Correlates of Postnatal Depression in Mothers and Fathers

1996 ◽  
Vol 169 (1) ◽  
pp. 36-41 ◽  
Author(s):  
M. E. G. Areias ◽  
R. Kumar ◽  
H. Barros ◽  
E. Figueiredo
Keyword(s):  
Longitudinal Study ◽  
Postnatal Depression ◽  
Rating Scale ◽  
Negative Impact ◽  
Depression Scale ◽  
Mothers And Fathers ◽  
First Child ◽  
History Of ◽  
Obstetric Services ◽  
History Of Depression

BackgroundWe compare and contrast some correlates of paternal and maternal depression after the live birth of a first child, as part of a longitudinal study.MethodFifty-four first-time mothers attending obstetric services in Oporto, Portugal, and 42 of their husbands or partners participated in a longitudinal study of their mental health. All subjects were given a semi-structured clinical interview (SADS) at six months antenatally and at 12 months postnatally and sub-samples were interviewed at three months postnatally. At all these times all the mothers and fathers also completed a translated version of a self-rating scale for depression, the Edinburgh Postnatal Depression Scale (EPDS) and a series of other questionnaires and interviews to measure different psychosocial variables. Profiles of risk factors associated with depression in the first postnatal year were analysed by means of logistic regressions.ResultsIn the mothers, aside from a history of depression, the only other powerful predictor of postnatal depression was the mean objective negative impact score of life events. ‘Postnatal’ depression in fathers was associated with a history of depression in themselves and with the presence of depression in their wives or partners during pregnancy and soon after delivery.ConclusionPrevention and early treatment of depression in fathers may benefit not only themselves but also their spouses and their children.

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

Absence of major depressive disorder in female cancer patients.

1985 ◽  
Vol 3 (11) ◽  
pp. 1553-1560 ◽  
Author(s):  
S B Lansky ◽  
M A List ◽  
C A Herrmann ◽  
E G Ets-Hokin ◽  
T K DasGupta ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Rating Scale ◽  
Performance Status ◽  
Depression Scale ◽  
Current Treatment ◽  
Karnofsky Performance Scale ◽  
Prevalence Of Depression ◽  
History Of ◽  
Highly Correlated ◽  
History Of Depression

This investigation evaluated the prevalence of depression in female patients who had cancer in any of five predesignated sites. Five hundred five women aged 17 to 80 (190 with breast cancer, 143 with gynecologic malignancies, 111 with melanoma, 37 with bowel cancer, and 24 with lymphoma) were randomly screened. Assessment included the Hamilton rating scale for depression, the Zung self-rating depression scale, the Karnofsky performance scale, and a 10-cm visual pain analogue line. The results revealed a mean Hamilton of 10.2 (range, 0 to 41; SD, 7.5), a mean Zung score of 35.3 (range, 11 to 68; SD, 9.6), a Karnofsky median score of 80, and a median pain score of 0. Scores on the Zung scale were highly correlated with those of the Hamilton scale (r = .75). Based on cutoff scores accepted as indicating depression (Hamilton greater than or equal to 20 and Zung greater than or equal to 50), patients were depressed. The depressed subgroup was in significantly more pain, experienced greater physical disability, and was more likely to have had prior episodes of depression as compared to the non-depressed women. The two best predictors of current depression were performance status (Karnofsky) and history of depression. No relationship was found between depression and other demographic variables or disease parameters (diagnosis, time since diagnosis, stage or phase of illness, and current treatment). Our findings indicate that the prevalence of major depression in cancer patients is lower than many previous studies have indicated and falls within the range seen in the general population.

Comparative Incidence of Depression in Women and Men, During Pregnancy and after Childbirth

1996 ◽  
Vol 169 (1) ◽  
pp. 30-35 ◽  
Author(s):  
M. E. G. Areias ◽  
R. Kumar ◽  
H. Barros ◽  
E. Figueiredo
Keyword(s):  
Mental Health ◽  
Edinburgh Postnatal Depression Scale ◽  
Rating Scale ◽  
Depression Scale ◽  
Emotional Reactions ◽  
Mothers And Fathers ◽  
Valid Instrument ◽  
Obstetric Services ◽  
The Impact ◽  
First Time

BackgroundComparing women's and men's emotional reactions to childbirth can clarify the impact on mental health of childbirth as a life event.MethodFifty-four first-time mothers attending obstetric services in Oporto, Portugal, and 42 of their husbands or partners participated in a longitudinal study of their mental health. All subjects were given a semi-structured clinical interview (SADS) at 6 months antenatally and at 12 months postnatally and sub-samples were interviewed at 3 months postnatally. At all these times all the mothers and fathers also completed a translated version of a self-rating scale for depression, the Edinburgh Postnatal Depression Scale (EPDS).ResultsMore women than men had past histories of depression but their rates of depression did not differ significantly during pregnancy. In the first 3 months postnatally, nearly a quarter of the women ‘at risk’ were found to have become depressed (major, minor and intermittent) in contrast with less than 5% of the men. In the next nine months men were more prone to become depressed than previously and their conditions tended to follow an earlier onset of depression in their spouses.ConclusionComparisons of EPDS and SADS ratings showed that the translated EPDS was a valid instrument for women but it was less satisfactory when applied to men.

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 Paternal postpartum depression, its relationship to maternal postpartum depression and to insufficient income

2021 ◽  
Author(s):  
Grażyna Gebuza ◽  
Patrycja Kudziełko ◽  
Marzena Kaźmierczak ◽  
Agnieszka Dombrowska-Pali ◽  
Małgorzata Gierszewska ◽  
...  
Keyword(s):  
Postpartum Depression ◽  
Depressive Disorder ◽  
Postnatal Depression ◽  
Previous History ◽  
Depression Scale ◽  
Postnatal Period ◽  
Symptoms Of Depression ◽  
History Of ◽  
Financial Income ◽  
History Of Depression

Introduction: No studies on paternal postnatal depression (PPND) have been performed in Poland. Aim: The aim of the study was to estimate the symptoms of depression in women and men and identify the determinants of mental health of fathers after the birth of their child. Material and methods: Parents (142) participated in the study during the period 1 to 12 months after the birth. Results and discussion: The analyses reveal that 13% of fathers and 18% of mothers after the birth of their child had Edinburgh postnatal depression scale (EPDS) scores of 10 or higher, which indicates possible depression. At score 12 and more, the proportion detected by EPDS decreased to 7% of fathers and 13% of mothers, which is an indicator of major depressive disorder. At EPDS score 12 and more, a probable depressive disorder was indicated in 10% of fathers in the period of 1–3 months, 7% of fathers at 4–7 months and 4% of fathers at 8–12 months. The symptoms of maternal depression at a score of 12 and more were detected in 16% of women at 1–3 months, 12% at 4–7 months 11% at 8–12 months. PPND was significantly associated with depression in mothers OR 5.7, lower education OR 4.3, low financial income OR 6.0, decreased relationship satisfaction OR 3.3, and previous history of depression OR 3.2. Conclusions: Psychosocial factors were strong predictors of PPND up to a year after the birth of the child. The authors suggest the routine screening and assessment of both parents should occur during the woman’s pregnancy and in the postnatal period.

scholarly journals Factor Structure of the Edinburgh Postnatal Depression Scale in a Sample of Postpartum Slovak Women

2021 ◽  
Vol 18 (12) ◽  
pp. 6298
Author(s):  
Zuzana Škodová ◽  
Ľubica Bánovčinová ◽  
Eva Urbanová ◽  
Marián Grendár ◽  
Martina Bašková
Keyword(s):  
Factor Structure ◽  
Postnatal Depression ◽  
Convergent Validity ◽  
Edinburgh Postnatal Depression Scale ◽  
Negative Impact ◽  
Depression Scale ◽  
Depression Symptoms ◽  
Three Dimensional Model

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.

scholarly journals Relationship between progression of brain white matter changes and late-life depression: 3-year results from the LADIS study

2012 ◽  
Vol 201 (1) ◽  
pp. 40-45 ◽  
Author(s):  
Michael J. Firbank ◽  
Andrew Teodorczuk ◽  
Wiesje M. Van Der Flier ◽  
Alida A. Gouw ◽  
Anders Wallin ◽  
...  
Keyword(s):  
White Matter ◽  
Depression Scale ◽  
Late Life ◽  
The Elderly ◽  
Late Life Depression ◽  
White Matter Changes ◽  
Brain White Matter ◽  
History Of ◽  
Depressive Episodes ◽  
History Of Depression

BackgroundBrain white matter changes (WMC) and depressive symptoms are linked, but the directionality of this association remains unclear.AimsTo investigate the relationship between baseline and incident depression and progression of white matter changes.MethodIn a longitudinal multicentre pan-European study (Leukoaraiosis and Disability in the elderly, LADIS), participants aged over 64 underwent baseline magnetic resonance imaging (MRI) and clinical assessments. Repeat scans were obtained at 3 years. Depressive outcomes were assessed in terms of depressive episodes and the Geriatric Depression Scale (GDS). Progression of WMC was measured using the modified Rotterdam Progression scale.ResultsProgression of WMC was significantly associated with incident depression during year 3 of the study (P = 0.002) and remained significant after controlling for transition to disability, baseline WMC and baseline history of depression. There was no significant association between progression of WMC and GDS score, and no significant relationship between progression of WMC and history of depression at baseline.ConclusionsOur results support the vascular depression hypothesis and implicate WMC as causal in the pathogenesis of late-life depression.

scholarly journals Correlates of Depression in the Slovenian Working Population

2013 ◽  
Vol 64 (4) ◽  
pp. 489-495 ◽  
Author(s):  
Zalika Klemenc-Ketiš ◽  
Borut Peterlin
Keyword(s):  
Positive Family History ◽  
Depression Scale ◽  
Working Population ◽  
Cross Sectional ◽  
Primary Health ◽  
Prevalence Of Depression ◽  
History Of ◽  
Study Population ◽  
Family History Of Depression ◽  
History Of Depression

Abstract This multicentre, cross-sectional observational study aimed to determine the prevalence of depression among the working population of Slovenia and identify factors correlating with higher prevalence of depression. It was conducted in three occupational medicine practices within major Slovenian primary health care centres. The study population consisted of 1,474 respondents [73.7 % of the invited participants, 889 (60.3 %) men and 585 (39.7 %) women with mean age of (40.5±9.8) years] who visited these practices for their regular check-ups from November 2010 to June 2012 and were asked to fill in a self-developed questionnaire and score depression on the Zung’s self-rating depression scale. According to the rating, 50 (3.4 %) respondents suffered from depression. In the multivariate analysis, depression correlated with the following independent variables: self-perceived exposure to chronic stress, positive family history of depression, and primary school education.

scholarly journals Do Maternal Stress and Depressive Symptoms in Perinatal Period Predict the Lactation Mastitis Occurrence? A Retrospective Longitudinal Study in Greek Women

Diagnostics ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. 1524
Author(s):  
Maria Dagla ◽  
Calliope Dagla ◽  
Irina Mrvoljak-Theodoropoulou ◽  
Dimitra Sotiropoulou ◽  
Aikaterini-Taxiarchoula Kavakou ◽  
...  
Keyword(s):  
Mental Health ◽  
Longitudinal Study ◽  
Depression Scale ◽  
Binary Logistic Regression ◽  
Perinatal Period ◽  
Poor Mental Health ◽  
Emotional Factors ◽  
History Of ◽  
Anxiety Screening ◽  
D 12

Background: The aim of this study is to investigate whether symptoms of anxiety and depression disorders in women during the perinatal period predict the occurrence of lactation mastitis. Methods: This is a retrospective longitudinal study of 622 Greek women who were monitored from pregnancy until the first year postpartum (during the period January 2015–May 2018). The Edinburgh Postnatal Depression Scale (EPDS) and the Perinatal Anxiety Screening Scale (PASS) were administered at four time points: (a) 24th–28th gestation week, (b) 34th–38th gestation week, (c) 6 weeks postpartum, and (d) 12 months postpartum. Multivariate binary logistic regression analyses were performed. Results: Results showed that (a) increased EPDS (p < 0.02) and PASS (p < 0.05) scores during the last period before birth, (b) increased EPDS score at 6 weeks postpartum (p < 0.02), (c) PMS symptoms (p < 0.03), (d) traumatic life events during the last year (p < 0.03), and (e) the existence of a history of psychotherapy (before pregnancy) (p = 0.050) appear to be the psycho-emotional factors that can predict the possible occurrence of lactation mastitis in a breastfeeding mother. Conclusions: The association between women’s poor mental health and the occurrence of a physical health problem, such as lactation mastitis, is recognized. This study highlights the important role of early and timely detection of perinatal mental health disorders.

scholarly journals Can the Edinburgh Postnatal Depression Scale be used to screen for anxiety in the perinatal period? A factor analysis of high-risk and community samples

2020 ◽  
Author(s):  
Alexandra Lautarescu ◽  
Suresh Victor ◽  
Alex Lau-Zhu ◽  
Serena J. Counsell ◽  
Anthony David Edwards ◽  
...  
Keyword(s):  
Mental Health ◽  
Factor Analysis ◽  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Mental Health Problems ◽  
Community Sample ◽  
Depression Scale ◽  
Maternal History ◽  
History Of ◽  
The Relationship

Background: Timely and accurate detection of perinatal mental health problems is essential for the wellbeing of both mother and child. Growing evidence has suggested that the Edinburgh Postnatal Depression Scale (EPDS) is not a unidimensional measure of perinatal depression, but can be used to screen for anxiety disorders.Methods: We aimed to assess the factor structure of the EPDS in 3 different groups of women: n=266 pregnant women at high-risk of depression (“Perinatal Stress Study”), n=471 pregnant women from a community sample, and n=637 early postnatal women from a community sample (“developing Human Connectome Project”). Exploratory factor analysis (40% of each sample) and confirmatory factor analysis (60% of each sample) were performed. The relationship between EPDS scores and history of mental health was investigated. Results: Results suggested that a 3-factor model (depression, anxiety, and anhedonia) is the most appropriate across groups. The anxiety subscale (EPDS 3A) emerged consistently and was related to maternal history of anxiety disorders. Total EPDS score was related to history of mental health problems. Limitations: Although data were collected on maternal history of mental health, there was no standardized diagnostic interview administered to assess the relationship between EPDS 3A and a current diagnosis of anxiety disorder. Conclusions: A better understanding of the multi-factorial structure of the EPDS can inform diagnosis and management of women in the prenatal and postnatal period. The EPDS 3A could be used to provide initial screening information for anxiety in situations where a validated anxiety questionnaire is not administered.

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