Depression Symptom Prevalence and Demographic Risk Factors Among U.S. Women During the First 2 Years Postpartum

Mayberry, Linda J.; Horowitz, June Andrews; Declercq, Eugene

doi:10.1111/j.1552-6909.2007.00191.x

Cited by 211 publications

(212 citation statements)

References 30 publications

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“…Adolescent mothers also may have inadequate social support [3,[5][6][7][8][9]. And, young mothers appear to have higher rates of postpartum depression than older mothers: one study found that 30% of mothers age 18-24 years had moderate-to-severe depressive symptoms compared to 16% of those age 25-34 and 13% of mothers age 35 and older [10]. Rates of self-reported depressive symptoms among pregnant adolescents and adolescent mothers vary from 28 to 59% depending on the study and the measures used [3,5,6,8,9,11].…”

Section: Introductionmentioning

confidence: 99%

Longitudinal Study of Depressive Symptoms and Social Support in Adolescent Mothers

Brown¹,

Harris

Woods

et al. 2011

Matern Child Health J

112

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Previous studies have suggested that adolescent mothers with higher social support have lower depressive symptoms. This is a longitudinal study of adolescent mothers to examine the association of social support and depressive symptoms over one year postpartum. This was a prospective study of adolescent mothers (N at baseline = 120, N at 1 year = 89; age \ 19 years) enrolled in a teen tot program. Participants completed the Center for Epidemiological Studies Depression Scale for children (CES-DC) and the Duke-UNC Functional Social Support Questionnaire at baseline, 12 weeks, and 1 year. A score of C 16 on the CES-DC was suggestive of major depression. The mean CES-DC scores of the adolescent mothers were C16 points at all three time points (baseline: mean = 18.7 ± 10.3; 53% C 16; 12 weeks: mean = 18.4 ± 11.4, 57% C 16; one year: mean = 20.0 ± 11.4; 57% C 16). Social support had a significant, inverse association with depressive symptoms for all participants from baseline to 12 weeks with a stronger association for those with more depressive symptoms (score C 16) at baseline (beta = -0.030 ± 0.007; P \ 0.001) than for those with fewer depressive symptoms (score \ 16) at baseline (beta = -0.013 ± 0.006; P = 0.021). From 12 weeks to one year, increased social support was only significantly associated with decreased depressive symptoms for those with a higher baseline level of depressive symptoms (beta = -0.039 ± 0.009; P \ 0.001). Depressive symptoms were prevalent among adolescent mothers. For more depressed adolescent mothers, higher levels of social support were associated with less depressive symptoms over the 1 year follow-up. Effective long-term interventions are needed to lessen depression and enhance social support.

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Section: Introductionmentioning

confidence: 99%

Longitudinal Study of Depressive Symptoms and Social Support in Adolescent Mothers

Brown¹,

Harris

Woods

et al. 2011

Matern Child Health J

112

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“…1,3 Because perinatal depression can have negative consequences for both the mother and her child 4,5 it is critical that providers recognize potential risk factors. Examples of risk factors for postpartum depression include women who are younger (or older in some populations), 6 have little support, 7,8 and who have a history of depression, especially during pregnancy. 1,9 While depression has been the primary focus of research in the postpartum period, increasing anxiety, 10 including posttraumatic stress disorder (PTSD) 11,12 has been found to be an important factor impacting women in the postpartum period.…”

mentioning

confidence: 99%

Increased Risk for Postpartum Psychiatric Disorders Among Women with Past Pregnancy Loss

Giannandrea

Cerulli

Anson

et al. 2013

Journal of Women's Health

108

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Background: Scant literature exists on whether prior pregnancy loss (miscarriage, stillbirth, and/or induced abortion) increases the risk of postpartum psychiatric disorders-specifically depression and anxiety-after subsequent births. This study compares: (1) risk factors for depression and/or anxiety disorders in the postpartum year among women with and without prior pregnancy loss; and (2) rates of these disorders in women with one versus multiple pregnancy losses. Methods: One-hundred-ninety-two women recruited at first-year pediatric well-child care visits from an urban pediatric clinic provided demographic information, reproductive and health histories. They also completed depression screening tools and a standard semi-structured psychiatric diagnostic interview. Results: Almost half of the participants (49%) reported a previous pregnancy loss (miscarriage, stillbirth, or induced abortion). More than half of those with a history of pregnancy loss reported more than one loss (52%). Women with prior pregnancy loss were more likely to be diagnosed with major depression ( p = 0.002) than women without a history of loss. Women with multiple losses were more likely to be diagnosed with major depression ( p = 0.047) and/or post-traumatic stress disorder (Fisher's exact [FET] = 0.028) than women with a history of one pregnancy loss. Loss type was not related to depression, although number of losses was related to the presence of depression and anxiety. Conclusions: Low-income urban mothers have high rates of pregnancy loss and often have experienced more than one loss and/or more than one type of loss. Women with a history of pregnancy loss are at increased risk for depression and anxiety, including post-traumatic stress disorder (PTSD), after the birth of a child. Future research is needed to understand the reasons that previous pregnancy loss is associated with subsequent postpartum depression and anxiety among this population of women.

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“…Mayberry et al have found younger women to be a risk factor for PPD, however Bjerke et al in their study found that age >30 years are associated with PPD. 4,5 Berry M et al, Forman N et al have found an increased association of multipara with PPD whereas More B et al found primiparity to be associated with PPD. 4,6,7 Like in our study, Josefsson et al have concluded that no association exists between parity and PPD.…”

Section: Discussionmentioning

confidence: 99%

“…4,5 Berry M et al, Forman N et al have found an increased association of multipara with PPD whereas More B et al found primiparity to be associated with PPD. 4,6,7 Like in our study, Josefsson et al have concluded that no association exists between parity and PPD. 8 In present study women who had operative delivery (CS) had significant relationship with PPD.…”

Section: Discussionmentioning

confidence: 99%

The predictors of post-partum depression in a tertiary centre

Unnisa

Lavanya

2018

Int J Reprod Contracept Obstet Gynecol

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Background: The present study was undertaken to evaluate the association of different socio-demographic, obstetric and pregnancy outcome as predictor of PPD among the postnatal women during early puerperium and thus can be provided with special care. Objective was to evaluate the different predictors of post partum depression.Methods: A prospective study was conducted in the department of obstetrics and gynaecology, Yenepoya medical college hospital Mangalore. A total of 200 postnatal mothers in their 3rd - 7th postpartum day were interrogated using Edinburgh postnatal depression scale (EPDS). Socio-demographic factors like age, parity, literary, socio economic status, family structure, obstetric outcome was recorded. Results were statistically analyzed with chi-square test.Results: A prospective study was conducted in the Department of Obstetrics and Gynaecology, Yenepoya Medical College Hospital, Mangalore. A total of 200 postnatal mothers in their 3rd - 7th postpartum day were interrogated using Edinburgh postnatal depression scale (EPDS). Socio-demographic factors like age, parity, literary, socio economic status, family structure, obstetric outcome was recorded. Results were statistically analyzed with chi-square test.Conclusions: Risk of PPD is more with the birth of a female baby, women who had CS, low S.E status, unemployment could predict higher risk for PPD. PPD screening should be an integral part of postnatal care using E PDS routinely. A multidisciplinary approach including obstetrician and psychiatrists can be jointly care of the depressed mothers.

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Depression Symptom Prevalence and Demographic Risk Factors Among U.S. Women During the First 2 Years Postpartum

Cited by 211 publications

References 30 publications

Longitudinal Study of Depressive Symptoms and Social Support in Adolescent Mothers

Longitudinal Study of Depressive Symptoms and Social Support in Adolescent Mothers

Increased Risk for Postpartum Psychiatric Disorders Among Women with Past Pregnancy Loss

The predictors of post-partum depression in a tertiary centre

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