Postpartum psychiatric illness in Arab culture: Prevalence and psychosocial correlates

1997 ◽  
Vol 171 (1) ◽  
pp. 65-68 ◽  
Author(s):  
R. Ghubash ◽  
M. T. Abou-Saleh
Keyword(s):  
Risk Factors ◽  
Postpartum Depression ◽  
United Arab Emirates ◽  
Western Europe ◽  
Arab World ◽  
Psychiatric Morbidity ◽  
Depression Scale ◽  
Self Report ◽  
Arab Culture ◽  
Industrialised Countries

BackgroundThere have been numerous studies of the prevalence of postpartum depression and its putative risk factors in Western Europe and North America, but very few studies in developing countries including the Arab world.MethodNinety-five women admitted to the New Dubai Hospital in Dubai, United Arab Emirates, for childbirth were studied. All subjects were assessed in the postpartum period using clinical and socio-cultural instruments: the Self Report Questionnaire (SRQ) at day 2, the Edinburgh Postnatal Depression Scale (EPDS) at day 7, and the Present State Examination (PSE) at week 8 ± 2 and week 30 ± 2 after delivery.ResultsThe prevalence rate of psychiatric morbidity was 24.5% by the SRQ, 17.8% by the EPDS, and 15.8% by the PSE. A number of psychosocial factors emerged as putative risk factors for postpartum depression.ConclusionsThe prevalence rates of postpartum psychiatric morbidity and its risk factors in this Arab culture are similar to the results obtained in numerous previous studies in industrialised countries. These findings have implications for the early detection and care of women at risk for postpartum depression.

Rates of Depressive and Anxiety Disorders in a Residential Mother–Infant Unit for Unsettled Infants

2007 ◽  
Vol 41 (10) ◽  
pp. 836-842 ◽  
Author(s):  
Jane Phillips ◽  
Louise Sharpe ◽  
Stephen Matthey
Keyword(s):  
Anxiety Disorder ◽  
Major Depression ◽  
Anxiety Disorders ◽  
Psychiatric Morbidity ◽  
Depression Scale ◽  
Self Report ◽  
Not Otherwise Specified ◽  
History Of ◽  
A Current ◽  
Infant Behaviour

Objective: Depression and anxiety are known to be common among women presenting to residential mother–infant programmes for unsettled infant behaviour but most studies have used self-report measures of psychological symptomatology rather than diagnostic interviews to determine psychiatric diagnoses. The aim of the present study was to determine rates of depressive and anxiety disorders and rates of comorbidity among clients of the Karitane residential mother–infant programme for unsettled infant behaviour. Method: One hundred and sixty women with infants aged 2 weeks–12 months completed the Edinburgh Postnatal Depression Scale and were interviewed for current and lifetime history of depressive and anxiety disorders using the Structured Clinical Interview for DSM-IV diagnosis (Research version). Results: A total of 25.1% of the sample met criteria for a current diagnosis of major depression, 31.7% had met criteria for major depression since the start of the pregnancy, and 30.5% of clients met criteria for a current anxiety disorder. Of note were the 21.6% who met criteria for generalized anxiety disorder or anxiety disorder not otherwise specified (worry confined to the topics of the baby or being a mother). High levels of comorbidity were confirmed in the finding that 60.8% of those with an anxiety disorder had experienced major or minor depression since the start of their pregnancy and 46.3% of those who had experienced depression since the start of their pregnancy also met criteria for a current anxiety disorder. Conclusions: There are high levels of psychiatric morbidity among clients attending residential mother–infant units for unsettled infant behaviour, highlighting the importance of providing multifaceted interventions in order to address both infant and maternal psychological issues.

Stress in first-year Egyptian and Saudi female medical students: a cross cultural comparison

2011 ◽  
Vol 26 (S2) ◽  
pp. 1583-1583
Author(s):  
M. Amr ◽  
A.-H. El-Gilany ◽  
M. El-Wasify
Keyword(s):  
Medical Students ◽  
Perceived Stress ◽  
Western Europe ◽  
Arab World ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
First Year ◽  
Saudi Students ◽  
Significant Difference ◽  
High Level

IntroductionCollege students, especially freshmen, are particularly prone to stress due to the transitional nature of college life. However most of studies in this context were conducted in Western Europe and North America with only few recent studies conducted in the Arab world. This study sought to determine whether there was a difference in perceived stress levels of female medical students at Mansoura University, Egypt, and King Faisal University, Saudi Arabia.MethodsThe sample consisted of first year female medical students. The self-reported questionnaire covered four categories, including 13 items, of sources of stress (stressors).Perceived stress scale and Hospital Anxiety and Depression Scale were used to measure stress, anxiety and depression.ResultsThere is no significant difference between the two groups regarding number of stressors. However, Saudi students were more likely to cite emotional problems, excessive workload and fear of future. The most common items in Egyptian students were financial and environmental problems. Prevalence of stress and clinical anxiety was higher in the Saudi sample. Logistic regression analyses of independent predictors of high level of stress among both groups combined were Saudi nationality, larger family size, clinical depression and clinical anxiety.ConclusionsPerceived stress and anxiety are frequent among Saudi students. This information could be useful in designing preventive mental health programs that should be an integral part of the routine clinical facilities caring for medical students to help them to cope with the increasing demands of medical education.

Prevalence and risk factors of postpartum depression

2017 ◽  
Vol 41 (S1) ◽  
pp. S362-S362 ◽  
Author(s):  
R. F Cherif ◽  
I. Feki ◽  
R. Sellami ◽  
D. Trigui ◽  
I. Baâti ◽  
...  
Keyword(s):  
Risk Factors ◽  
Postpartum Depression ◽  
Depression Scale ◽  
Total Sample ◽  
Cross Sectional Study ◽  
School Level ◽  
Cross Sectional ◽  
Competing Interest ◽  
Associated Risk Factors ◽  
Almost All

IntroductionChildbirth represents for women a time of vulnerability to postpartum mood disorders. These disorders range in severity from the early maternal blues to postpartum psychosis. Along this spectrum is postpartum depression (PPD) that may have many risk factors.ObjectivesThe study aims to examine the prevalence of PPD and associated risk factors among a sample of Tunisian women receiving cares in the hospital of Sfax.MethodsThis is a descriptive cross-sectional study regarding 150 parturients examined during the first and the sixth week post-delivery. The EPDS (Edinburgh postnatal depression scale) was used to assess PPD.ResultsThe total sample had a mean age of 29.61 years. During the sixth week study period, 126 of 150 were examined. Almost all of the women have a low school level (82.7%). Only 9.3% had a personal psychiatric history. Multiparity was found in 43.3% of cases. The current pregnancy was undesired in 15.3% of cases. Sympathetic signs of pregnancy were reported by 64.7% of women. The prevalence of PPD in the first week was 14.7% and 19.8% in the sixth week after delivery. The PPD was associated with the maternal age (> 35 years), the low school level, the existence of mood personal background, the parity, the difficulty to accept the pregnancy and sympathetic signs of pregnancy.ConclusionPostpartum depression is common on our sample. Identifying risk factors of PPD allows clinicians to detect subgroups of women with an increased vulnerability who might receive early psychiatric care.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Determination of the Prevalence of Postpartum Depression and Risk Factors Among Postpartum Patients at a Tertiary Government Urban Hospital Using the Edinburgh Postnatal Depression Scale-Filipino Translation (EPDS-F): A Cross-Sectional Study

2020 ◽  
Author(s):  
Maria Carmina Lorenzana Santiago ◽  
Maria Antonia Esteban Habana
Keyword(s):  
Risk Factors ◽  
Regression Analysis ◽  
Postpartum Depression ◽  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Mode Of Delivery ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

Abstract Background Postpartum depression (PPD) occurs in 10-15% of deliveries worldwide. Unfortunately there is a dearth of local studies on its exact prevalence. Method This cross-sectional study aimed to determine the prevalence of and risk factors for PPD among postpartum patients at a tertiary government hospital using the Edinburgh Postnatal Depression Scale-Filipino Translation (EPDS-F), a 10-point questionnaire translated into Filipino and previously validated. Four hundred patients within 8 weeks postpartum were recruited and their EPDS-F scores and sociodemographic, medical and personal history, and delivery and perinatal outcome data were obtained. Results The overall prevalence of PPD was 14.5%, which is within the known worldwide prevalence. Among those that had family incomes below PhP10,000, the proportion that had high EPDS-F scores was 68.8%, while those that had low EPDS-F scores was 48.8% (significant at p=0.001). Among those that finished below tertiary education, the proportion that had high EPDS-F scores was 81%, while those that had low EPDS-F scores was 59.9% (significant at p=0.002). Among those who delivered vaginally, 62.1% had high EPDS-F scores vs 44.2% low EPDS-F (p=0.03). Of those that had epidural anesthesia (106 or 26.5%), 44.8% had high EPDS scores and 26.0% had low EPDS-F scores (p=0.04). Regression analysis showed that having an abdominal delivery is correlated with a lower EPDS-F score by 0.87% by logistic regression and 0.46 % by probit regression. Having a higher educational attainment and monthly income are associated with a lower EPDS-F score by regression analysis. Conclusions The prevalence may be skewed because a tertiary government institution caters to delicate pregnancies and those in low socioeconomic brackets. It may be worthwhile to compare responses from a public versus a private institution, also urban versus rural areas. It would be interesting also to evaluate the mode of delivery variable and how exactly it correlates with the development of postpartum depression.

scholarly journals Prevalence and risk factors for postpartum depression among women seen at Primary Health Care Centres in Damascus

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Mayada Roumieh ◽  
Hyam Bashour ◽  
Mayada Kharouf ◽  
Salah Chaikha
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Primary Health Care ◽  
Postpartum Depression ◽  
Confidence Interval ◽  
Depression Scale ◽  
Arab Countries ◽  
Convenience Sample ◽  
Primary Health ◽  
Probable Depression

Abstract Background In Syria, there are no previous studies on postpartum depression. The aim of this study is was identify the prevalence of postpartum depression and investigate its risk factors among Syrian women seen at the Primary Health Care Centres in Damascus. Methods This descriptive cross-sectional study was carried out between January and December 2017 in Damascus, Syria. Postpartum women seen at a convenience sample of the largest and well-utilized primary health care centres in Damascus were invited to participate in the study. The Arabic version of the validated Edinburgh Postnatal Depression Scale questionnaire was used to measure postpartum depression. A cut-off score of 13 was considered to indicate probable depression. Results Out of a total of 1105 women participated in this study, 28.2% had a score of 13 (probable Depression). The multivariate analysis showed that postpartum depression was significantly associated with a reported a health problem during last pregnancy (OR = 2.2; 95% confidence interval [CI]: 1.4–3.5); displacement (OR = 1.4; 95% confidence interval [CI]: 1.04–1.97); perceived exposure to a lot of life stressors (OR = 5.04; 95% confidence interval [CI]: 2.4–10.5); while antenatal care had a protective effect (OR = 0.52; 95% confidence interval [CI]: 0.36–0.75). Conclusions The prevalence of postpartum depression among Syrian women in this study was relatively high, as compared to other Arab and Non-Arab countries. Displacement due to the Syrian crisis among other factors was associated with postpartum depression. Obstetricians and other professionals should be sensitized about the importance of screening for the problem for better management.

scholarly journals Prevalence and risk factors of postpartum depression at a tertiary care institute

2019 ◽  
Vol 8 (7) ◽  
pp. 2773
Author(s):  
Vanithamani Sivapragasam ◽  
Anitha A. Manjappa ◽  
Aruna B. Patil ◽  
Monicka Kalaimani
Keyword(s):  
Risk Factors ◽  
Postpartum Depression ◽  
Unplanned Pregnancy ◽  
Tertiary Care ◽  
Depression Scale ◽  
Postnatal Period ◽  
Care Institute ◽  
Increased Risk ◽  
Pregnancy And Postpartum ◽  
History Of

Background: Up to 85% of the women experience some type of mood disturbance in the postnatal period. Postpartum depression affects bonding with infant which may lead to malnutrition and other complications in the infant. This article focuses on the prevalence of depression among postnatal women attending a tertiary care institute in Chennai and to identify the risk factors that affect postpartum depression.Methods: This study was a cross sectional study, performed over a period of three months from January 2019 to March 2019. 200 postnatal mothers were recruited for the study, who were in postpartum period from 1 to 6 weeks after delivery. Specially designed proforma was used to record various determinants to assess the risk factors which could contribute to postpartum depression. The Edinburgh Postnatal Depression Scale was used to detect the depressive symptoms in postnatal mother.Results: A total of 200 cases were studied. Prevalence of postpartum depression was found to be 25%. Primi gravida, history of miscarriage and unplanned pregnancy were associated with increased risk of developing depression in the postnatal period. Fear regarding gender of the child and failure of lactation were not contributing risk factors to postpartum depression. Spacious house and partner support were found to be protective factors to combat depression in postnatal women.Conclusions: Prevalence of postpartum depression was 25%. Significant association was found between primi gravida, history of miscarriage, unplanned pregnancy and postpartum depression. Early screening of the women will reduce the adverse outcomes among both mother and the child.

scholarly journals Postpartum Depression and Risk Factors among Vietnamese Women

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Thi Kim Ly Do ◽  
Thi Thanh Huong Nguyen ◽  
Thi Thu Huong Pham
Keyword(s):  
Risk Factors ◽  
Postpartum Depression ◽  
Negative Impact ◽  
Depression Scale ◽  
Binary Logistic Regression ◽  
First Year ◽  
New Mothers ◽  
Cross Sectional ◽  
Vietnamese Women ◽  
First Time

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.

Postpartum Depression in a Public Hospital in Cyprus. Prevalence, Risk Factors

2017 ◽  
Vol 41 (S1) ◽  
pp. S155-S155
Author(s):  
K. Argyropoulos ◽  
G. Andreou ◽  
D. Avramidis ◽  
P. Gourzis ◽  
G. Charalambous ◽  
...  
Keyword(s):  
Risk Factors ◽  
At Risk ◽  
Postpartum Depression ◽  
Depression Scale ◽  
Well Being ◽  
Cross Sectional Study ◽  
Health Condition ◽  
Long Term Effects ◽  
Cross Sectional ◽  
Screening Programs

IntroductionPostpartum depression (PPD) is a serious mental health condition. Untreated PPD places the mother and infant at risk and is associated with significant long-term effects on child development and behavior.ObjectivesAppropriate screening for and prompt recognition and treatment of depression after the birth of a child are essential for maternal and child well-being.AimsThe purpose of the present study was to estimate the prevalence of PPD in the first 5 days after the birth of a neonate and to investigate associations with several risk factors.MethodsA cross-sectional study was conducted among 150 mothers, in a public obstetric hospital in Nicosia, Cyprus. A questionnaire was administered including socio-demographic characteristics. The Greek version of the Edinburgh postnatal depression scale (EPDS), a 10–item questionnaire to identifying women who are at risk of PPD, was used to estimate depression among the participants.ResultsAccording to EPDS, 42% of the mothers screened positive for risk of developing PPD. Higher risk was observed in very young mothers (<20 years) (66.6% vs 15%), in women with history of psychological disorders (86.95% vs 33.85%), in single mothers (71.69% vs 22.8%), in women with serious problems during the pregnancy (74% vs 23.95%) and in mothers with not healthy neonate (75.7% vs 32.4%).ConclusionThe study reveals a high prevalence of PPD and identifies various risk factors associated with developing PPD. The use of maternal depression screening programs such as the EPDS may help to recognize an elevated risk of postpartum depression and to ensure a healthier mother-child relationship.

scholarly journals The influence of culture on trust in B2B banking relationships

2017 ◽  
Vol 35 (3) ◽  
pp. 495-515 ◽  
Author(s):  
Roudaina Houjeir ◽  
Ross Brennan
Keyword(s):  
United Arab Emirates ◽  
Arab World ◽  
Arab Countries ◽  
Content Type ◽  
Arab Culture ◽  
Depth Interview ◽  
Relationship Partners ◽  
Banking Relationships ◽  
Qualitative Nature ◽  
Cultural Origins

Purpose The purpose of this paper is to explore the significance of culture generally, and Arab culture in particular, for the development of trust in business-to-business (B2B) banking relationships. Design/methodology/approach Qualitative fieldwork was employed, gathering in-depth interview data from bankers and their business clients in the United Arab Emirates (UAE). In total, 80 relationships between bankers and business clients were investigated. Findings The development of trusting relationships between bankers and clients is affected by the cultural origins of the relationship partners. Strongly held religious beliefs, and loyalty to family, tribe and nation, lead to strong affect-based trust between bankers and clients from Arab culture. Cognitive-based trust is more characteristic of UAE banker/client relationships that involve partners from outside the Arab world. Research limitations/implications The study was conducted in the UAE. Additional tests in other Arab countries would be valuable. The qualitative nature of the study means that statistical generalizations cannot be drawn. Practical implications The cultural origins of banking relationship managers are of considerable importance when seeking to develop relationships of trust with business banking clients in the Arab world. Originality/value This substantial, qualitative study of banker relationships with business clients throws considerable light on the importance of culture as an antecedent to trust in B2B banking relationships.

scholarly journals POSTPARTUM DEPRESSION: ASSESSMENT OF CULTURAL RISK FACTORS

2021 ◽  
Vol 71 (Suppl-1) ◽  
pp. S47-51
Author(s):  
Amina Hanif Tarar ◽  
Mohammad Mohsin Ijaz ◽  
Muhammad Ali Tarar ◽  
Munazza Batool
Keyword(s):  
Risk Factors ◽  
Social Support ◽  
Postpartum Depression ◽  
Family System ◽  
Post Partum ◽  
Depression Scale ◽  
Factors Influencing ◽  
Social Support Scale ◽  
Depression Assessment ◽  
Poor Social Support

Objective: To explore the cultural risk factors influencing the Postpartum Depression of first-born infants’mothers. Study Design: Correlational survey. Place and Duration of Study: Jannat Maternity Home, Dera Ghazi Khan, Pakistan, from Jan to Nov 2019. Methodology: A sample of 101 first-born infants’ mothers with ages ranging from 18 to 26 years was selectedthrough purposive sampling. Edinburgh Post-Partum Depression Scale and Oslo Social Support Scale were used. Results: Results suggested significantly lower mean scores for Postpartum Depression of mothers having a firstborn baby boy (M=5.98, SD=2.44) and higher for those having a girl (M=18.33, SD=4.62). Multi-factorial analysis of variance indicated a significant main effect of Social Support and Family System on Postpartum Depression levels of first-born infants’ mothers, explaining 44% and 11% variance respectively. Further, Post-Hoc analysis revealed higher levels of Postpartum Depression for mothers having poor Social Support (M=17.30, SD=6.15) as compared to those having moderate (M=9.68, SD=6.27) and strong Social Support (M=6.26, SD=2.30). Moreover, pair wise-comparisons demonstrated higher levels of Postpartum Depression for first-born infants’ mothers belonging to nuclear families (M=17.61, SD=7.09) as compared to joint ones (M=9.60, SD=5.70). Conclusion: The study establishes that first-born infants’ gender, degree of social support, and nature of familyhave a profound effect on the Postpartum Depression levels of mothers. These findings will extend the understanding of cultural risk factors influencing first-born infants’ mother’s mental health.

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