Postnatal depressive symptoms in women with and without antenatal depressive symptoms: results from a prospective cohort study.

Evidence exists that the risk factors for depression in the antenatal and postnatal period may differ, but only a handful of studies looked at depression longitudinally. The aims of this study were (1) to estimate the prevalence of postnatal depressive symptoms in Kuwait where data about postnatal d...

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Publicado en:Archives of Women's Mental Health Vol. 22; no. 1; pp. 93 - 104
Autores principales: Pampaka, Despina, Papatheodorou, Stefania I., AlSeaidan, Mohammad, Al Wotayan, Rihab, Wright, Rosalind J., Buring, Julie E., Dockery, Douglas W., Christophi, Costas A.
Formato: research tables/charts Journal Article
Publicado: Springer Nature Feb2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2019
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00737-018-0880-8
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        atl: Postnatal depressive symptoms in women with and without antenatal depressive symptoms: results from a prospective cohort study.
      aug:
        au:
          Pampaka, Despina
          Papatheodorou, Stefania I.
          AlSeaidan, Mohammad
          Al Wotayan, Rihab
          Wright, Rosalind J.
          Buring, Julie E.
          Dockery, Douglas W.
          Christophi, Costas A.
        affil: Cyprus International Institute for Environmental and Public Health, Cyprus University of Technology, 95 Eirinis Street, 3041, Limassol, Cyprus
      sug:
        subj:
          Depression, Postpartum Psychosocial Factors
          Prenatal Care Psychosocial Factors
          Women's Health In Pregnancy
          Human
          Prospective Studies
          Kuwait
          Female
          Depression, Postpartum Symptoms
          Multivariate Statistics
          Multiple Logistic Regression
          Income
          Pregnancy
          Stress, Psychological
          Stress Disorders, Post-Traumatic
          Social Isolation
          Odds Ratio
          Mental Health
          Edinburgh Postnatal Depression Scale
          Scales
          Female
      ab: Evidence exists that the risk factors for depression in the antenatal and postnatal period may differ, but only a handful of studies looked at depression longitudinally. The aims of this study were (1) to estimate the prevalence of postnatal depressive symptoms in Kuwait where data about postnatal depression are scarce and identify its determinants and (2) to compare these risk factors between women who had experienced antenatal depressive symptoms and those that did not. Data collected in the TRansgenerational Assessment of Children's Environmental Risk (TRACER) Study in Kuwait were used in this analysis. The sample was restricted to the 1348 women who answered the Edinburgh Postnatal Depression Scale (EPDS) both antenatally and postnatally. The prevalence of postnatal depressive symptoms, defined by an EPDS score ≥ 10, was 11.7%. Overall, antenatal depressive symptoms were the strongest determinant of postnatal depressive symptoms. Multivariable logistic regression analysis showed that in women with depressive symptoms in pregnancy, having a lower household income was the most significant risk factor for postnatal depressive symptoms. Among women without antenatal depressive symptoms, those who had lower income, were Kuwaitis, experienced other problems in pregnancy such as perceived stress, PTSD symptoms and social isolation, and those who delivered a boy had higher odds of postnatal depressive symptoms. Antenatal depressive symptoms and other psychosocial characteristics can predict postnatal depressive symptoms. Therefore, maternal mental health issues should be detected during the antenatal period and support should be provided in order to lower the risk of postnatal depression and its sequelae.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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