scholarly journals Postpartum depression and physical activity amongst women attending immunization and postnatal clinic in a tertiary hospital in Ibadan

2021 ◽  
Author(s):  
Netochi Nwosu
Keyword(s):  
Physical Activity ◽  
Postpartum Depression ◽  
Depressive Disorders ◽  
Depression Scale ◽  
Tertiary Hospital ◽  
Activity Level ◽  
Reproductive Age ◽  
Public Health Issue ◽  
College Hospital ◽  
Cross Sectional

Abstract Background Depressive disorders are listed as one important public health issue among women of reproductive age. Postpartum depression is a mental health disorder occurring after childbirth and has disabling effect on mother and child. Amongst other alternative treatment methods, physical activity has been proposed as beneficial especially for mild postpartum depression. Therefore, this study sought to determine the prevalence of postpartum depression, and the association between postpartum depression and physical activity among women in a tertiary hospital in Ibadan. Methods The cross-sectional study was conducted among 401 women attending immunisation and postnatal clinics at the University College Hospital Ibadan. The data was collected using a self-administered questionnaire containing; a self-developed socio-demographic section, Edinburgh postnatal depression scale to measure postpartum depression and International physical activity questionnaire (short type) to assess physical activity. Analysis was done using chi square and a multivariate analysis to determine independent factors. Significance was set at 0.05. Results More than a third of the respondents (37.8%) had postpartum depression. Physical activity level was high (72.1%). High levels of physical activity had 1.25 the odds of postpartum depression as compared to lower levels (95% CI = 0.797–0.97). Gender of child, relationship satisfaction, age of child, were independently associated with postpartum depression. Conclusion This study shows that prevalence of postpartum depression is greater than previously reported in past studies in southwest Nigeria and high levels of physical activity may increase the risk of postpartum depression.

scholarly journals Postpartum Depression and Physical Activity Among Women Attending Postnatal Clinics in a Tertiary Hospital in Nigeria

2021 ◽  
Vol 11 (5) ◽  
pp. 285-296
Author(s):  
Nwosu Netochi Georgiana ◽  
Keyword(s):  
Physical Activity ◽  
Postpartum Depression ◽  
Depressive Disorders ◽  
Health Effect ◽  
Depression Scale ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Activity Level ◽  
College Hospital ◽  
Cross Sectional

Background: The reproductive years come with their own share of mental health issues with childbirth and the postpartum period being a particularly vulnerable time for mothers leading to an increase in the risk of depressive disorders. Postpartum depression has a huge public health effect on the mother with long-term consequences on the child and family. Research has shown that physical activity is beneficial; however, such studies are lacking in Nigeria. Therefore, this study sought to look at the association between postpartum depression and physical activity and determine its prevalence among women in a tertiary hospital in Nigeria. Methods: This cross-sectional study was conducted among 401 women attending immunization and postnatal clinics at the University College Hospital Ibadan. The data were collected using a self-administered questionnaire containing a self-developed socio-demographic section, Edinburgh postnatal depression scale to measure postpartum depression, and an International physical activity questionnaire (short type) to as sess physical activity. Analysis was done using the Chi-square test and multivariate analysis to determine independent factors. Significance was set at 0.05. Results: More than a third of the respondents (37.8%) had postpartum depression. Physical activity level was high (72.1%). High levels of physical activity increased the odds of postpartum depression compared to lower levels (95% CI= 0.797-0.97). Gender of the child, marital relationship satisfaction, and age of the child were independently associated with postpartum depression. Conclusion: This study showed that the prevalence of postpartum depression is greater than previously reported in past studies in southwest Nigeria and high levels of physical activity may increase the risk of postpartum depression.

scholarly journals Domestic Violence as a Risk Factor for Postpartum Depression Among Ethiopian Women: Facility Based Study

2018 ◽  
Vol 14 (1) ◽  
pp. 109-119 ◽  
Author(s):  
Addishiwet Fantahun Adamu ◽  
Yohannes Mehretie Adinew
Keyword(s):  
Domestic Violence ◽  
Postpartum Depression ◽  
Random Sampling ◽  
Depressive Disorders ◽  
Addis Ababa ◽  
Significant Proportion ◽  
Depression Scale ◽  
Health Centers ◽  
Depression Symptoms ◽  
Cross Sectional

Background:Mental illness in women leads to an increased maternal morbidity and mortality. Postpartum depression accommodates various groups of depressive disorders and syndromes that occur within the first immediate year after delivery. Thus, this study aimed to assess the prevalence of postpartum depression symptoms and correlates among mothers attending public health centers of Addis Ababa, Ethiopia.Methods:Facility-based cross-sectional study was conducted on 618 women in their postpartum period. Simple random sampling technique was used to select three out of ten sub cities in Addis Ababa. Then, nine health centers were selected by lottery method from the three sub-cities. The number of women included from each health center was determined by proportional allocation. Study participants were enrolled by systematic random sampling. The Edinburgh Postnatal Depression Scale was used at a cutoff point>13 to detect depression. Descriptive statistics were done. The bivariate and multivariate analysis was also carried out to identify predictors of postpartum depression.Results:Significant proportion 144 (23.3%) of the women had the symptom of postpartum depression. Respondents who were the victims of domestic violence [AOR 3.1; 95% CI: 1.6-5.9], reported to have diagnosed with postpartum depression [AOR 4.41; 95% CI: 2.4-8.3], and dissatisfied with their marriage [AOR 2.9; 95% CI: 1.5-5.6] had higher odds of reporting postpartum depression symptoms.Conclusion:Postpartum depression is a common mental health problem during the postnatal period. Domestic violence was positively and significantly associated with the symptom of postpartum depression. Maternity services shall consider a sector that provides health care for women who encounter violence and develop symptoms of postpartum depression.

scholarly journals Functional independence measure in patients with intermittent claudication

2015 ◽  
Vol 49 (5) ◽  
pp. 756-761 ◽  
Author(s):  
Caroline Shihara de Assis ◽  
Letícia de Carvalho Batista ◽  
Nelson Wolosker ◽  
Antonio Eduardo Zerati ◽  
Rita de Cassia Gengo e Silva
Keyword(s):  
Physical Activity ◽  
Intermittent Claudication ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Activity Level ◽  
Walking Ability ◽  
Cross Sectional ◽  
Walking Velocity

AbstractOBJECTIVEOf this study were to evaluate the functional independence of patients with intermittent claudication and to verify its association with sociodemographic and clinical variables, walking ability and physical activity level.METHODThis was a descriptive, exploratory, cross-sectional study with a quantitative approach. Fifty participants (66.4 years; 68% male) were recruited from Claudication Unit of a tertiary hospital. Functional Independence Measure were used to evaluate functional incapacity; the Baltimore Activity Scale, to estimate the physical activity level and the Walking Impairement Questionnaire, the walking ability.RESULTSParticipants had complete functional independence (124.8 + 2.0), low levels of physical activity (4.2 + 2.0), and impairment of walking ability; the worst performance was found in walking velocity domain (21.2 + 16.4). The functional independence score was associated with physical activity (r=0,402) and walking ability scores (distance, r=0,485; speed, r=0,463; stairs, r=0,337).CONCLUSIONIn conclusion, the level of functionality is associated with functional capacity in these patients.

scholarly journals Hubungan Nyeri Persalinan Sectio Caesarea Terhadap Terjadinya Depresi Postpartum Pada Ibu Primipara di RSUD Kota Yogyakarta

2020 ◽  
Vol 15 (1) ◽  
pp. 41
Author(s):  
J Nugrahaningtyas W Utami ◽  
Chici Riansih ◽  
Muhammad Untung ◽  
Herta Meisatama ◽  
Khairul Imam
Keyword(s):  
Caesarean Section ◽  
Postpartum Depression ◽  
Depression Scale ◽  
Labor Pain ◽  
Reproductive Age ◽  
Sectio Caesarea ◽  
P Value ◽  
City Hospital ◽  
Chi Square ◽  
Cross Sectional

Background: Depression is very common in women, especially  on reproductive age. It is estimated that 14% -23% of pregnant women experience depression during pregnancy, and 5% -25% experience postpartum depression. Mothers with caesarean sectio labor experience high scale pain during the first 24 hours. Objective : this study aims to analyze the relationship between caesarean section labor and postpartum depression in primiparous mothers. Methods: The research method used is descriptive analytic with cross-sectional approach. The sample in this study were 20 postpartum caesarean mothers in Yogyakarta City Hospital taken by purposive sampling. Data collection tools in this study are using the Numeric Category Scale (NCS) questionnaire to measure the level of neyri and the Edinburgh Postnatal Depression Scale (EPDS) to measure the level of depression of respondents. Analysis using the Chi-Square correlation test.  Results: Most of the level of pain in postpartum SC mothers is in the moderate category that is there are 9 people or (45.0%). Most postpartum mothers in the moderate depression category were 9 people or (45.0%). Statistical results with the Chi Square test showed that there was a significant relationship between labor pain in caesarean section and postpartum depression in primiparous mothers with (p-value = 0.002) (p <0.05). Conclusion: There is a relationship between labor pain in caesarean section and postpartum depression in primiparous mother.

scholarly journals Physical activity level and depressive symptoms in patients undergoing hemodialysis: a cross-sectional study

2014 ◽  
Vol 21 (2) ◽  
pp. 161-166
Author(s):  
Cléssyo Tavares de Amorim Cavalcanti ◽  
José Cândido de Araújo Filho ◽  
Patrícia Érika de Melo Marinho
Keyword(s):  
Physical Activity ◽  
Depressive Symptoms ◽  
Physical Activity Level ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Activity Level ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Relationship ◽  
Activity Questionnaire

This study aimed to evaluate the association between the presence of depressive symptoms and physical activity level (PAL) in patients with chronic kidney disease undergoing hemodialysis (HD). Cross-sectional study comprising 101 patients on HD, mean age 47.4±12.5 years. Sociodemographic data, economic, clinical, assessment of depressive symptoms (Beck Depression Scale - BDI), PAL (International Physical Activity Questionnaire - IPAQ), guidance for performing physical activity (PA) and time of HD. The prevalence of sedentary and depressive symptoms was 79.2% and 39.6%, respectively. Depressive symptoms were observed in 47.5% of sedentary patients (χ2=10.029, p=0.002), the ratio of prevalence of these symptoms five times higher in this group. 68.3% of patients on HD received no guidance for PA. Under 49 months of hemodialysis treatment, 63.8% of sedentary (χ2=3.011, p=0.083) and 57.5% of patients with depressive symptoms (χ2=0.100, p=0.752) already had these features. Although little is known about the relationship between depression and PA among patients undergoing HD, this study found that depressive symptoms were more prevalent among inactive. The results of this study demonstrate that patients undergoing HD have low PAL, relative presence of depressive symptoms and high lack of guidance on PA.

scholarly journals Assessment of Postpartum Depression in Adolescents Who Delivered during COVID-19 Social Restrictions: The Experience of a Tertiary Hospital from Bucharest, Romania

Healthcare ◽  
2021 ◽  
Vol 9 (7) ◽  
pp. 807
Author(s):  
Alexandra Matei ◽  
Mihai Cornel Traian Dimitriu ◽  
Catalin Gabriel Cirstoveanu ◽  
Bogdan Socea ◽  
Cringu Antoniu Ionescu
Keyword(s):  
Postpartum Depression ◽  
Protective Factor ◽  
Depression Scale ◽  
Tertiary Hospital ◽  
Open Group ◽  
Public Health Issue ◽  
Viral Spread ◽  
Time Period ◽  
Significant Difference ◽  
Study Participants

In the context of the viral spread of COVID-19 in 2020, Romanian authorities declared national confinement for two months. Our country faces a public health issue regarding adolescent pregnancy. This study assessed the predisposition of teenage mothers to postpartum depression and the influence of the viral pandemic on their emotional status. This study enrolled patients 10 to 19 years old who delivered in our department between March–December 2020. Teenagers were attributed to the “lockdown group” (n = 30) and the “open group” (n = 171). All study participants agreed to take an interview based on a three-part questionnaire, including the Edinburgh Postnatal Depression Scale (EPDS). In the “lockdown group”, 16.67% of patients felt stressed over the last year compared to 11.11% of individuals in the “open group”, but there was no statistically significant difference between groups regarding overall EPDS scores (z value 0.51, Mann–Whitney U test). Predictable variables for postpartum depression were the use of cigarettes (OR = 1.08, 95% CI: 1.00–1.16), intended pregnancies (OR = 0.25, 95% CI: 0.09–0.68, p = 0.007) and absence of stressors in the last year (OR = 0.07, 95% CI: 0.02–0.30, p = 0.0002). More adolescents were stressed during confinement compared to those who delivered in the following time period; this aspect did not interfere with depression screening scores. A planned pregnancy, even during adolescence, can serve as a protective factor for postpartum depression.

Is there a relationship between gestational diabetes and postpartum depression?

2020 ◽  
Vol 16 ◽  
Author(s):  
Salman Khazaei ◽  
Erfan Ayubi ◽  
Saeid Bashirian ◽  
Ronak Hamzehei ◽  
Ensiyeh Jenabi
Keyword(s):  
Gestational Diabetes ◽  
Postpartum Depression ◽  
Odds Ratio ◽  
Depression Scale ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
University Education ◽  
P Value ◽  
Cross Sectional ◽  
The Relationship

Background: The relationship between gestational diabetes and postpartum depression (PPD) is poorly understood and seldom studied. Objective: In an effort to explore this issue, the present study investigated the relationship between gestational diabetes and PPD. Methods: The present cross-sectional study was performed with 342 women who were referred to four urban health centers of Hamadan city, west of Iran. We used convenience sampling as a method to recruit women in each health center. We used a researcher-made checklist for gathering data on socio-demographic characteristics and potential risk factors of PPD. The Persian validated version of the Edinburgh Postnatal Depression Scale (EPDS) was used to assess PPD. Univariate and multivariable binary logistic regression was applied to estimate the odds ratio (OR) (95% confidence interval [CI]). Results: Gestational diabetes was identified as the most important risk factor for PPD with OR (95% CI) of 2.19 (1.11, 4.31); P-value=0.02 after adjusting for other variables. Moreover, the adjusted odds ratio showed that PPD among lesseducated women (primary school) was 3.5 times higher compared to women with a university education (OR=3.54, 95% CI: 1.27, 9.84; P-value=0.01). Conclusion: Our findings suggested that PPD is more likely among women with gestational diabetes and those who were less educated. Interventional and educational activities for reducing the risk of PPD can be targeted for use with this population.

Investigating a Message Tailoring Strategy to Improve Efficacy of Activity Promotion Interventions: A Study Protocol (Preprint)

2016 ◽  
Author(s):  
Leila Sadat Rezai ◽  
Catherine Marie Burns
Keyword(s):  
Physical Activity ◽  
Regulatory Focus ◽  
Message Framing ◽  
Physical Activity Behaviour ◽  
Activity Level ◽  
Regulatory Focus Theory ◽  
Cross Sectional ◽  
Physically Active ◽  
Activity Promotion ◽  
Focus Theory

BACKGROUND There have been challenges in designing effective behaviour-change interventions, including those that promote physical activity. One of the key reasons is that many of those systems do not account for individuals’ characteristics and their psychological differences, which affect their approach toward adopting target behaviour. For decades, tailoring has been used as a common technique to effectively communicate health-related information to persuade people to follow a healthier living. However, its use in the design of persuasive technologies has not been adequately investigated. OBJECTIVE The objective of this research is to explore the effects of tailoring when it is grounded in Higgins’ regulatory focus theory. METHODS A combination of cross-sectional and longitudinal studies has been proposed to examine how individuals’ intention to become more physically active would be affected by receiving health messages that may or may not match their self-regulatory orientation. The research would also subjectively, as well as objectively, measures the changes in individuals’ physical activity level. RESULTS The anticipated completion date for the consequent studies is December 2016. CONCLUSIONS In this article, the importance of refining message-framing research questions and a stepwise approach to develop an efficient experimental design to examine a new tailoring strategy is discussed. A set of small studies is proposed that would inform the best approach to design the principal experiment. The findings of principal experiment will provide a deeper insight into the relationship between regulatory-focus theory, persuasive message construction, and individuals’ physical activity behaviour.

A focus on postpartum depression among Jordanian mothers

2021 ◽  
pp. 002076402110001
Author(s):  
Esra’ O Taybeh
Keyword(s):  
Social Support ◽  
Postpartum Depression ◽  
Marital Conflict ◽  
Multivariate Logistic Regression Analysis ◽  
Depression Scale ◽  
Negative Attitude ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Web Based ◽  
Unplanned Pregnancies

Background: The magnitude of postpartum depression in Jordan is under documented, and little is known about its potential sociodemographic and clinical correlates. Purpose: The aim of this study was to explore the prevalence and risk factors associated with postpartum depression among Jordanian mothers in the first 18 months after delivery. Method: This descriptive cross-sectional study was carried out from April to June 2020 in Jordan. A web-based survey was used for recruiting eligible participants. An Arabic version of the validated self-administered Edinburgh Postnatal Depression Scale questionnaire was used to measure postpartum depression with a cut-off score of ⩾12 which indicates probable depression. Results: A total of 1,071 Jordanian women participated in the study. Of those, 567 women had postpartum depression (52.9%). Multivariate logistic regression analysis revealed that postpartum depression was significantly associated with marital conflict (OR: 4.91; 95% CI: 2.36–10.20), negative attitude from the pregnancy (OR: 0.67; 95% CI: 0.45–0.99), unplanned pregnancies (OR: 1.73; 95% CI: 1.16–2.60), lack of social support (OR: 1.93; 95% CI: 1.12–3.32), time from last delivery (OR: 0.99; 95% CI: 0.98–1.00), insomnia (OR: 0.53; 95% CI: 0.35–0.82), and depression during the pregnancy (OR: 0.51; 95% CI: 0.33–0.78). Most of the participants (65.7%) sought social support to avoid, reduce, or treat postpartum depression. Conclusions: Postpartum depression among Jordanian women was the highest in comparison to that of women in other countries in the region. Therefore, screening for the presence of depressive symptoms should be implemented during regular pregnancy care visits. Social support should be encouraged in order to avoid, reduce, or treat postpartum depression.

scholarly journals Greenspace and depression in Japanese Older Adults considering physical activities: JAGES study

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Nishigaki ◽  
C Koga ◽  
M Hanazato ◽  
K Kondo
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Large Scale ◽  
Depression Scale ◽  
Public Health Problem ◽  
Evaluation Study ◽  
Physical Activities ◽  
Residential Areas ◽  
Cross Sectional ◽  
Local Climate

Abstract Introduction Older adult's depression is a public health problem. In recent years, exposure to local greenspace is beneficial to mental health via increased physical activity in people. However, few studies approach the relationship between greenspace and depression while simultaneously considering the frequency, time, and the number of types of physical activity, and large-scale surveys targeting the older adults. Methods Cross-sectional data conducted in 2016 by the Japan Gerontological Evaluation Study was used. The analysis included older adults aged 65 and over who did not require care or assistance, and a total of 126,878 people in 881 School districts. The explanatory variable is the percentage of the greenspace of the area, and the greenspace data used is data created from satellite photographs acquired by observation satellites of the Japan Aerospace Exploration Agency. The objective variable was depression (Geriatric Depression Scale 5 points or more). The analysis method was a multi-level logistic regression analysis. Physical activity was the number of sports-related hobbies, the frequency of participation in sports meetings, and walking time in daily life. Other factors such as personal attributes, population density of residential areas, and local climate were also considered. Results Depression in the survey was 20.4%. The abundance of greenspace was still associated with depression, considering all physical activity. The odds ratio of depression in areas with more greenspace was 0.92 (95% CI 0.87 - 0.98) compared to areas with less greenspace. Conclusions It became clear that areas with many greenspace were still associated with low depression, even considering the frequency, time and number of physical activities. It is conceivable that the healing effect of seeing greenspace, the reduction of air pollution and noise, etc. are related to the lack of depression without going through physical activity. Key messages In Japan, older adults are less depressed when there are many local greenspace. It became clear that areas with many greenspace were still associated with low depression, even considering physical activities.

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