Contextual-relationship and stress-related factors of postpartum depression symptoms in nulliparas: a prospective study from Ljubljana, Slovenia

Abstract Background For a significant proportion of women, postpartum depression (PPD) is the first mood episode in their lives, yet its aetiology still remains unclear. Insecure attachment in close adult relationships is considered to be a risk factor for depressive symptoms. This study aimed to gain further insight into the risk factors for postpartum depression symptoms (PPDS) of nulliparas in Slovenia and to examine vulnerability to developing depressive symptoms, with an emphasis on contextual and stress-related characteristics. Methods The sample consisted of 156 nulliparas in the third trimester of pregnancy enrolled in a childbirth preparation program. The following instruments were applied: Experiences in Close Relationships-Revised, the Edinburgh Postpartum Depression Scale (EPDS), the Zung Anxiety Scale and a question battery designed by the research team including questions about emotional support and work-related stress. Logistic regression was used to test the association between demographic, social, environmental, personality and attachment variables and PPD of nulliparas (EPDS ≥10), controlling for baseline (prepartum) depression score. A multivariable linear regression model was built with the postpartum EPDS continuous score as a dependent variable. Results 28/156 (17,9%) were evaluated as being at risk for depression (EPDS≥10) in the last trimester and 25/156 (16%) at six weeks postpartum. The results of the logistic regression model controlled for prepartum depression score showed that increased risk for developing PPDS was associated with anxiety level postpartum, intimate-partner-attachment anxiety postpartum, and elevated stress due to loss of employment or an unsuccessful search for employment in the previous year. The results of the multivariable regression model, however, showed the association with education and postpartum anxiety with PPDS continuous score; EPDS after giving birth was higher for more educated and more anxious primiparas. Conclusions Our findings demonstrate the importance of anxiety symptoms and higher education level in assessments of nulliparas’ mental health. The results of our study show and confirm the results of previous research that anxiety symptoms in the immediate postpartum period are likely to be associated with depressive symptoms in nulliparas. The results also suggest that higher level of education of first-time mothers might not be a protective factor, especially for nulliparas with the university level of education. Further studies on larger samples should be considered.

Download Full-text

Job Dissatisfaction Mediated the Associations Between Work Stress and Mental Health Problems

Frontiers in Psychiatry ◽

10.3389/fpsyt.2021.711263 ◽

2021 ◽

Vol 12 ◽

Author(s):

Dan Qiu ◽

Ruiqi Li ◽

Yilu Li ◽

Jun He ◽

Feiyun Ouyang ◽

...

Keyword(s):

Mental Health ◽

Logistic Regression ◽

Depressive Symptoms ◽

Path Analysis ◽

Work Stress ◽

Mental Health Problems ◽

Health Problems ◽

Anxiety Symptoms ◽

Job Dissatisfaction ◽

Working Adults

Objective: This study aimed to explore the relationships and the underlying mechanisms between work stress and mental health problems, and potential mediation effects through job dissatisfaction in a working population.Methods: A large population-based study among workers in China was conducted. The self-reported scales of assessing job dissatisfaction and work stress were included in the questionnaire. Generalized Anxiety Disorder-2 and Patient Health Questionnaire-2 were used for assessment of mental health. Univariate logistic regression was conducted to test the associations between work stress and mental health. Path analysis was conducted to test the proposed mediation model.Results: Of the 6,190 included employees, 27.72% reported that they perceived work stress, 14.84% of them reported that they were not satisfied with their work, 5.01% of the employees reported depressive symptoms, and 3.75% of the employees reported anxiety symptoms. The results of univariate logistic regression showed that employees who perceived work stress were more likely to report anxiety symptoms (adjusted odds ratio (AOR) = 2.78; 95% CI: 2.03–3.79) or depressive symptoms (AOR = 1.61; 95% CI: 1.22–2.12). The path analysis showed that work stress was positively associated with job dissatisfaction. Job dissatisfaction mediated the relationship between work stress and mental health problems among Chinese working adults.Conclusion: This study suggests the importance of psychosocial work environment for mental health among Chinese working adults. Work dissatisfaction is a stressor that may induce negative consequences on the mental health among Chinese workers. Interventions to help workers with stress management may be beneficial for their mental health.

Download Full-text

A STUDY ON PREVALENCE OF POSTPARTUM DEPRESSION AT TERTIARY HOSPITAL, WEST BENGAL.

10.36106/ijar/8608857 ◽

2021 ◽

pp. 33-36

Author(s):

Chandrima Maity ◽

Debasish Sanyal ◽

Arati Biswas ◽

Sudarsan Saha

Keyword(s):

Logistic Regression ◽

Postpartum Depression ◽

Regression Model ◽

Logistic Regression Model ◽

Depression Scale ◽

Sampling Technique ◽

Simple Random Sampling ◽

Background Information ◽

Stepwise Logistic Regression ◽

Postpartum Mothers

The investigators assessed the prevalence of Postpartum Depression (PPD), its clinical features and relationship of PPD with socio-demographical and obstetrical factors. The samples were selected from the OPD and IPD, of a Medical college in Kolkata.. Observational study was performed on 500(N=500) postpartum mothers who were selected by using Simple Random Sampling Technique within the six weeks of postpartum period. Data were collected by using the Structured Questionnaire for background information, Edinburgh Postnatal Depression Scale (Bengali Version of EPDS) for postpartum depression. Data analysis was performed using Descriptive Statistics, Chi-square, Logistic Regression and Decision Tree. A total of 112 (Prevalence Rate 22.4%) postpartum mothers had PPD. Stepwise logistic regression model correctly classied 92.2% of women who developed PPD. Using logistic regression model, postpartum depression is best predicted by: No. of Postpartum days p< 0.001***, Age of the mother p<0.024**, Religion p<0.003**, Type of family p<0.020**, Education of the mother p<0.001***, Monthly Income of the family p<0.001***, No of other living children p<0.001***, Pregnancy outcome p<0.033**, Any complication during pregnancy / delivery/ postpartum p< 0.001*** and Problems with family members p< 0.001***. The study recommends that evaluation should be carried out for Postpartum Depression and its risk factors to prevent and treat PPD in a timely manner.

Download Full-text

Correlates of Postpartum Depression in First Time Mothers Without Previous Psychiatric Contact

European Psychiatry ◽

10.1016/j.eurpsy.2016.07.003 ◽

2016 ◽

Vol 40 ◽

pp. 4-12 ◽

Cited By ~ 9

Author(s):

S.M. Sylvén ◽

T.P. Thomopoulos ◽

N. Kollia ◽

M. Jonsson ◽

A. Skalkidou

Keyword(s):

Risk Factors ◽

Depressive Symptoms ◽

Postpartum Depression ◽

Path Analysis ◽

Subjective Experience ◽

Delivery Mode ◽

Increased Risk ◽

First Time Mothers ◽

History Of ◽

First Time

AbstractBackgroundPostpartum depression (PPD) is a common disorder after childbirth. The strongest known predictors are a history of depression and/or a history of PPD. However, for a significant proportion of women, PPD constitutes their first depressive episode. This study aimed to gain further insight into the risk factors for PPD in first time mothers without previous psychiatric contact.MethodsWomen delivering in Uppsala University Hospital, Sweden, from May 2006 to June 2007, were asked to participate and filled out questionnaires five days and six weeks postpartum, containing inter alia the Edinburgh Postnatal Depression Scale (EPDS). Univariate logistic regression models, as well as a path analysis, were performed to unveil the complex interplay between the study variables.ResultsOf the 653 participating primiparas, 10.3% and 6.4% reported depressive symptoms (EPDS ≥ 12 points) five days and six weeks postpartum, respectively. In the path analysis, a positive association between anxiety proneness and depressive symptoms at five days and six weeks postpartum was identified. For depressive symptoms six weeks after delivery, additional risk factors were detected, namely depressive symptoms five days postpartum and subjective experience of problems with the baby. Caesarean section and assisted vaginal delivery were associated with fewer depressive symptoms at 6 six weeks postpartum.ConclusionsIdentification of anxiety proneness, delivery mode and problems with the baby as risk factors for self-reported depressive symptoms postpartum in this group of primiparas can be important in helping health care professionals identify women at increased risk of affective disorders in the perinatal period, and provide a base for early intervention.

Download Full-text

Relationship of Zinc and Magnesium Serum Levels with Postpartum Depression in Tabriz-Iran

Global Journal of Health Science ◽

10.5539/gjhs.v8n11p120 ◽

2016 ◽

Vol 8 (11) ◽

pp. 120 ◽

Cited By ~ 1

Author(s):

Fatemeh Edalati-Fard ◽

Mojgan Mirghafourvand ◽

Sakineh Mohammad-Alizadeh-Charandabi ◽

Azizeh Farshbaf-Khalili

Keyword(s):

Logistic Regression ◽

Serum Level ◽

Postpartum Depression ◽

Heart Diseases ◽

Depression Scale ◽

Serum Levels ◽

Depression Score ◽

World Health ◽

Cross Sectional ◽

Relationship Of

OBJECTIVE: According to the World Health Organization, depression will be the second prevalent problem after ischemic heart diseases by the year 2020. Postpartum depression (PPD) as a major depressive episode has devastating impacts on the health of mother, newborn, infant, and even the whole family. This study was conducted to investigate the relationship of zinc and magnesium serum levels with PPD, as one of the commonly assumed causes of depression.METHODS: This cross-sectional study was done on 122 postpartum women aged 18 years and more in two educational hospitals and one non-educational hospital in Tabriz-Iran, 2015. The eligible women were selected using convenience sampling method. Then, the demographic characteristics questionnaire and Edinburgh Depression Scale were completed by participants, and 5cc of blood sample was drawn from each participant. For data analysis, logistic regression test was used.RESULTS: The mean score of depression scale was 8.0 (SD: 4.7), meaning that 18.9% of mothers were depressed. Results indicated a significant inverse correlation between Edinburgh depression score and magnesium serum level (p= 0.001). However, there was no statistically significant relationship between the zinc serum level and Edinburgh depression score (p=0.831), in so far as based on logistic regression analysis, increased magnesium serum level decreased the odds of depression [Odds ratio: 0.05; CI 95%: 0.01 to 0.29].CONCLUSIONS: In this study, there was a significant inverse relationship between magnesium serum level and Edinburgh depression score.

Download Full-text

Depression and Anxiety Symptoms of British Adoptive Parents: A Prospective Four-Wave Longitudinal Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16245153 ◽

2019 ◽

Vol 16 (24) ◽

pp. 5153 ◽

Cited By ~ 2

Author(s):

Rebecca E. Anthony ◽

Amy L. Paine ◽

Katherine H. Shelton

Keyword(s):

Mental Health ◽

Depressive Symptoms ◽

Adoptive Parents ◽

Anxiety Symptoms ◽

Depression Symptoms ◽

Parental Anxiety ◽

Depression And Anxiety ◽

Negative Consequences ◽

Adoptive Families ◽

Prospective Longitudinal

The mental health of birth parents has gained attention due to the serious negative consequences for personal, family, and child outcomes, but depression and anxiety in adoptive parents remains under-recognized. Using a prospective, longitudinal design, we investigated anxiety and depression symptoms in 96 British adoptive parents over four time points in the first four years of an adoptive placement. Depression and anxiety symptom scores were relatively stable across time. Growth curve analysis showed that higher child internalizing scores and lower parental sense of competency at five months post-placement were associated with higher initial levels of parental depressive symptoms. Lower parental sense of competency was also associated with higher initial levels of parental anxiety symptoms. Parents of older children and those with higher levels of parental anxiety and sense of competency at five months post-placement had a steeper decrease in depressive symptoms over time. Support for adoptive families primarily focuses on child adjustment. Our findings suggest that professional awareness of parental mental health post-placement may be necessary, and interventions aimed at improving parents’ sense of competency may be beneficial.

Download Full-text

Surgical Site Infection in a Tertiary Neonatal Surgery Centre

European Journal of Pediatric Surgery ◽

10.1055/s-0038-1636916 ◽

2018 ◽

Vol 29 (03) ◽

pp. 260-265 ◽

Cited By ~ 6

Author(s):

Adiam Woldemicael ◽

Sarah Bradley ◽

Caroline Pardy ◽

Justin Richards ◽

Paolo Trerotoli ◽

...

Keyword(s):

Risk Factors ◽

Logistic Regression ◽

Regression Model ◽

Surgical Site Infection ◽

Hospital Stay ◽

Logistic Regression Model ◽

Length Of Hospital Stay ◽

Neonatal Surgery ◽

Site Infection ◽

Increased Risk

Introduction Surgical site infection (SSI) is a key performance indicator to assess the quality of surgical care. Incidence and risk factors for SSI in neonatal surgery are lacking in the literature. Aim To define the incidence of SSI and possible risk factors in a tertiary neonatal surgery centre. Materials and Methods This is a prospective cohort study of all the neonates who underwent abdominal and thoracic surgery between March 2012 and October 2016. The variables analyzed were gender, gestational age, birth weight, age at surgery, preoperative stay in neonatal intensive care unit, type of surgery, length of stay, and microorganisms isolated from the wounds. Statistical analysis was done with chi-square, Student's t- or Mann–Whitney U-tests. A logistic regression model was used to evaluate determinants of risk for SSI; variables were analyzed both with univariate and multivariate models. For the length of hospital stay, a logistic regression model was performed with independent variables. Results A total of 244 neonates underwent 319 surgical procedures. The overall incidence of SSIs was 43/319 (13.5%). The only statistical differences between neonates with and without SSI were preoperative stay (<4 days vs. ≥4 days, p < 0.01) and length of hospital stay (<30 days vs. ≥30 days, p < 0.01). A pre-operative stay longer than 4 days was associated with almost three times increased risk of SSI (odds ratio [OR] 2.96, 95% confidence interval [CI] 1.05–8.34, p = 0.0407). Gastrointestinal procedures were associated with more than ten times the risk of SSI compared with other procedures (OR 10.17, 95% CI 3.82–27.10, p < 0.0001). Gastroschisis closure and necrotizing enterocolitis (NEC) laparotomies had the highest incidence SSI (54% and 62%, respectively). The risk of longer length of hospital stay after SSI was more than three times higher (OR = 3.36, 95%CI 1.63–6.94, p = 0.001). Conclusion This is the first article benchmarking the incidence of SSI in neonatal surgery in the United Kingdom. A preoperative stay ≥4 days and gastrointestinal procedures were independent risk factors for SSI. More research is needed to develop strategies to reduce SSI in selected neonatal procedures.

Download Full-text

Prevalence and Risk Factors of Anxiety, Depression, and Sleep Problems Among Caregivers of People Living With Neurocognitive Disorders During the COVID-19 Pandemic

Frontiers in Psychiatry ◽

10.3389/fpsyt.2020.590343 ◽

2021 ◽

Vol 11 ◽

Author(s):

Qiuxuan Li ◽

Haifeng Zhang ◽

Ming Zhang ◽

Tao Li ◽

Wanxin Ma ◽

...

Keyword(s):

Mental Health ◽

Depressive Symptoms ◽

Prevalence Rate ◽

Mental Health Problems ◽

Sleep Problems ◽

Health Problems ◽

Neurocognitive Disorders ◽

Anxiety Symptoms ◽

Increased Risk ◽

Anxiety Depression

Objectives: To estimate the prevalence of anxiety, depression, and sleep problems among caregivers of persons living with neurocognitive disorders (PLWND) during the COVID-19 pandemic in China and investigate whether the COVID-19-related experiences were associated with the presence of anxiety, depression, and sleep problems.Methods: From March 1 to 31, 2020, 160 caregivers of PLWND participated in an online cross-sectional survey on the prevalence of anxiety, depression, and sleep problems. The 7-item Generalized Anxiety Disorder Scale (GAD-7) was administered to measure anxiety symptoms, and the 2-item Patient Health Questionnaire (PHQ-2) was used to assess depressive symptoms. Questions on sleep duration and sleep quality enquired about sleep problems. Six items were used to explore the COVID-19-related experiences, including community-level infection contact and the level of exposure to media information. We computed the prevalence rate of anxiety, depressive symptoms, and sleep problems. Univariate and multivariate logistic regression analyses were performed to investigate factors associated with these mental health problems.Results: The prevalence rate of anxiety, depression, and sleep problems were 46.9%, 36.3%, and 9.4%. Approximately 55 participants (34.4%) presented with two or more mental health problems. Women had a higher risk of developing anxiety symptoms (OR, 5.284; 95% CI, 2.068–13.503; p = 0.001). Having a mental disorder (OR, 5.104; 95% CI, 1.522–17.114; p = 0.008) was associated with an increased risk of depressive symptoms. Caregivers who preferred to access positive information (OR, 0.215; 95% CI, 0.058–0.793; p = 0.021) was associated with decreased risk of sleep problems.Conclusion: Anxiety and depressive symptoms were common among caregivers of older adults with dementia or mild cognitive impairment during the COVID-19 pandemic. Being female was an independent risk factor for experiencing anxiety symptoms. Preexisting mental disorders increased the risk of depressive symptoms among caregivers, while caregivers who prefer to access positive media information decreased sleep problems.

Download Full-text

Mental health status of Chinese residents during the COVID-19 epidemic

10.21203/rs.3.rs-38662/v3 ◽

2020 ◽

Author(s):

Wen Jiang ◽

Xuerong Liu ◽

Jingxuan Zhang ◽

Zhengzhi Feng

Keyword(s):

Mental Health ◽

Logistic Regression ◽

Regression Analysis ◽

Depressive Symptoms ◽

Cognitive Processing ◽

Multiple Logistic Regression Analysis ◽

Anxiety Symptoms ◽

Multiple Logistic Regression ◽

Processing Bias ◽

Cognitive Processing Bias

Abstract Background: To investigate the mental health status of Chinese residents during the epidemic of COVID-19, as well as to identify the positive and negative factors and regulatory effect of negative cognitive processing bias on mental health.Methods: A total of 60199 residents in China were surveyed via an internet-based survey containing a general questionnaire, such as the self-rating depression scale, the state anxiety inventory, and the negative cognitive processing bias questionnaire. An ordered multiple logistic regression analysis model was used to analyze the collected data. Results: The survey revealed mild, moderate, and severe depressive symptoms in 62.65%, 11.33%, and 6.14% participants, respectively, and mild, moderate, and severe anxiety symptoms in 33.21%, 41.27%, and 22.99% participants, respectively. Multiple logistic regression analysis showed that factors, such as female gender, being older than 55 years, high school education level, medical staff, marital conflicts, negative attention bias, rumination, and death growth rate, positively affected depression and anxiety symptoms. The good family functionality, democratic working atmosphere, and a myriad of social activities negatively affected the level of depressive and anxiety symptoms.Conclusion: Chinese residents exhibited a high prevalence of anxiety and depressive symptoms during the epidemic. Thus, psychological interventions should focus on the vulnerable groups, and cognitive training should focus on reducing the negative cognitive processing bias. This might be an effective way to alleviate the mental stress of the general public during the COVID-19 pandemic.

Download Full-text

Manual Thrombus Aspiration and its Procedural Stroke Risk in Myocardial Infarction

Journal of the American Heart Association ◽

10.1161/jaha.121.022258 ◽

2021 ◽

Author(s):

Yohei Sotomi ◽

Yasunori Ueda ◽

Shungo Hikoso ◽

Daisaku Nakatani ◽

Shinichiro Suna ◽

...

Keyword(s):

Myocardial Infarction ◽

Logistic Regression ◽

Regression Model ◽

Logistic Regression Model ◽

Stroke Risk ◽

Primary Pci ◽

Thrombus Aspiration ◽

Coronary Insufficiency ◽

Increased Risk ◽

Periprocedural Stroke

Background The previous large‐scale randomized controlled trial showed that routine thrombus aspiration (TA) during percutaneous coronary intervention (PCI) was associated with an increased risk of stroke. However, real‐world clinical evidence is still limited. Methods and Results We investigated the association between manual TA and stroke risk during primary PCI in the OACIS (Osaka Acute Coronary Insufficiency Study) database (N=12 093). The OACIS is a prospective, multicenter registry of myocardial infarction. The primary end point of the present study is stroke at 7 days. A total of 9147 patients who underwent primary PCI within 24 hours of hospitalization were finally analyzed (TA group, n=4448, versus non‐TA group, n=4699 patients). TA was independently associated with risk of stroke at 7 days (odds ratio [OR], 1.92 [95% CI, 1.19‒3.12]; P =0.008) in the simple logistic regression model, while the multilevel random effects logistic regression model with hospital treated as a random effect showed that manual TA was not associated with incremental risk of stroke at 7 days (OR, 0.91 [95% CI, 0.71‒1.16]; P =0.435). The 7‐day stroke risk of manual TA was significantly heterogeneous in different institutions ( P for interaction =0.007). Conclusions Manual TA during primary PCI for patients with acute myocardial infarction was independently associated with the overall increased risk of periprocedural stroke. However, this result was substantially skewed because of institution specific risk variation, suggesting that the periprocedural stroke may be preventable by prudent PCI procedure or appropriate periprocedural management. Registration URL: https://upload.umin.ac.jp/cgi‐open‐bin/ctr_e/ctr_view.cgi?recptno=R000005464 . Unique identifier: UMIN000004575.

Download Full-text

Mental health difficulties of adults with COVID-19-like symptoms in Bangladesh: a case control-study

10.31234/osf.io/ubwxv ◽

2020 ◽

Author(s):

Musammet Rasheda Begum ◽

Shafiqul Islam Khan ◽

Hasan Al Banna ◽

Satyajit Kundu ◽

Munnaf Hossen ◽

...

Keyword(s):

Mental Health ◽

Logistic Regression ◽

Depressive Symptoms ◽

Online Survey ◽

Case Control Study ◽

Case Control ◽

Anxiety Symptoms ◽

Multivariate Logistic Regression ◽

Mental Health Difficulties ◽

Control Study

IntroductionThe rapid spread of SARS-CoV-2 coupled with inefficient testing capacities in Bangladesh has resulted in a number of deaths from COVID-19-like symptoms that have no official test results. Insufficient test sites and healthcare facilities catered to COVID-19 has led to feelings of fear and frustration in those who are sick. This study was the first study which explored the mental health of adults with the most common COVID-19-like symptoms in Bangladesh.MethodsThis retrospective case control study gathered data via an online survey to explore the mental health of Bangladeshi adults with symptoms akin to COVID-19. Level of stress, anxiety symptoms, and depressive symptoms were measured with the DASS-21. Chi-square tests and multivariate logistic regression was performed to examine the association of variables. ResultsThe prevalence rates of anxiety symptoms, and depressive symptoms of overall population were 26.9% and 52.0% respectively and 55.6% reported mild to extremely severe levels of stress. Multivariate logistic regression determined that respondents with COVID-19-like symptoms (case) reported higher odds for stress level (AOR: 2.043; CI: 1.51-2.76), anxiety symptoms (AOR: 2.770; CI: 2.04-3.77) and depressive symptoms (AOR: 1.482; CI: 1.12-1.96) than asymptomatic respondents (control). ConclusionPatients with symptoms like those of COVID-19 should be prioritized in the healthcare setting in order to reduce mental health difficulties throughout the pandemic.

Download Full-text