was associated with probable postnatal depression. Scale properties of the EPDS allows risk-stratification of women in the antenatal period, and earlier intervention with preventively focused programs. Prevention of postnatal depression could address a growing burden of illness and long-term complications for mothers and their infants.

Maternal Depression and Breastfeeding Practices in the Maldives

2019 ◽  
Vol 31 (2) ◽  
pp. 113-120 ◽  
Author(s):  
Raheema Abdul Raheem ◽  
Hui Jun Chih ◽  
Colin William Binns
Keyword(s):  
Maternal Depression ◽  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Cox Regression ◽  
Depression Scale ◽  
Antenatal Clinic ◽  
Antenatal Depression ◽  
Breastfeeding Duration ◽  
Breastfeeding Initiation ◽  
Breastfeeding Practices

Objectives: To assess associations between maternal depression and breastfeeding practices in mothers in the Maldives. Design: A prospective cohort study. The validated questionnaires contained information on demographics, breastfeeding initiation, breastfeeding duration, and the Edinburgh Postnatal Depression Scale. Logistic regression analyses were used to assess association between Edinburgh Postnatal Depression Scale score and breastfeeding practices while adjusting for lifestyle determinants. Cox regression was done to measure the association between maternal depression and breastfeeding duration. Settings: Antenatal clinic at Indira Gandhi Memorial and ADK Hospitals in Male’, Maldives. Subjects: A total of 458 mothers from the antennal clinics were interviewed at 36 weeks of gestation and again at 1, 3, and 6 months after birth. Results: Antenatal depression at 36 weeks of gestation was associated with late initiation of breastfeeding (adjusted odds ratio = 3.0, 95% confidence interval = 1.3-6.8). Postnatal depression was associated with shorter duration of exclusive, full, and any breastfeeding ( P < .001). Conclusion. Depression is negatively associated with breastfeeding practices. There is a need to manage antenatal postnatal depression in mothers in order to encourage them to initiate breastfeeding earlier and to breastfeed for longer.

Social Stress and Depression During Pregnancy in Women of a Low Income Country

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1 ◽  
Author(s):  
M. Husain ◽  
I.B. Chaudhry ◽  
Q. Saeed ◽  
S. Khan ◽  
Q. Hassan ◽  
...  
Keyword(s):  
Life Events ◽  
Low Income ◽  
Postnatal Depression ◽  
Social Stress ◽  
Depression Scale ◽  
Antenatal Depression ◽  
Postnatal Period ◽  
List Type ◽  
Cross Sectional ◽  
High Positive Correlation

There has been considerable research on postnatal depression (PND), in comparison to antenatal depression (AND). We aimed to study the Prevalence of AND, testing the following hypotheses:a.Depressed pregnant women will have more negative life events than non depressed women.b.Depressed women will have less social support than non-depressed women.Methods:Using a cross sectional study design 1366/1401 women in their 3rd trimester of pregnancy were screened for depression using the Self-Rating Questionnaire (SRQ) and the Edinburgh Postnatal Depression Scale (EPDS). These instruments are validated, available in Urdu and have been used in the pre and postnatal period in Pakistan. The life events checklist was used to measure social stress and the Brief Disability Questionnaire (BDQ) for disability.Results:342 women scored ≥ 12 on the EPDS giving an estimated AND prevalence of 25.6 %. The EPDS and SRQ scores showed a high positive correlation. A significantly higher percentage of depressed women experienced problems in marital relations, work, finances, housing and domestic violence. Depressed women had higher disability scores. 32% of the depressed and 14% of non depressed were unable to perform usual daily activities. 35% of depressed women stayed in bed due to illness as compared to only 16 % of non-depressed.Conclusion:This study confirms a high prevalence of AND in less educated women, experiencing a large number of social difficulties.

scholarly journals An Integrative Review of Paternal Depression

2014 ◽  
Vol 9 (1) ◽  
pp. 26-34 ◽  
Author(s):  
Karen-leigh Edward ◽  
David Castle ◽  
Cally Mills ◽  
Leigh Davis ◽  
June Casey
Keyword(s):  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Depression Scale ◽  
Antenatal Depression ◽  
Postnatal Period ◽  
Integrative Review ◽  
Inclusion Criteria ◽  
History Of ◽  
History Of Depression ◽  
Review Current

The aim of this project was to review current research regarding postnatal depression in fathers and to present potential screening and referral options. The search was limited to scholarly (peer reviewed) journals and all articles were retrieved with date limits. Initial search parameters were the following: antenatal depression OR pregnancy depression OR postnatal depression OR perinatal depression AND father* OR men OR paternal. The search yielded 311 abstracts returned. With reference to the inclusion criteria and primary and secondary outcomes intended for the focus of this review, N = 63 articles were retrieved and read in full by the researchers. These articles were included in the final integrative review. Depression in fathers following the birth of their child was associated with a personal history of depression and with the existence of depression in their partner during pregnancy and soon after delivery. Based on the review the authors suggest routine screening and assessment of both parents should occur across the pregnancy and postnatal period. The use of the Edinburgh Postnatal Depression Scale for screening of depression in men needs to be linked to referral guidelines for those individuals who require further investigation and care.

scholarly journals Ethnoepidemiology of postnatal depression

2004 ◽  
Vol 184 (1) ◽  
pp. 34-40 ◽  
Author(s):  
Dominic T. S. Lee ◽  
Alexander S. K. Yip ◽  
Tony Y. S. Leung ◽  
Tony K. H. Chung
Keyword(s):  
Risk Factors ◽  
Postnatal Depression ◽  
Post Partum ◽  
Depression Scale ◽  
Well Being ◽  
Antenatal Depression ◽  
Cultural Practice ◽  
Epidemiological Methods ◽  
Marital Dissatisfaction ◽  
Sociocultural Risk Factors

BackgroundAlthough there have been many studies of the biological and psychosocial causations of postnatal depression, studies of sociocultural risk factors are rare.AimsTo investigate the sociocultural risk factors of postnatal depression using ethnographically informed epidemiological methods.MethodAtotal of 959 women were assessed at their first ante-partum visit (baseline), in the third trimester, immediately after delivery, and 3 months post-partum. Six domains of risk factors were examined. The dependent variable was postnatal depression (as defined by the Edinburgh Postnatal Depression Scale) at 3 months post-partum.ResultsConflict with mother-in-law, marital dissatisfaction, past depression and antenatal depression independently predicted the occurrence of postnatal depression. The cultural practice of peiyue – a Chinese post-partum custom of mandated family support – was associated with better social support and a slightly lower risk of postnatal depression.ConclusionsSociocultural aspects of the immediate puerperium shape maternal emotional well-being. In-law conflict is an important source of household distress in many Asian societies. The findings have implications for clinical practice and future studies.

scholarly journals Variability of the Edinburgh Postnatal Depression Scale for Antenatal Depression Screening in Spanish: a Cross-Sectional Study.

2020 ◽  
Author(s):  
María Esperanza Manso-Martínez ◽  
Laura Esteban-Gonzalo ◽  
Beatriz Marazuela-López ◽  
Alfonso García-Luengo ◽  
Arantzazu de-la-Torre-Gallego ◽  
...  
Keyword(s):  
Roc Curve ◽  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Depression Scale ◽  
Antenatal Depression ◽  
Cross Sectional Study ◽  
Spanish Version ◽  
Depression Screening ◽  
Sectional Study ◽  
Cross Sectional

Abstract Background Depression during pregnancy is a prevalent problem with significant potential health effects on women and children. The most widely used screening instrument is the Edinburgh Postnatal Depression Scale (EPDS). Two validations of the EDPS in Spanish have been published. Given the differences in cut-off point, sensibility and specificity among the Spanish EPDS validations, the aim of this study is to provide further information regarding the topic through a validation of the EPDS is Spain with a different sample.Methods Cross-sectional study. 194 women being followed up for normal pregnancy in Primary Healthcare in Spain completed the EPDS and had a semi-structured interview with a clinical psychologist using the DSM-5 manual criteria for diagnosing depression. The ROC curve was calculated to determine the optimal cut-off point, sensitivity and specificity.Results The age range of the participating pregnant women was from 18 to 42 years of age. The optimal cut-off point is 11/12, with a sensitivity of 93.33% and a specificity of 91.62%. The ROC curve has an area of 0.936. Discussion The cut-off point is slightly lower than that of the Spanish version validated in Chile. Likewise, compared to the version validated in Spain, the cut-off point is slightly higher. In our research, sensitivity is notably higher, and specificity slightly lower than in the Spanish version validated in Chile. Compared with the Spanish version validated in Spain, sensibility and specificity were notably higher in our research.Conclusions Given the differences in cut-off point, sensibility and specificity, we propose to continue searching for an optimal cut-off point in the Spanish version of the EPDS. In our opinion, further research is necessary in order to use the EPDS for antenatal depression screening in Spain. A multicentric study including pregnant women from all over the country would be suitable.

scholarly journals Validation of a Romanian scale to detect antenatal depression

Open Medicine ◽  
2012 ◽  
Vol 7 (2) ◽  
pp. 216-223 ◽  
Author(s):  
Anne Wallis ◽  
Roberto Fernandez ◽  
Florin Oprescu ◽  
Răzvan Cherecheş ◽  
Alina Zlati ◽  
...  
Keyword(s):  
Central And Eastern Europe ◽  
Edinburgh Postnatal Depression Scale ◽  
Depression Scale ◽  
Principal Component ◽  
Antenatal Depression ◽  
Epidemiologic Studies ◽  
Culturally Appropriate ◽  
Third Trimester ◽  
Antenatal Depressive Symptoms ◽  
Study Population

AbstractThe aim of this study was to develop and validate a linguistically and culturally appropriate version of the Edinburgh Postnatal Depression Scale (EPDS) for use with women attending antenatal care in Romania. We translated and tested a Romanian version of the EPDS (EPDS-R) in four hospitals in three Romanian cities: Cluj-Napoca, Satu Mare, and Sighetu-Marmatiei. The study population included third-trimester women attending antenatal clinics (n=418); 364 subjects were included in the analytic sample. We used the Center for Epidemiologic Studies Depression Scale (CES-D) as a “gold standard”. We assessed reliability, validity, and conducted sensitivity analysis to establish an EPDS-R cutpoint. We found that reliability was robust (α=0.89) and there was a significant linear relationship between EPDS-R and CES-D scores (r=0.77; p<0.001). We established an EPDS-R cutpoint of >12 to balance sensitivity and specificity. Principal component analysis revealed a two-factor solution. We detected antenatal depressive symptoms prevalence rates of 32% (CES-D) and 38% (EPDS-R). This is the first study to report exclusively on antenatal depression and the use of the EPDS in Central and Eastern Europe. The EPDS-R is easy to administer, reliable, and valid for screening depression among antenatal women in Romania.

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