scholarly journals An Analysis of Psycho-cognitive Factors in Relation to Postpartum Depression and Anxiety in Women with and without Changes in Body Weight

2021 ◽  
Vol 5 (3) ◽  
pp. p17
Author(s):  
Gabriel C. Pircalabu ◽  
Alina Chiracu ◽  
Florinda Golu

The aim of this study is firstly to analyze the differences in postpartum self-acceptance, patterns of beliefs (rationality) and perfectionism in women with and without changes in body weight and secondly to identify the relationships among self-acceptance, rationality, and perfectionism on the one hand and postpartum depression and anxiety on the other hand. The study involved 123 women, newly mothers, aged between 20 and 46 years, M = 32.29, SD = 6.56. The instruments used were Unconditional Self-Acceptance Questionnaire, Inventory of Ideas II, Frost Multidimensional Perfectionism Scale, Hamilton Depression Scale, and Inventory of State-Trait Anxiety. The results showed that the level of rationality and self-acceptance was lower in women with higher body weight, while the level of perfectionism was higher in same tier. At the same time, the results obtained by regression and mediation analyzes showed that self-acceptance is negatively associated with both depression and anxiety, rationality is also negatively associated with both depression and anxiety, and perfectionism mediates the relationship between rationality and depression, but not the relationship between rationality and anxiety. The conclusions of the study highlighted the women’s need for support to regain their pre-pregnancy emotional balance and well-being.

Care in Primary Health Care for women in the pregnancy-puerperal cycle must take place in an integral way, with individualized care that considers the life history, feelings and the environment in which the woman lives, seeking her physical and mental well- being to prevent postpartum depression. Given this fact, a postpartum consultation is recommended as essential by the Ministry of Health for the early detection of preventable complications common in the period, such as puerperal depression (BRAZIL, 2012). It is known that each woman has a way of reacting to the postpartum due to the different situations that occur, such as the relationship with her partner and her family, her social and cultural life, meaning that, each pregnancy is a unique and individual experience. . (SARMENTO, SETÚBAL, 2012). Therefore, we will address the relationship between nurses and postpartum depression in family health strategies in a city in the state of Rio de Janeiro. It will be a qualitative, descriptive and exploratory study, whose overall objective is to analyze how nurses perform to postpartum women with postpartum depression. OBJECTIVE: The objective of this study is to find out about the role of nurses in Family Health Strategies (FHS) in the city of Valença, RJ. METHOD: This is a descriptive and exploratory study, with a qualitative approach. There are 19 ESFs in the municipality, but 9 strategies were selected, however only 5 wanted to participate. A Google Forms form was sent along with the Free and Informed Consent Form to the email of the selected nurses, but only 5 were returned. Data was collected through a semi-structured interview. RESULTS: Through the data gathered, it was seen that nurses have difficulties in identifying the signs and symptoms of PPD, as well as an approach due to the difficulties encountered both because of the non- adherence of pregnant women in prenatal consultations, which makes it difficult for these pregnant women to adhere to postpartum consultations at the unit and the nurses' work routine, which makes tracking difficult. The use of the Edinburgh Postnatal Depression Scale is being questioned. CONCLUSIONS: With the lack of adherence of these puerperal women in the consultations, it is very difficult to identify the signs and symptoms of Postpartum Depression, the nurse must seek the population closer to the unit in carrying out health education in the strategy, creating bonds besides giving the postpartum autonomy over their care. The professional must work together with their team in the actions of permanent education, thus, empowering community health workers in the identification, therefore this professional brings the community closer to the strategy, which facilitates users' adherence to the health service.


2020 ◽  
Vol 16 ◽  
Author(s):  
Salman Khazaei ◽  
Erfan Ayubi ◽  
Saeid Bashirian ◽  
Ronak Hamzehei ◽  
Ensiyeh Jenabi

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.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Divya Mehta ◽  
Karen Grewen ◽  
Brenda Pearson ◽  
Shivangi Wani ◽  
Leanne Wallace ◽  
...  

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.


2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Li Chen ◽  
Xiaodan Wang ◽  
Qian Ding ◽  
Nan Shan ◽  
Hongbo Qi

Background. Postpartum depression (PPD) and preeclampsia (PE) are both common diseases in obstetrics that affect maternal health and infant development. However, the relationship between the two diseases still requires clarification. Objective. The purpose of this study was to (1) determine the incidence rate of PPD in patients with PE and (2) identify the association between the prevalence of PPD and the severity of PE. Methods. We conducted a retrospective analysis of women with and without PE who delivered between January 1, 2017, and August 30, 2018, in the First Affiliated Hospital of Chongqing Medical University. We used a questionnaire survey methodology that included the Edinburgh Postnatal Depression Scale (EPDS) to test the influence of PE on the development of new-onset PPD in the 6 weeks after delivery. We determined PPD based on a score ≥10 on the EPDS. Bivariate analysis was used to compare data between the two groups. Results. A total of 180 women participated in this study. Thirty-five people screened positive for PPD, while the remaining 145 screened negative. The prevalence of PPD was 26.67% (24/90) in patients with PE, which was two times the prevalence in normal women (12.22%). Multiple logistic regression showed that women who had PE had nearly 3-fold increased odds of PPD compared to normal women and the risk of PPD increased with the aggravation of PE. Patients with severe PE had a more than 4-fold increased risk of screening positive for PPD. Conclusion. PE was independently associated with PPD. Furthermore, the risk of PPD seemed to increase with the aggravation of PE. Thus, additional prevention efforts and support methods should be provided for women with PE to reduce the incidence of PPD.


2007 ◽  
Vol 23 (1-2) ◽  
pp. 13-20
Author(s):  
Andrey Kurtenkov

It is related leg problems to the realization of the necessity of doing a detailed analysis of the phenotype correlations between body weight and exterior measurements. As a result of the study, lower coefficients have been obtained of the correlation between the girth of the tarso metatarsus on one hand, and the body weight and the girth behind the wings, on the other hand (respectively 0.563 and 0.608), compared with the one between the body weight and the girth behind the wings (0.898). It is advisable in the selection of ostriches to take into consideration the necessity of a higher phenotypic correlation between the girth of the tarso metatarsus on the one hand, and the body weight and the girth behind the wings on the other hand, with a view to preventing leg problems.


2007 ◽  
Vol 20 (2) ◽  
Author(s):  
Yasmin Handaja ◽  
Hans De Witte

Quantitative and qualitative job insecurity: associations with job satisfaction and well-being Quantitative and qualitative job insecurity: associations with job satisfaction and well-being Y. Handaja & H. De Witte, Gedrag & Organisatie, volume 20, June 2007, nr. 2, pp. 137-159 This study analyses the associations between both quantitative and qualitative job insecurity and job satisfaction and psychological ill-being. We also analyse whether the relationship between job insecurity and psychological ill-being is mediated by job satisfaction. A more subtle and differentiated measurement of qualitative job insecurity is used, in which insecurity is measured regarding four aspects: the job content, working circumstances, working conditions and social relations. Data gathered among Belgian bank employees are used to test the hypotheses. The results show that both quantitative and qualitative job insecurity are negatively associated with job satisfaction and positively associated with psychological ill-being. The relationship between job insecurity and psychological ill-being is only partially mediated by job satisfaction. This signifies that the impact of job insecurity exceeds the boundaries of work, since it exerts an autonomous impact on the psychological well-being of individual workers. Limitations of the research and recommendations for further research are discussed.  


2021 ◽  
Vol 15 (11) ◽  
pp. 3101-3102
Author(s):  
Babar Javaid ◽  
Abrar Ahmed ◽  
Gohar Ali Arshad ◽  
M Shoaib Akhtar ◽  
Shazia Taj ◽  
...  

The study was designed to investigate the relationship of psychological well-being with depression and anxiety among heart patients.1 For this purpose, a sample of 200 patients was taken, including 100 men and 100 women, educated uneducated, employed and unemployed volunteers. The sample was taken from Nishtar Hospital, Combined military hospital and other private hospitals in Multan. The age range from 25 to 60 (mean age 43.085).2,3 Objective: To observe the effect of demographic variables (age, education, gender and source of finance) on psychological well-being and depression, anxiety in heart patients. Methods: 1. Low psychological well-being would be positively correlated with depression and anxiety. 2. Older age (above 50) heart patients would have low sense of psychological well-being as compared to younger age (above 35) heart patients. Results: Different statistical procedures were used to determine the relationship of psychological well-being with depression and anxiety among heart patients. Correlation was computed to see the relationship among variables. It was found that there is negative correlation between psychological well-being with depression and anxiety. Since the p-value in less than α (p-value < 0.01), so we reject null hypothesis Ho, and conclude that low psychological well-being is positively correlated with depression and anxiety. Conclusion: This study also finds out important findings on the role of stresses, feeling of worthlessness in depression and anxiety disorder. It is concluded that psychological well-being, depression and anxiety are not significant correlated with each other. Source of income or job and sex of the heart patients have significant effect on psychological well being. However there is no significant difference between men and women regarding the rate of depression and anxiety. Keywords: P-Value, Correlation, Null Hypothesis , Depression


2021 ◽  
Vol 36 (6) ◽  
pp. 1171-1171
Author(s):  
Winter Olmos ◽  
Daniel W Lopez-Hernandez ◽  
Isabel Munoz ◽  
Laura Schierholz ◽  
Rachel A Rugh-Fraser ◽  
...  

Abstract Introduction We examined the relationship between depression and anxiety, language, and functional outcomes in persons with traumatic brain injury (TBI). Methods The sample consisted of 48 acute TBI (ATBI: 23 Spanish-English Bilinguals; 25 English monolinguals), 30 chronic TBI (CTBI: 17 Spanish English Bilinguals; 12 English monolinguals), and 47 healthy comparison (HC: 29 Spanish-English Bilinguals; 18 English monolinguals) participants. The Hospital Anxiety and Depression Scale was used to measure depression (HADS-D) and anxiety (HADS-A). The Mayo Portland Adaptability Inventory-4 (MPAI-4) was used to measure functional outcomes (ability, adjustment, participation). Results An ANCOVA, controlling for age, revealed the ATBI group reported lower anxiety levels compared to the CTBI group, p = 0.034 np2 = 0.06. HC participants demonstrated significantly higher functional ability compared to both TBI groups, p &lt; 0.05, np2 = 0.08–0.19. The ATBI group demonstrated worse participation scores compared to the CTBI and HC groups, p = 0.001, np2 = 0.11. Pearson correlations revealed mood was related to functional status in ATBI monolinguals (HADS-A: r = 0.29–0.64; HADS-D, r = 0.49–0.62). Monolingual participants with ATBI demonstrated correlations between depressive symptoms and functional adjustment (r = 0.57, p = 0.005) and ability (r = 0.44, p = 0.034). For monolinguals with CTBI, HADS-A correlated with functional outcomes, r = 0.60–0.66, p &lt; 0.05. For bilinguals with CTBI, functional outcomes correlated with HADS-A, r = 0.53–0.66, p &lt; 0.05, and HADS-D, r = 0.54–0.66, p &lt; 0.05. For HC monolinguals, functional outcomes correlated with HADS-A, r = 0.53–0.70, p &lt; 0.05, and HADS-D, r = 0.50–0.72, p &lt; 0.05. Finally, for HC bilinguals, functional outcomes correlated with HADS-A, r = 0.59–0.68, p &lt; 0.05. Conclusion Our results suggest that a relationship between anxiety and depressive symptoms is related more to functional outcomes in monolingual TBI survivors compared to bilingual TBI survivors.


2019 ◽  
Vol 50 (1) ◽  
pp. 161-169 ◽  
Author(s):  
Haruka Kasamatsu ◽  
Akiko Tsuchida ◽  
Kenta Matsumura ◽  
Moeko Shimao ◽  
Kei Hamazaki ◽  
...  

AbstractBackgroundPostpartum depression is a major mental health issue. It not only adversely affects the mother's quality of life, but also mother-infant bonding. However, the relationship between postpartum depression (at multiple points after childbirth) and mother-infant bonding failure one year after birth is not well understood. This study investigates the relationship between postpartum depression at 1-month and 6-month after birth and mother-infant bonding failure at 1 year after birth with a large cohort.MethodsData from 83 109 mothers from the Japan Environment and Children's Study were analyzed. Mother-infant bonding 1-year after delivery was assessed using the Mother-to-Infant Bonding Scale Japanese version (MIBS-J). Postpartum depression was measured using the Edinburgh Postnatal Depression Scale (EPDS) at 1-month and 6-month after delivery. Twenty covariates during pregnancy and one month after delivery were controlled for deriving the odds ratios (ORs) describing postpartum depression to mother-infant bonding.ResultsEPDS Total Score crude ORs and adjusted ORs against the MIBS-J Total Score at 1-month and 6-month after delivery were calculated. Crude ORs were 1.111 (95% CI 1.110–1.112) and 1.122 (95% CI 1.121–1.124) respectively. In the fully adjusted model, ORs were 1.088 (95% CI 1.086–1.089) and 1.085 (95% CI 1.083–1.087), respectively.ConclusionsThis study demonstrated prospectively, in a large-scale cohort, that depression at multiple postpartum points, including associations with each EPDS and MIBS-J factors, may be a robust predictor of mother-infant bonding failure 1-year after birth.


2019 ◽  
Vol 62 (3) ◽  
pp. 695-704 ◽  
Author(s):  
Kailao Wang ◽  
Kai Liu ◽  
Hongwei Xin ◽  
Lilong Chai ◽  
Yu Wang ◽  
...  

Abstract. Perching is a natural behavior of poultry. Considerable research has been done to explore the relationship between group overall perch usage and well-being of laying hens. To quantify the potential cause-effect relationship on individual hens with different health or well-being status (e.g., keel bone deformation, foot pad lesion, social ranking) in a group, it is necessary to identify the perching behavior of individual birds. However, continuously monitoring individual birds in a group poses considerable challenges. To enable such research and potential commercial application, this study developed and validated a radio frequency identification (RFID) based automated perching monitoring system (APMS) for characterizing individual perching behaviors of group-housed poultry. The APMS consisted of an RFID module, a load cell module, and a round wooden perch. The RFID module was comprised of a high-frequency RFID reader, three customized rectangular antennas placed under the perch, and RFID transponders attached to the birds. The load cell module was comprised of a data acquisition system and two load cells supporting both ends of the perch. The daily number of perch visits (PV) and perching duration (PD) for individual birds were used to delineate perching behavior. Three identical experimental pens, five hens per pen, were equipped with the monitoring system. Two RFID transponders were attached to each hen (one per leg), and a distinct color was marked on the bird’s head for video or visual identification and validation. Performance of the APMS was validated by comparing the system outputs with manual observation and labeling over an entire day. Sensitivity and specificity of the system were shown to improve from 97.77% and 99.88%, respectively when using only the RFID module to 99.83% and 99.93% when incorporating weight information from the load cell module. Using this system, we conducted a preliminary trial on the relationship of perching behavior and body weight of laying hens, which revealed little effect of body weight but considerable variability in perching behavior among the individual hens. The study demonstrated that the APMS had excellent performance in measuring perching behaviors of individual birds in a group. The APMS offers great potential for delineating individual differences in perching behavior among hens with different social status or health conditions in a group setting. Keywords: Individual perching behavior, Laying hen, Load cell, Precision livestock farming, RFID, Welfare.


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