Early identification of women at risk of postpartum depression using the Edinburgh Postnatal Depression Scale (EPDS) in a sample of Lebanese women

El-Hachem, Charline; Rohayem, Jihane; Khalil, Rami Bou; Richa, Sami; Kesrouani, Assaad; Gemayel, Rima; Aouad, N. El; Hatab, Najat; Zaccak, Eliane; Yaghi, Nancy; Salameh, Salimé; Attieh, Elie

doi:10.1186/s12888-014-0242-7

Cited by 65 publications

(73 citation statements)

References 33 publications

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“…Our three models indicate similarly that depressive symptoms shortly (3-5 days) after delivery significantly predicted depressive symptoms at 4-6 weeks postpartum, consistent with a previous study (El-Hachem et al, 2014). Furthermore, we found that depressive symptoms shortly after childbirth also predicted depressive symptoms at 3 and 6 months postpartum.…”

Section: Discussionsupporting

confidence: 91%

“…To the best of our knowledge, the use of validated measures and multiple scales to evaluate concurrent or previous postnatal pain, both perineal pain and ''any pain,'' and to examine its relationship with depressive symptoms during the postpartum period has not been reported. In addition, a personal history of depression, family history of depression (Beck, 2001;El-Hachem et al, 2014), and prenatal depression (Heron et al, 2004) have been associated with the development of postpartum depression. Few studies have found that previous postnatal depressive symptoms are associated with postpartum depressive symptoms (Beeghly et al, 2002;El-Hachem et al, 2014).…”

Section: Introductionmentioning

confidence: 98%

“…In addition, a personal history of depression, family history of depression (Beck, 2001;El-Hachem et al, 2014), and prenatal depression (Heron et al, 2004) have been associated with the development of postpartum depression. Few studies have found that previous postnatal depressive symptoms are associated with postpartum depressive symptoms (Beeghly et al, 2002;El-Hachem et al, 2014). However, none of the previous studies was conducted using a within-subject design, large sample size, and both short and long postpartum follow-up.…”

Section: Introductionmentioning

confidence: 98%

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Relationships between perineal pain and postpartum depressive symptoms: A prospective cohort study

Chang

Chen

Lee

et al. 2016

International Journal of Nursing Studies

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 98%

See 1 more Smart Citation

Relationships between perineal pain and postpartum depressive symptoms: A prospective cohort study

Chang

Chen

Lee

et al. 2016

International Journal of Nursing Studies

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“…For example, McCoy et al [17] found the relative risk of developing PPD when using artificial feeding techniques to be 2.04; Patel et al [29] assessed the odds ratio of breastfeeding problems to be 3.1 in a sample of Indian women. Other studies showed roughly similar results [22, 41]. In our study, the univariate analysis suggested that women using artificial feeding techniques are at a higher risk for developing PPD at 6 months postpartum (OR = 1.4, p = 0.025), this was nonsignificant in the multivariate analysis (OR = 1.5, p = 0.074).…”

Section: Discussionsupporting

confidence: 81%

“…Many other studies also found an association between PPD and the lack of family and social support [19, 21, 22, 40, 41]. …”

Section: Discussionmentioning

confidence: 89%

Sociodemographic and delivery risk factors for developing postpartum depression in a sample of 3233 mothers from the Czech ELSPAC study

et al. 2017

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BackgroundIn the postpartum period, certain groups of women are at a higher risk for developing depressive episodes. Several studies have described risk factors for developing postpartum depression (PPD). However, these studies have used limited numbers of participants, and therefore the estimated prevalence of PPD varies greatly.MethodsThe objective of this study is to identify the main risk factors for developing PPD by using data collected via the Czech version of the European Longitudinal Study of Pregnancy and Childhood (ELSPAC). This database provides a representative sample (n = 7589) observed prospectively and a large amount of data on depressive symptoms and on biological, socioeconomic, and environmental factors.The Edinburgh Postnatal Depression Scale (EPDS) was used to screen for incidence of PPD. The affective pathology was examined at three time points: before delivery, 6 weeks after delivery, and 6 months after delivery.ResultsThe prevalence of depressive symptoms before delivery was 12.8%, 6 weeks after delivery 11.8%, and 6 months after delivery 10.1%. The prevalence rates are based on women who completed questionnaires at all three time-points (N = 3233).At all three time points, the main risk factors for developing PPD identified as significant by both univariate and multivariate analysis were personal history of depressive episodes and mothers experiencing psychosocial stressors. Other risk factors occurring in both types of analysis were: family history of depression from expectant mother’s paternal side (prenatal), mothers living without partners (6 weeks postpartum) and feelings of unhappiness about being pregnant (6 months postpartum). Several protective factors were also observed: male child gender (prenatal), primiparous mothers (6 months postpartum), and secondary education (prenatal, only by multivariate analysis).Significant risk factors found solely by univariate analysis were family history of depression in both parents of the expectant mother (prenatal and 6 weeks postpartum), family history of depression from subject’s maternal side (6 months postpartum), unintentional pregnancy (prenatal and 6 weeks postpartum), feelings of unhappiness about being pregnant (prenatal and 6 weeks postpartum), primary education (prenatal and 6 weeks postpartum), mothers who opted not to breastfeed (6 months postpartum) and mothers living without partners (prenatal and 6 months postpartum). Family savings were identified as protective factor (prenatal and 6 months postpartum).ConclusionsWe identified significant predictors of PPD. These predictors can be easily detected in clinical practice, and systematic screening can lead to identifying potentially at risk mothers. Since the risk is linked with experience of psychosocial stressors it seems that they might benefit from increased psychosocial support to prevent affective pathology.

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Peripartum depression: Does risk versus diagnostic status impact mother–infant bonding and perceived social support?

Hare

Kroll‐Desrosiers

Deligiannidis

2020

Depression and Anxiety

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Background Peripartum depression (PND) impairs mother–infant boding and perceived social support, yet limited research has examined if women at‐risk for PND (AR‐PND) also experience impairment. We examined if pregnant women AR‐PND, women with PND, and healthy comparison women (HCW) differed in their mother–infant bonding and social support. As PND is highly comorbid with anxiety, we also examined if peripartum anxiety impacted postpartum diagnosis of PND. Methods A total of 144 pregnant women AR‐PND or euthymic were assessed twice antepartum and twice postpartum. We utilized regression models to examine the impact of PND risk group status and diagnostic status on mother–infant bonding and perceived social support postpartum. We conducted a sensitivity analysis using a generalized estimating equations model to determine if anxiety (Hamilton Anxiety Rating Scale, HAM‐A) across all four time points was associated with the postpartum diagnosis of PND. Results Women AR‐PND experienced significantly worse mother–infant bonding compared to HCW (p = .03). Women diagnosed with PND experienced significantly worse mother–infant bonding and social support compared to HCW (p = .001, p = .002, respectively) and to those who were at‐risk for but did not develop PND (p = .02, p = .008, respectively). HAM‐A severity at each visit was associated with PND diagnosis status, where each increase in HAM‐A was associated with 15% increased odds of being diagnosed with PND postpartum. Conclusions Both women AR‐PND and those with PND experience worse mother–infant bonding. Peripartum anxiety should also be assessed as it represents a marker for later PND.

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Early identification of women at risk of postpartum depression using the Edinburgh Postnatal Depression Scale (EPDS) in a sample of Lebanese women

Cited by 65 publications

References 33 publications

Relationships between perineal pain and postpartum depressive symptoms: A prospective cohort study

Relationships between perineal pain and postpartum depressive symptoms: A prospective cohort study

Sociodemographic and delivery risk factors for developing postpartum depression in a sample of 3233 mothers from the Czech ELSPAC study

Peripartum depression: Does risk versus diagnostic status impact mother–infant bonding and perceived social support?

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