Antenatal Risk Factors of Postpartum Depression at 20 Weeks Gestation in a Japanese Sample: Psychosocial Perspectives from a Cohort Study in Tokyo

Tachibana, Yukio; Koizumi, Takashi; Takehara, Kenji; Kakee, Naoko; Tsujii, Hiromi; Mori, Rintaro; Inoue, Eisuke; Ota, Erika; Yoshida, Keiko; Kasai, Keiko; Okuyama, Makiko; Kubo, Takahiko

doi:10.1371/journal.pone.0142410

Cited by 40 publications

(28 citation statements)

References 44 publications

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“…Out of these, text screening yielded 20 (17%) papers on India and 67 papers (8%) on Japan. Finally, 15 papers (13%) on India [ 10 , 13 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 ] and 35 papers (4%) on Japan [ 7 , 8 , 9 , 14 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 ] were included in the review. Thirty-seven papers (India, n = 5; Japan, n = 32) were excluded because they did not...…”

Section: Resultsmentioning

confidence: 99%

Cross-National Differences in Psychosocial Factors of Perinatal Depression: A Systematic Review of India and Japan

et al. 2017

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Perinatal depression is prevalent worldwide. However, there are few available studies that discuss the different cultural factors affecting perinatal depression within Asian countries. This study aims to compare the literature regarding related factors relating to perinatal depression in India and Japan, and to synthesize the evidence common to both countries in addition to the country-specific evidence. We conducted a systematic review using several databases (CINAHL, MEDLINE, Pubmed, Ovid, SCOPUS, IndMED, and ICHUSI). Keywords were “antenatal depression” or “postpartum depression”, and “India” or “Japan”. Both Japanese and English language papers were reviewed. The identified evidence was compared between the two countries, as well as with non-Asian countries based on previous reports. In total, 15 articles on India and 35 on Japan were reviewed. Although several factors were shared between the two countries as well as with other non-Asian countries (vulnerable personality, being abused, age, marital conflict, and lower socio-demographic status), some differing factors were identified between India and Japan and non-Asian countries; India: poor socioeconomic status, living only with the husband, pregnancy not welcomed by the husband, a female baby, and poor relationship with in-laws; Japan: infertility treatment, conflict with work–life balance, poor relationships with biological mother or in-laws, and concerns about social relations with the other mother’s friends. To conclude, involving the family and community may be important for implementing both global standardized and culture-specific interventions. In India, treatment involving the in-laws may be effective because large family structure is a significant predictor of perinatal depression. In Japan, a family/community approach involving not only the mother’s family of origin but also the working environment is essential.

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Section: Resultsmentioning

confidence: 99%

Cross-National Differences in Psychosocial Factors of Perinatal Depression: A Systematic Review of India and Japan

et al. 2017

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“…26 A Ghanaian study utilizing the PHQ in a postnatal population found a rate (3.5%; 95% CI, 3.2-3.7) that mirrored the one in our Jamaican population (3.5%; 95% CI, 1.3-5.8). 27 Many social and economic factors have been linked to antenatal and postnatal depression, including experiencing a first pregnancy, 28 being unmarried, 29 exposure to intimate partner violence, 30 and lack of partner/baby father support, 31 or of family cohesion. 28 Identifying and treating these mothers is critical not only to their health but also to the survival and development of their infants.…”

Section: Discussionmentioning

confidence: 99%

Standardizing the measurement of maternal morbidity: Pilot study results

Barreix

Barbour

McCaw-Binns

et al. 2018

Int J Gynecol Obstet

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ObjectiveTo field test a standardized instrument to measure nonsevere morbidity among antenatal and postpartum women.MethodsA cross‐sectional study was conducted in Jamaica, Kenya, and Malawi (2015–2016). Women presenting for antenatal care (ANC) or postpartum care (PPC) were recruited if they were at least 28 weeks into pregnancy or 6 weeks after delivery. They were interviewed and examined by a doctor, midwife, or nurse. Data were collected and securely stored electronically on a WHO server. Diagnosed conditions were coded and summarized using ICD‐MM.ResultsA total of 1490 women (750 ANC; 740 PPC) averaging 26 years of age participated. Most women (61.6% ANC, 79.1% PPC) were healthy (no diagnosed medical or obstetric conditions). Among ANC women with clinical diagnoses, 18.3% had direct (obstetric) conditions and 18.0% indirect (medical) problems. Prevalences among PPC women were lower (12.7% and 8.6%, respectively). When screening for factors in the expanded morbidity definition, 12.8% (ANC) and 11.0% (PPC) self‐reported exposure to violence.ConclusionNonsevere conditions are distinct from the leading causes of maternal death and may vary across pregnancy and the puerperium. This effort to identify and measure nonsevere morbidity promotes a comprehensive understanding of morbidity, incorporating maternal self‐reporting of exposure to violence, and mental health. Further validation is needed.

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“…Although antenatal depression research has been received as of lower priority, especially in low and middle-income countries (LMICs), there is evidence from high-income countries (HICs) studies that the prevalence of depressive symptoms during pregnancy is similar to or even higher than during the postpartum period. ( Evans et al, 2001 , Heron et al, 2004 , Verreault et al, 2014 ) Furthermore, antenatal depression is a well-recognized predictor of postnatal depression, with almost half of episodes having their onset during pregnancy ( Bennett et al, 2004 , Howard et al, 2014 , Robertson et al, 2004 , Tachibana et al, 2015 , Wisner et al, 2013 ). Importantly, antenatal depression has been associated with a range of negative offspring outcomes; higher risks of premature birth, low birth weight, intrauterine growth restriction, child emotional and behavioural problems, cognitive difficulties and later depression ( Stein et al, 2014 ).…”

Section: Introductionmentioning

confidence: 99%

Antenatal depressive symptoms among pregnant women: Evidence from a Southern Brazilian population-based cohort study

Coll

Silveira

Bassani

et al. 2017

Journal of Affective Disorders

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BackgroundAntenatal depression (AD) is a major public health issue but evidence regarding its prevalence and associated factors in low and middle-income countries (LMICs) is limited. The aim of the study was to estimate the prevalence and identify risk factors for AD among Brazilian pregnant women.MethodsAll women living in the urban area of the city of Pelotas, Southern Brazil, with confirmed pregnancy and estimated delivery date in the year 2015, were invited to take part. Eligible pregnant women were recruited from health services. Symptoms of antenatal depression were assessed using the Edinburgh Postnatal Depression Scale (EPDS) by face-to-face interviews. A cutoff-point of 13 or more was used to define probable AD.ResultsEPDS scores were available for 4130 women. The prevalence of AD was 16% (95%CI 14·9–17·1). After adjustment for potential confounders, the factors most strongly associated with higher EPDS scores were a previous history of depression (PR 2·81; 95%CI 2·44-3·25), high parity (PR 1·72; 95%CI 1·38-2·15 - ≥2 children vs. 1 child) and maternal education (PR 5·47; 95%CI 4·22-7·09 - 0–4 vs. ≥12 years of formal education).LimitationsEPDS was administered through face-to-face interviews rather than questionnaires and some women may have felt uncomfortable reporting their symptoms leading to underreporting and consequently underestimation of the prevalence found.ConclusionAD prevalence is substantially higher in Brazil than in high-income countries (HICs) but similar to other LMICs. Our study identified relevant risk factors that may be potential targets to plan interventions, particularly a history of depression.

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Antenatal Risk Factors of Postpartum Depression at 20 Weeks Gestation in a Japanese Sample: Psychosocial Perspectives from a Cohort Study in Tokyo

Cited by 40 publications

References 44 publications

Cross-National Differences in Psychosocial Factors of Perinatal Depression: A Systematic Review of India and Japan

Cross-National Differences in Psychosocial Factors of Perinatal Depression: A Systematic Review of India and Japan

Standardizing the measurement of maternal morbidity: Pilot study results

Antenatal depressive symptoms among pregnant women: Evidence from a Southern Brazilian population-based cohort study

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