scholarly journals Postnatal depression symptom trajectories across the COVID-19 pandemic: Evidence from the United Kingdom

2021 ◽  
Author(s):  
Sarah Myers ◽  
Emily H Emmott

Mounting evidence indicates the mental health of postnatal mothers suffered during the early stages of the COVID-19 pandemic. Using a four-wave online survey of United Kingdom mothers we explore the continuing trajectory of postnatal depressive symptoms. During the first lockdown 47.5% of mothers (n=162) met the ≥11 Edinburgh Postnatal Depression Scale cut-off for postnatal depression, falling to 32.8% (n=128) after lockdown easing, rising to 51.3% (n=569) in late 2020 as restrictions were increased and 54.0% (n=470) by February 2021.

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Johanne Smith-Nielsen ◽  
Ida Egmose ◽  
Katrine Isabella Wendelboe ◽  
Pernille Steinmejer ◽  
Theis Lange ◽  
...  

Abstract Background Anxiety in the ante- and postnatal period is prevalent, often co-occurs with depression, and can have adverse consequences for the infant. Therefore, perinatal mental health screening programs should not only focus on depression but also on detecting anxiety. However, in many already implemented perinatal screening programs, adding extra screening instruments is not feasible. We examine the utility of a subscale of the Edinburgh Postnatal Depression Scale (EPDS) consisting of items 3, 4, and 5 (EPDS-3A) for detecting anxiety in new mothers. Methods We used confirmatory factor analysis (CFA) to confirm the presence of the EPDS-3A found in a previous study (n = 320) where exploratory factor analysis (EFA) was used. For the CFA we used a sample of new mothers (n = 442) with children aged 2–11 months recruited from the same population from which mothers for the previous study was recruited. Three models were tested and compared. Receiver operating characteristics of the EPDS-3A were investigated in relation to anxiety caseness status on the combined sample (N = 762). Sample weighing was used to match the dataset to the target population. Cross tabulation was used to investigate the proportion of anxiety cases identified by the EPDS-3A above those identified with the total EPDS. Results The presence of the EPDS-3A was confirmed. An EFA-driven, two-dimensional 7-item model showed the best data fit with one factor representing the anxiety subscale consisting of items 3, 4, and 5. An EPDS-3A score of ≥ 5 was the most optimal for identifying cases of anxiety (sensitivity: 70.9; specificity: 92.2; AUC: 0.926). Further, we found that the EPDS-3A identifies an additional 2.5% of anxiety cases that would not have been identified with the total EPDS. Conclusions The EPDS-3A can be used as a time-efficient screening for possible anxiety in ante- and postnatal mothers. However, adding the EPDS-3A to routine screening with the total EPDS does not lead to a substantial increase in the number of women identified. In line with previous studies, this study confirms that the EPDS identifies anxiety in addition to depression. Therefore, assessment and treatment adjusted to the specific emotional difficulties is imperative.


2020 ◽  
Author(s):  
Midori Matsushima ◽  
Hanna Horiguchi

Abstract Purpose: This study explores postpartum depression during the COVID-19 pandemic in Japan.Methods: An online survey was conducted from May 31 to June 6, 2020 and obtained 2,878 responses from mothers with infants less than 12 months. Results: The point prevalence of the Edinburgh Postnatal Depression Scale score of ≥ 9 was 26.96%. Logistic regression analysis indicated a negative association between the COVID-19 pandemic and mental well-being. Conclusion: In particular, our results indicate the importance of social support and economic recovery in ameliorating mental health of mothers in the postpartum period.


2020 ◽  

Background and Objective: Male postnatal depression has recently begun to attract more research attention. However, it often remains unrecognized despite affecting not only the health of the child but also the spousal relationship and family welfare. This study aimed to estimate the prevalence of male postnatal depressive symptoms in Guangzhou, South China. It also explored sociodemographic factors and psychological variables as predictors of postnatal depression symptoms. Materials and methods: Chinese men whose children had been born within the last six months were screened using the Edinburgh Postnatal Depression Scale for depressive symptoms, the Vulnerable Personality Style Questionnaire for personality, and the Social Support Rating Scale for social support. Sociodemographic and psychosocial variables were descriptively analyzed and logistic regression was also employed to analyze the predictive impact of factors associated with depression. Results: A total of 212 new Chinese fathers participated in the study. The prevalence of postnatal depression was 24.1% assessed by the Edinburgh Postnatal Depression Scale cutoff score of 10. Depressive symptoms were found to be significantly associated with employment status and vulnerable personality traits. Higher family income, wanted pregnancy, having a child of the desired gender, more family support and objective support (OR = 0.598, 95% CI = 0.312-0.896) were all protective factors for depressive symptoms among new Chinese fathers. Conclusion: This study indicated that there is a need to routinely screen for postnatal depressive symptoms in men. Early identification and timely referral to healthcare professionals may prevent postnatal depression and improve the mental health of new fathers. It is important for healthcare providers to develop and evaluate information resources in print and online so as to establish how best to identify and manage paternal postnatal mental health needs. This study also suggests that new fathers need to be provided with targeted resources concerning postnatal mental health and informed as to how to access them and who can be approached for professional support.


Author(s):  
Adriani

Abstrak Perubahan peran seorang wanita menjadi seorang ibu tidaklah selalu berupa hal yang menyenangkan saja bagi pasangan suami istri, kadang kala terjadi terjadi konflik baik didalam diri wanita tersebut maupun konflik dengan suami. Jika perhatian terhadap keadaan psikologis ibu post partum kurang maka dapat menyebabkan ibu akan cenderung untuk mencoba mengatasi permasalahannya atau ketidaknyamanannya tersebut sendiri, keadaan ini jika dibiarkan saja dapat menyebabkan ibu post partum mengalami postpartum blues. Di Indonesia, diperkirakan terdapat 50-70% ibu pasca melahirkan mengalami postpartum blues pada hari 4-10. Penelitian ini menggunakan survey analitik dengan desain penelitian cross sectional, dengan jumlah sampel sebanyak 160 orang. Data diambil menggunakan kuesioner yang ditampilkan dalam analisa univariat dan bivariat menggunakan sistem komputerisasi SPSS. Hasil penelitian yaitu ada hubungan antara pendidikan ibu (p 0,013), pekerjaan ibu (p 0,013), dukungan suami (p 0,021), pendapatan keluarga dengan kejadian post partum blues (p 0,000) dan tidak ada hubungan antara paritas ibu (p 0,199), umur ibu (p 0,391), dan riwayat PMS (p 0,087) dengan kejadian post partum blues. Diharapkan bagi peneliti untuk dapat melanjutkan penelitian dengan variabel yang lebih bergam dan diharapkan bagi para tenaga kesehatan agar dapat meningkatkan pelayanan terutama dalam pemberian dukungan pada ibu masa post partum, sehingga mengurangi resiko ibu mengalami postpartum blues. Kata kunci : Postpartum blues, pendidikan, pekerjaan, dukungan suami, riwayat PMS


Author(s):  
Poonam Mathur ◽  
Rahul Mathur ◽  
Archana Singh

Background: The postpartum period is a time of tremendous emotional and physical change for most women as they adapt to new roles and alteration in their physiology. Postpartum depression has seen its rise lately. Multiple factors might be responsible for causation. Symptoms include depression, tearfulness, emotional liability, guilt, anorexia, sleep disorders, feeling inadequate, detachment from the baby, poor concentration, forgetfulness, fatigue, and irritability.Methods: We have conducted a study in 225 postpartum females and assessed them for depression and associated postnatal depression. The 10-question Edinburgh Postnatal Depression Scale (EPDS) was used for assessing depression.Results: Depression was evaluated as 6%. It was also found that 2% mothers with IUD babies developed postnatal depression. 1.33% cases with babies having congenital anomaly developed postnatal depression. 1.33% cases with babies having nursery admission developed postnatal depression.  This has been correlated with many other studies.Conclusions: It is found that perinatal factors do affect postnatal depression as it is found in mothers who have an adverse perinatal outcome. Further research is implicated in this field.


2011 ◽  
Vol 33 (2) ◽  
pp. 76-79 ◽  
Author(s):  
Caroline Elizabeth Konradt ◽  
Ricardo Azevedo da Silva ◽  
Karen Jansen ◽  
Daniela Martins Vianna ◽  
Luciana de Avila Quevedo ◽  
...  

OBJETIVO: Verificar o impacto da percepção de baixo suporte social durante a gestação como fator de risco para a depressão no período de 30 a 60 dias pós-parto. MÉTODO: Este estudo de coorte teve como população-alvo gestantes atendidas no Sistema Único de Saúde na cidade de Pelotas (RS). Para avaliar depressão pós-parto, foi utilizada a Edinburgh Postnatal Depression Scale (EPDS). Foram consideradas deprimidas as parturientes que atingiram ≥ 13 pontos na escala. RESULTADOS: Das 1.019 mulheres avaliadas, 168 (16,5%) apresentaram depressão pós-parto. Aquelas que não receberam suporte do companheiro (p = 0,000), de familiares (p = 0,000) e de amigos (p = 0,000) demonstraram maior risco de ter depressão pós-parto. CONCLUSÃO: Nossos achados sugerem que a percepção de suporte social durante a gravidez pode ser um fator protetor para a depressão pós-parto.


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