scholarly journals Postpartum Depression and Anxiety among Lebanese women: correlates and scales validation

2020 ◽  
Author(s):  
Eva Hobeika ◽  
Miguella Outayek ◽  
Diana Malaeb ◽  
Elie Hobeika ◽  
Pascale Salameh ◽  
...  
Keyword(s):  
Postpartum Depression ◽  
Postnatal Depression ◽  
Depression Scale ◽  
Arabic Language ◽  
Premature Baby ◽  
Depression Score ◽  
Normal Weight ◽  
Depression And Anxiety ◽  
Postpartum Anxiety ◽  
Cross Sectional

Abstract Background The last study conducted in Lebanon about postpartum depression dates back to 2014, whereas no studies have been conducted to assess postpartum anxiety (PPA). The shortage of research in this field and the potential opportunities to provide different aspects of postpartum care that respond to women's needs require a deeper understanding of the various problems faced by postpartum women. The study objectives were to delineate some factors associated with postnatal depression and anxiety among a sample of Lebanese women 4-6 weeks after delivery and validate the Edinburgh Postnatal Depression Scale (EPDS) and Perinatal Anxiety Screening Scale (PASS) in Arabic language in that sample.Methods This cross-sectional study, carried out between July 2018 and March 2019, enrolled 295 participants who came for a postnatal checkup to four clinics.Results Higher postpartum anxiety (Beta=0.25), higher insomnia (Beta=0.11) and having complications during delivery (Beta=1.81) were associated with higher postpartum depression. Higher postpartum depression score (Beta=1.38) and a premature baby birth compared to those born at term with normal weight (Beta=4.25) were associated with higher postpartum anxiety. The factor analysis for the EPDS and the PASS scales was run over the whole sample. The EPDS and PASS scales items converged over a solution of three and seven factors that had an Eigenvalue over 1 respectively, explaining a total of 64.73% and 65.12% of the variance respectively. High Cronbach’s alpha values were found for the EPDS (0.826) and PASS (0.920) scales.Conclusion Depression and anxiety prevalence rates in the Lebanese population is higher compared to other countries which may in part be due to differences of regional, social, and environmental culture. Different etiological factors could contribute to both depression and anxiety in the postpartum period, which could adversely affect both the mother and the infant.

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

2016 ◽  
Vol 8 (11) ◽  
pp. 120 ◽  
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

<p><strong>OBJECTIVE:</strong> 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.</p><p><strong>METHODS:</strong> 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.</p><p><strong>RESULTS: </strong>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].</p><p><strong>CONCLUSIONS:</strong> In this study, there was a significant inverse relationship between magnesium serum level and Edinburgh depression score.</p>

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 A survey of psychological responses during the Coronavirus Disease 2019 (COVID-19) epidemic among Chinese police officers in Wuhu

2020 ◽  
Author(s):  
Lili Yuan ◽  
Lele Zhu ◽  
Fangfang Chen ◽  
Qian Cheng ◽  
Qian Yang ◽  
...  
Keyword(s):  
Police Officers ◽  
Depression Scale ◽  
Severe Depression ◽  
Depression Score ◽  
Depression And Anxiety ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Psychological Response ◽  
Sleeping Pills ◽  
The Mean

Abstract Background The outbreak of Coronavirus Disease 2019 (COVID-19) has caused serious threats to people’s health and lives. The police officers are bravely fighting on the front lines of the epidemic. Our study is the first survey of psychological response in the police officers of China during the tumultuous time of the COVID − 19 outbreak. Methods A cross-sectional online questionnaire was conducted to the police officers from 5 districts (Yijiang, Sanshan, Jiujiang, jinghu and Jingkai) and 4 counties (Wuhu, Nanling,Fanchang and Wuwei) of Wuhu City through Wechat, and the data were collected between 10 and 26 March 2020. A total of 3561 questionnaires were received in the study, of which 3517 were considered valid. The questionnaires included the demographic information and psychological survey. The depression scale of the patient health questionnaire (PHQ-9) and generalized anxiety disorder 7-item scale (GAD-7) were employed to assess depression and anxiety, respectively. Results The mean depression score of the participants was 4.10 ± 4.87 (0 ~ 27). 12.17% of the police officers had moderate to severe depression. The mean anxiety score of the participants was 3.59 ± 4.228 (0 ~ 21). 8.79% the police officers had moderate to severe anxiety. The participants of senior high school or below and academy had lower depression and anxiety scores than these of bachelor or above, respectively. The police officers Unmarried had lower anxiety scores than married. The different location and police classification were associated with the different degree of depression and anxiety. The participants who did not take sleeping pills had lower depression and anxiety scores than those who took sleeping pills. The depression scores of the police officers were strongly correlated with their anxiety scores of the police officers. Conclusion The police officers have different levels of anxiety and depression during the COVID-19 epidemic in Wuhu. We should call for attention to the psychological response of police officers during the epidemic, and provide them with corresponding help and follow-up.

Medical and psychosocial determinants of risk of postpartum depression: a cross-sectional study

2017 ◽  
Vol 29 (6) ◽  
pp. 347-355 ◽  
Author(s):  
Karolina Maliszewska ◽  
Mariola Bidzan ◽  
Małgorzata Świątkowska-Freund ◽  
Krzysztof Preis
Keyword(s):  
Postpartum Depression ◽  
Psychiatric Disorder ◽  
Premenstrual Syndrome ◽  
Postnatal Depression ◽  
Positive Family History ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
History Of ◽  
Neuroticism Scale

ObjectiveThe aim of this study was to investigate the degree of risk of maternal postpartum depression during the second month of puerperium.MethodIn total, 387 postnatal women filled out a questionnaire concerning their health and social status, as well as the following tests: the Edinburgh Postnatal Depression Scale (EPDS), the Patient Health Questionnaire-9 (PHQ-9), the Neo Five-Factor Inventory (NEO-FFI) Personality Inventory and the Berlin Social Support Scales. After 4–8 weeks, patients responded to another questionnaire with the EPDS and the PHQ-9.ResultsIn total, 48 patients (12.40%) were found to be at risk of postpartum depression between the fourth and eighth weeks after delivery. Premenstrual syndrome [adjusted odds ratio (ORa)=2.93, confidence interval (CI) 1.30–6.63] and EPDS>12 points during the first week after the delivery (ORa=3.74, CI 1.59–9.04) increased the risk of postnatal depression. A similar role is played by a high result in neuroticism scale of the NEO-FFI (ORa=1.50, CI 1.17–1.92) and a positive family history of any psychiatric disorder (ORa=1.03, CI 1.01–1.06).ConclusionA history of premenstrual syndrome and a higher risk of affective disorder soon after a childbirth are associated with greater chances of depressive symptoms in the second month postpartum. This is also the case if a patient is neurotic and has a relative with a history of any psychiatric disorder. Such women should have their mental status carefully evaluated.

scholarly journals Validation of a Dari translation of the Edinburgh Postnatal Depression Scale among women of refugee background at a public antenatal clinic

2021 ◽  
pp. 000486742110256
Author(s):  
Rebecca Blackmore ◽  
Melanie Gibson-Helm ◽  
Glenn Melvin ◽  
Jacqueline A Boyle ◽  
Mina Fazel ◽  
...  
Keyword(s):  
Confidence Interval ◽  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Depression Scale ◽  
High Sensitivity ◽  
Clinical Interview ◽  
Diagnostic Process ◽  
Depression And Anxiety ◽  
Operating Characteristics ◽  
Cross Sectional

Objective: Identifying women at risk of depression and anxiety during pregnancy provides an opportunity to improve health outcomes for women and their children. One barrier to screening is the availability of validated measures in the woman’s language. Afghanistan is one of the largest source countries for refugees yet there is no validated measure in Dari to screen for symptoms of perinatal depression and anxiety. The aim of this study was to assess the screening properties of a Dari translation of the Edinburgh Postnatal Depression Scale. Methods: This cross-sectional study administered the Edinburgh Postnatal Depression Scale Dari version to 52 Dari-speaking women at a public pregnancy clinic in Melbourne, Australia. A clinical interview using the depressive and anxiety disorders modules from the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders (5th ed.) was also conducted. Interview material was presented to an expert panel to achieve consensus diagnoses. The interview and diagnostic process was undertaken blind to Edinburgh Postnatal Depression Scale screening results. Results: Cronbach’s alpha coefficient for the Edinburgh Postnatal Depression Scale Dari version was good (α = 0.79). Criterion validity was assessed using the receiver operating characteristics curve and generated excellent classification accuracy for depression diagnosis (0.90; 95% confidence interval [0.82, 0.99]) and for anxiety diagnosis (0.94; 95% confidence interval [0.88, 1.00]). For depression, a cut-off score of 9, as recommended for culturally and linguistically diverse groups, demonstrated high sensitivity (1.00; 95% confidence interval [0.79, 1.00]) and specificity (0.88; 95% confidence interval [0.73, 0.97]). For anxiety, a cut-off score of ⩾5 provided the best balance of sensitivity (1.00; 95% confidence interval [0.72, 1.00]) and specificity (0.80; 95% confidence interval [0.65, 0.91]). Conclusion: These results support the use of this Edinburgh Postnatal Depression Scale Dari version to screen for symptoms of depression and anxiety during pregnancy as well as the use of a lowered cut-off score.

scholarly journals DEPRESSÃO PÓS-PARTO: IDENTIFICAÇÃO DE SINAIS, SINTOMAS E FATORES ASSOCIADOS EM MATERNIDADE DE REFERÊNCIA EM MANAUS

2019 ◽  
Vol 10 (3) ◽  
Author(s):  
Sarah Regina Aloise ◽  
Alaidistania Aparecida Ferreira ◽  
Raquel Faria da Silva Lima
Keyword(s):  
Postpartum Depression ◽  
Postnatal Depression ◽  
Associated Factors ◽  
Edinburgh Postnatal Depression Scale ◽  
Depression Scale ◽  
Signs And Symptoms ◽  
Maternity Hospital ◽  
Cross Sectional ◽  
Brazilian Version ◽  
Obstetric Factors

Objetivos: Identificar sinais e sintomas de Depressão Pós-Parto (DPP) e fatores associados em mulheres no puerpério mediato, entre 48h e 72h.Metodologia: estudo descritivo transversal com abordagem quantitativa realizado em maternidade de referência de Manaus- AM de junho a setembro de 2018. Foram aplicadas a versão brasileira da escala Edinburgh Postnatal Depression Scale- EPDS e formulário socioeconômico e obstétrico.Resultados: 15,06% das 166 participantes apresentaram sinais e sintomas de DPP, porém não houve associação entre possível DPP e fatores socioeconômicos e clínicos-obstétricos.Conclusões: o percentual de puérperas com score sugestivo de DPP encontra-se na média de outras pesquisas nacionais e a pesquisa mostrou ser eminente a identificação precoce de sinais e sintomas de DPP ainda no ambiente hospitalar 48h a 72h após o parto.Descritores: Depressão Pós-Parto, Período Pós-Parto, Sinais e Sintomas POSTPARTUM DEPRESSION: IDENTIFICATION OF SIGNS AND SYMPTOMS AND ASSOCIATED FACTORS IN REFERENCE MATERNITY HOSPITAL IN THE CITY OF MANAUSObjectives: To identify signs and symptoms of Postpartum Depression (PPD) and associated factors in women in postpartum between 48h and 72h.Methods: cross-sectional descriptive study with a quantitative approach performed in a reference maternity hospital of Manaus-AM from June to September 2018. The instruments used were the Brazilian version of the Edinburgh Postnatal Depression Scale-EPDS and socioeconomic and obstetric form. Results: 15.06% of 166 participants presented signs and symptoms of PPD, but there wasn’t association between PPD and socioeconomic and clinical-obstetric factors. Conclusions: the percentage of postpartum women with a suggestive score of PPD is in the mean of other national surveys, and the research showed that is important the early identification of signs and symptoms of PPD at hospital in 48h-72h postpartum. Descriptors: Depression, Postpartum; Postpartum Period; Signs and Symptoms. DEPRESIÓN POST-PARTO: IDENTIFICACIÓN DE SIGNOS, SÍNTOMAS Y FACTORES ASOCIADOS EN LA MATERNIDAD DE REFERENCIA EN MANAUSObjetivos: identificar signos y síntomas de Depresión Post-parto (DPP) y factores asociados en mujeres en puerpério mediato, entre 48h y 72h.Metodología: estudio descriptivo transversal con abordaje quantitativo realizado en maternidad de referencia de Manaus-AM de junio a septiembre de 2018. Los instrumentos utilizados fueron la versión brasileña de la escala Edinburgh Postnatal Depression Scale- EPDS y formulario socioeconómico y obstetrico. Resultados: 15,06% de 166 de las participantes presentaban signos y síntomas de DPP, pero no hicieron asociación entre posible DPP y factores socioeconómicos y clínicos-obstétricos. Conclusión: El porcentaje de puérperas con puntuación sugestivo de DPP se encuentra en la media de otras pesquisas nacionales y la pesquisa mostró ser importante la identificación precoz de signos y síntomas de DPP en el ambiente hospitalario 48h a 72h pasado el parto.Descriptores: Depresión Posparto, Período Posparto, Signos y Síntomas.

scholarly journals Analisis Faktor Risiko Gejala Depresi Pada Ibu di Masa Nifas di Kecamatan Banjarsari, Surakarta

2020 ◽  
Vol 48 (2) ◽  
pp. 131-138
Author(s):  
Yustisia Imaninditya Puteri Widarini ◽  
Izzatul Arifah ◽  
Kusuma Estu Werdani
Keyword(s):  
Postpartum Depression ◽  
Exclusive Breastfeeding ◽  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Depression Scale ◽  
Depression Symptoms ◽  
Chi Square ◽  
Cross Sectional ◽  
Postpartum Mothers ◽  
Breastfeeding Practice

Abstract Women are prone to experiencing postpartum depression. The purpose of this study was to analyze the association of risk factors and depression symptoms in postpartum mothers in Banjarsari District, Surakarta in 2019. The design of the research is cross-sectional with the total sample was.160 postpartum mothers (0-6 weeks) from the total population of 268 mothers The independent variables included the mother’s age, education, occupation, type of delivery exclusive breastfeeding practice, and the first time breastfeeding. Whereas, the dependent variables were the symptoms of postpartum depression. Data collection using the exclusive breastfeeding practice questionnaire and the Edinburgh Postnatal Depression Scale (EPDS). Data analysis was performed using Chi-square and multivariate logistic regression. The results showed that 25.6% of mothers in Banjarsari experienced symptoms of postpartum depression. Type of labor (p=0,049, OR 2,333, 95% CI 1,002-5,428) and exclusive breastfeeding practice (p=0,018, OR 2,460 95% CI 1,1665,187) were significantly associated with symptoms of postpartum depression. The study concluded that the group of mothers who did exclusive breastfeed and who had delivery complications tended to experience symptoms of postpartum depression higher than that of mothers who did not experience the same conditions. Keywords : postpartum, depression, EPDS Abstrak Perempuan rentan mengalami depresi masa nifas. Tujuan penelitian untuk menganalisis hubungan faktor risiko dengan gejala depresi pada ibu di masa nifas di Kecamatan Banjarsari, Surakarta. Desain penelitian adalah crossectional dengan sampel 160 ibu nifas (0-6 minggu) dari total populasi 268 orang, Penelitian mengukur variabel independen yaitu usia ibu, pendidikan, pekerjaan, jenis persalinan, praktik menyusui eksklusif dan waktu pertama kali menyusui dengan variabel dependen yaitu gejala depresi pada ibu di masa nifas. Pengumpulan data menggunakan kuesioner praktik menyusui eksklusif dan Edinburgh Postnatal Depression Scale (EPDS). Analisis data menggunakan Chi-square dan multivariat menggunakan regresi logistik. Hasil penelitian menunjukkan 25,6% ibu di Kecamatan Banjarsari, Surakarta mengalami gejala depresi di masa nifas. Jenis persalinan (p=0,049, OR 2,333, 95% CI 1,002-5,428) dan praktik menyusui eksklusif (p=0,018, OR 2,460, 95% CI 1,166-5,187) berhubungan signifikan dengan gejala depresi masa nifas. Kesimpulan penelitian ini adalah kelompok ibu yang tidak menyusui eksklusif dan kelompok ibu yang jenis persalinan disertai penyulit cenderung mengalami gejala depresi lebih tinggi dibandingkan kelompok ibu yang tidak mengalami kondisi yang sama. Kata kunci: postpartum, depresi, EPDS

Relationship between Intimate Partner Violence and The Risk of Postpartum Depression

2020 ◽  
Author(s):  
◽  
RB. Soemanto ◽  
Bhisma Murti ◽  
◽  
Keyword(s):  
Intimate Partner Violence ◽  
Postpartum Depression ◽  
Partner Violence ◽  
Postnatal Depression ◽  
English Language ◽  
Meta Analysis ◽  
Depression Scale ◽  
Health Behaviours ◽  
Intimate Partner ◽  
Cross Sectional

ABSTRACT Background: Intimate partner violence (IPV) refers to any behavior in an intimate relationship that causes physical, psychological or sexual harm to those in the relationship. IPV is associated with fatal and non-fatal health effects, including homicide and suicide, as well as negative health behaviours during pregnancy, poor reproductive outcomes and adverse physical and mental consequences. This study aimed to examine relationship between intimate partner violence and the risk of postpartum depression. Subjects and Method: This was a meta-analysis and systematic review. The study was conducted by collecting articles from Pubmed, Google Scholar, and Science Direct databases, which published from 2010 to 2020. “Intimate Partner Violence” OR “IPV” AND “Postpartum Depression” OR “Postnatal Depression” was keywords used for searching the articles. The study population was postpartum mothers. The intervention was intimate partner violence with comparison no intimate partner violence. The study outcome was postpartum depression. The inclusion criteria were full text cross-sectional study, using English language, using Edinburgh Postnatal Depression Scale (EPDS) to measure depression. The articles were selected by PRISMA flow chart and Revman 5.3. Results: 8 articles from Turki, Ethiopia, Mexico, Malaysia, Israel, South Africa, and Sudan were reviewed for this study. This study reported that intimate partner violence increased the risk of postpartum depression (aOR = 3.39; 95% CI= 2.17 to 5.30). Conclusion: Intimate partner violence increased the risk of postpartum depression. Keywords: intimate partner violence, postpartum depression Correspondence: Ardiani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: 085337742831. DOI: https://doi.org/10.26911/the7thicph.03.109

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