scholarly journals Screening of postpartum depression among new mothers in Istanbul: a psychometric evaluation of the Turkish Edinburgh Postnatal Depression Scale

2020 ◽  
Author(s):  
Perran Boran ◽  
Ahmed Waqas ◽  
Öykü Ozboru Askan ◽  
İrem Topçu ◽  
Tugay Dogan ◽  
...  
Keyword(s):  
Postpartum Depression ◽  
Factor Structure ◽  
Depression Scale ◽  
Psychometric Evaluation ◽  
Analytical Techniques ◽  
Well Being ◽  
Factor Loading ◽  
University Hospital ◽  
Training And Research ◽  
Self Harm

Abstract Objective This study is the first concerted effort to ascertain factor structure of EPDS using evidence based analytical techniques. It is the most widely used scale for assessing postpartum depression in Turkey, and yet no investigations have been conducted to assess it factor structure. This study was conducted from April 2012 to April 2018 at the Marmara University Hospital operating under the name of Marmara University Pendik Training and Research Hospital in Istanbul Turkey. Results A total of 1700 women were included in this study, who responded to the EPDS, in addition to demographic characteristics and well-being of their offspring. A total of 1615 mothers provided adequate data for inclusion in analysis. Standardized Chronbach’s alpha for EPDS was 0.81 with corrected item-total correlations ranging from 0.35 to 0.62. Parallel analysis, MAP Velicer Test and Hull’s method dictated retaining of one factor structure. All the items revealed adequate communalities (> 0.20) except item 2 (enjoyment) and item 10 (self-harm). Their communalities were 0.16 and 0.19, however, these items were not dropped. All of the items yielded moderate to strong factor loadings. Minimum factor loading was for item 2 (0.40) and highest for item 8 (0.71).

scholarly journals Genome-wide gene expression changes in postpartum depression point towards an altered immune landscape

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Divya Mehta ◽  
Karen Grewen ◽  
Brenda Pearson ◽  
Shivangi Wani ◽  
Leanne Wallace ◽  
...  
Keyword(s):  
Gene Expression ◽  
Depressive Symptoms ◽  
Postpartum Depression ◽  
Expression Profiles ◽  
Depression Scale ◽  
Well Being ◽  
Health Concern ◽  
Genome Wide ◽  
A Genome ◽  
Genome Wide Gene Expression

AbstractMaternal postpartum depression (PPD) is a significant public health concern due to the severe negative impact on maternal and child health and well-being. In this study, we aimed to identify genes associated with PPD. To do this, we investigated genome-wide gene expression profiles of pregnant women during their third trimester of pregnancy and tested the association of gene expression with perinatal depressive symptoms. A total of 137 women from a cohort from the University of North Carolina, USA were assessed. The main phenotypes analysed were Edinburgh Postnatal Depression Scale (EPDS) scores at 2 months postpartum and PPD (binary yes/no) based on an EPDS cutoff of 10. Illumina NextSeq500/550 transcriptomic sequencing from whole blood was analysed using the edgeR package. We identified 71 genes significantly associated with postpartum depression scores at 2 months, after correction for multiple testing at 5% FDR. These included several interesting candidates including TNFRSF17, previously reported to be significantly upregulated in women with PPD and MMP8, a matrix metalloproteinase gene, associated with depression in a genome-wide association study. Functional annotation of differentially expressed genes revealed an enrichment of immune response-related biological processes. Additional analysis of genes associated with changes in depressive symptoms from recruitment to 2 months postpartum identified 66 genes significant at an FDR of 5%. Of these genes, 33 genes were also associated with depressive symptoms at 2 months postpartum. Comparing the results with previous studies, we observed that 15.4% of genes associated with PPD in this study overlapped with 700 core maternal genes that showed significant gene expression changes across multiple brain regions (P = 7.9e-05) and 29–53% of the genes were also associated with estradiol changes in a pharmacological model of depression (P values range = 1.2e-4–2.1e-14). In conclusion, we identified novel genes and validated genes previously associated with oestrogen sensitivity in PPD. These results point towards the role of an altered immune transcriptomic landscape as a vulnerability factor for PPD.

scholarly journals Validation of the Turkish Version of the Problem Areas in Diabetes Scale

2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
Elisabeth M. J. Huis In ‘T Veld ◽  
Ceylan Makine ◽  
Arie Nouwen ◽  
Çağatay Karşıdağ ◽  
Pinar Kadıoğlu ◽  
...  
Keyword(s):  
Factor Structure ◽  
Depression Scale ◽  
Well Being ◽  
Epidemiological Studies ◽  
Two Dimensions ◽  
Self Report ◽  
World Health ◽  
Diabetes Distress ◽  
Turkish Version ◽  
Health Organization

The Problem Areas in Diabetes (PAID) scale is a widely used self-report measure that can facilitate detection of diabetes-specific emotional distress in clinical practice. The aim of this study was to assess the factor structure and validity of the Turkish version of the PAID. A validation study was conducted among 154 patients with insulin-naïve type 2 diabetes. Participants completed the PAID, Centre for Epidemiological Studies Depression Scale (CES-D), Insulin Treatment Appraisal Scale (ITAS), and World Health Organization-Five Well-Being Index (WHO-5) questionnaires. Exploratory factor analyses yielded a 2-factor structure, identifying a 15-item “diabetes distress” factor and a 5-item “support-related issues” factor. The total PAID-score and the two dimensions were associated with higher levels of depression and poor emotional well-being. In the present study, the Turkish version of the PAID had satisfactory psychometric properties, however, the factorial structure was found to differ from factor solutions from other countries.

scholarly journals Persistence of anxiety symptoms after elective caesarean delivery

BJPsych Open ◽  
2018 ◽  
Vol 4 (5) ◽  
pp. 354-360 ◽  
Author(s):  
Anna B. Janssen ◽  
Katrina A. Savory ◽  
Samantha M. Garay ◽  
Lorna Sumption ◽  
William Watkins ◽  
...  
Keyword(s):  
Elective Caesarean Section ◽  
Depression Scale ◽  
Well Being ◽  
Anxiety Symptoms ◽  
University Hospital ◽  
Depression Symptoms ◽  
Maternal Characteristics ◽  
Prevalence Of Depression ◽  
Expectant Mothers ◽  
The Uk

BackgroundIn the UK, 11.8% of expectant mothers undergo an elective caesarean section (ELCS) representing 92 000 births per annum. It is not known to what extent this procedure has an impact on mental well-being in the longer term.AimsTo determine the prevalence and postpartum progression of anxiety and depression symptoms in women undergoing ELCS in Wales.MethodPrevalence of depression and anxiety were determined in women at University Hospital Wales (2015–16; n = 308) through completion of the Edinburgh Postnatal Depression Scale (EPDS; ≥13) and State-Trait Anxiety Inventory (STAI; ≥40) questionnaires 1 day prior to ELCS, and three postpartum time points for 1 year. Maternal characteristics were determined from questionnaires and, where possible, confirmed from National Health Service maternity records.ResultsUsing these criteria the prevalence of reported depression symptoms was 14.3% (95% CI 10.9–18.3) 1 day prior to ELCS, 8.0% (95% CI 4.2–12.5) within 1 week, 8.7% (95% CI 4.2–13.8) at 10 weeks and 12.4% (95% CI 6.4–18.4) 1 year postpartum. Prevalence of reported anxiety symptoms was 27.3% (95% CI 22.5–32.4), 21.7% (95% CI 15.8–28.0), 25.3% (95% CI 18.5–32.7) and 35.1% (95% CI 26.3–44.2) at these same stages. Prenatal anxiety was not resolved after ELCS more than 1 year after delivery.ConclusionsWomen undergoing ELCS experience prolonged anxiety postpartum that merits focused clinical attention.Declaration of interestNone.

scholarly journals Psychological Adjustment of Expatriate Children in Cultural Transitions

2020 ◽  
Vol 11 (1) ◽  
pp. 1-21
Author(s):  
Anu Warinowski ◽  
Eero Laakkonen
Keyword(s):  
Survey Data ◽  
Psychological Adjustment ◽  
Factor Structure ◽  
Structural Equation ◽  
School Success ◽  
Depression Scale ◽  
Well Being ◽  
Equation Modeling ◽  
Affective Factors ◽  
Cultural Transitions

The aim of the current study was to define the factorial structure of the psychological adjustment (PA) of Finnish expatriate children (EC) and to construct a model consisting of three child-level variables (age, school success, and attitude toward moving). Survey data concerning Finnish EC (N = 324) who had lived temporarily abroad were gathered from the EC’s parents. The mean age of the children was 4.8 years in the expatriation context and 8.2 years in the repatriation context. PA was examined using the Zung Self-Rating Depression Scale (ZSDS). Survey data were subject to a confirmatory factor analysis (CFA) and structural equation modeling (SEM). A hypothesized two-factor structure (physiological and affective factors) of PA was fitted for the sample using the CFA. A SEM of PA was presented, where the child-level explanatory variables were the age of the child, school success, and attitude toward moving. The main findings were the following: First, there is a two-factor structure of Finnish EC’s PA with both physiological and affective factors. Second, a model of PA with three child-level variables (age, school success, and attitude toward moving) was constructed. The results contribute to the understanding of PA in general and EC’s PA in particular. This study increases our understanding of EC’s PA in unique and novel contexts of dual cultural transitions. This comprehension is important in an increasingly globalized world, especially in clinical and other support contexts, where professionals work for children’s mental well-being.

The effectiveness of mHealth interventions on postpartum depression: A systematic review and meta-analysis

2020 ◽  
pp. 1357633X2091781
Author(s):  
Chuqing Zhou ◽  
Hua Hu ◽  
Chunyi Wang ◽  
Ziyu Zhu ◽  
Gengchen Feng ◽  
...  
Keyword(s):  
Systematic Review ◽  
Postpartum Depression ◽  
Large Scale ◽  
Meta Analysis ◽  
Clinical Care ◽  
Intervention Group ◽  
Depression Scale ◽  
Clinical Effectiveness ◽  
Well Being ◽  
Cochrane Library

Introduction Postpartum depression (PPD) is a common psychiatric condition during the postnatal period that negatively impacts the well-being of both the mother and her infant. This study describes a systematic review and preliminary meta-analysis to assess the efficacy of mobile health (mHealth) interventions, which is defined as the use of portable electronic devices to support public health and medical practice, in addressing depressive symptoms among postpartum women. Methods Databases including PubMed, PsycINFO, the Cochrane Library, Embase and ClinicalTrials.gov were searched for randomized controlled trials (RCTs) assessing the effectiveness of mHealth interventions on PPD from database inception to December 2019. Results The initial search identified 754 studies, of which, 11 studies fulfilled the inclusion criteria. These studies evaluated four types of distinct mHealth interventions and involved 2424 participants across six countries. Pooled results demonstrated that compared to the controls, the Edinburgh Postnatal Depression Scale score decreased in the mHealth intervention group (mean difference: –1.09, 95% confidence interval: –1.39 to –0.79). Discussion Our study suggested that mHealth interventions may be a promising tool to complement routine clinical care in the prevention and treatment of PPD, but the clinical effectiveness of mHealth interventions needs to be better established. While most studies focused on telephone-based interventions, recent researches have also suggested the superiority and effectiveness of short messaging service (SMS) and smartphone applications, but the exact efficacy needs further evaluation. Therefore, more high-quality RCTs on app-based and SMS-based interventions are needed before the large-scale roll-out of these interventions in clinical practice.

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.

Validation of the Hospital Anxiety and Depression Scale for use with adolescents

1999 ◽  
Vol 175 (5) ◽  
pp. 452-454 ◽  
Author(s):  
David White ◽  
Chris Leach ◽  
Ruth Sims ◽  
Michelle Atkinson ◽  
David Cottrell
Keyword(s):  
Anxiety Disorders ◽  
Factor Structure ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Clinical Settings ◽  
Hospital Anxiety ◽  
Icd 10 ◽  
Self Harm ◽  
Adequate Test ◽  
Test Retest Reliability

BackgroundThe Hospital Anxiety and Depression Scale (HADS), developed for use with adults, has potential with adolescents.AimsTo test the HADS's validity with adolescents.MethodThe HADS was given to 248 schoolchildren and to 48 psychiatric outpatients and 38 deliberate self-harm inpatients aged 12–17, and validated against ICD–10 diagnoses for the out-patients.ResultsThe HADS has adequate test-retest reliability and factor structure, and discriminates between adolescents diagnosed with depressive or anxiety disorders and those without these diagnoses.ConclusionsThe psychometric properties of the HADS and its shortness make it useful for screening and in clinical settings with adolescents.

scholarly journals Trajectories of Postpartum Depression in Italian First-Time Fathers

2016 ◽  
Vol 11 (4) ◽  
pp. 880-887 ◽  
Author(s):  
Sara Molgora ◽  
Valentina Fenaroli ◽  
Matteo Malgaroli ◽  
Emanuela Saita
Keyword(s):  
Depressive Symptoms ◽  
Postpartum Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Depression Scale ◽  
Growth Mixture Modeling ◽  
Well Being ◽  
Mixture Modeling ◽  
Latent Growth ◽  
Growth Mixture ◽  
First Time

Paternal postpartum depression (PPD) has received little attention compared with maternal prenatal and postpartum depression, despite research reporting that paternal PPD concerns a substantial number of fathers. History of depression and antenatal depression have been identified as important PPD’s risk factors, underlining the continuity of depressive symptoms during the transition to parenthood. However, only few studies have focused on the evolution of depressive symptoms with longitudinal research design. The present study aims at analyzing the longitudinal trajectories of depressive symptoms from the third trimester of pregnancy to 1 year after childbirth. One hundred and twenty-six first-time fathers completed the Edinburgh Postnatal Depression Scale at four time points (7-8 months of pregnancy, 40 days, 5-6 months, and 12 months after childbirth). Data were analyzed throughout latent growth mixture modeling. Latent growth mixture modeling analysis indicated a three-class model as the optimal solution. The three-class solution included a trajectory of low, stable depressive symptoms across the four time points ( resilient, 52%); a trajectory of moderate, relatively stable depressive symptomatology ( distress, 37%); and a trajectory of emergent clinical depression following a pattern of high depressive symptoms ( emergent depression, 11%). This study allowed to identify different subpopulation within the sample, distinguishing among mental well-being, emotional distress, and high-risk conditions when—1 year after childbirth—fathers report the highest scores to the Edinburgh Postnatal Depression Scale. These results underline the importance to analyze fathers’ well-being over the time during the transition to fatherhood.

Equivalence of French and English Language Versions of the Center for Epidemiologic Studies-Depression Scale (CES-D) among Caregivers of Persons with Dementia

2003 ◽  
Vol 22 (3) ◽  
pp. 323-329 ◽  
Author(s):  
Norm O'Rourke
Keyword(s):  
Factor Structure ◽  
English Language ◽  
Depression Scale ◽  
Well Being ◽  
National Sample ◽  
Epidemiologic Studies ◽  
Higher Order ◽  
Relative Contribution ◽  
Language Groups ◽  
Order Factor

ABSTRACTThe Center for Epidemiologic Studies-Depression Scale (CES-D) is among the most widely used depression screening measures. Existing research suggests a higher-order factor structure of responses among older adults (factors labelled depressive affect, absence of well-being, somatic symptoms, and interpersonal affect, each loading upon a second-order depression factor). The current study extends this research to ascertain whether this structure is equivalent (or invariant) between the English and French versions of the CES-D. Findings suggest that the number and relative contribution of each factor is similar for both language groups. Furthermore, interpretation of CES-D items is statistically indistinguishable for 16 of 20 items within this randomly identified, national sample of caregivers of persons with dementia. Results of this study support the higher-order factor structure of this measure and provide data in support of the reliability of responses. Furthermore, findings support the use of the CES-D in cross-cultural and comparative research with English- and French-speaking adults.

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