In first-time mothers, post-partum depressive symptom prospectively predict symptoms of post-traumatic stress

Shahar, Golan; Herishanu-Gilutz, Shirley; Holcberg, Gershon; Kofman, Ora

doi:10.1016/j.jad.2015.07.021

Cited by 20 publications

(20 citation statements)

References 17 publications

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“…Affective symptoms (depression and anxiety combined) at 4-6 weeks postpartum emerged as robust predictor of birth-related PTSD trajectories. Affective symptoms 4-6 weeks after birth differentiated recovery, chronic-PTSD and delayed-PTSD trajectories from the resilient trajectory, confirming earlier findings that depression and anxiety are large component of PTSD and are highly comorbid with PTSD after birth (Ayers et al, 2016;Shahar et al, 2015).…”

Section: Discussionsupporting

confidence: 84%

“…Nevertheless, as in the general trauma literature, the majority of women are resilient and do not develop diagnostic PTSD following traumatic birth, although some may report some symptoms which is to be expected in the aftermath of a negative event. PTSD after birth is associated with adverse outcomes in women such as greater risk of depression (Shahar et al, 2015), problems with the parent-infant relationship (Davies et al, 2008), and marital difficulties (Ayers et al, 2006), which are likely to prolong or impede recovery. A meta-analysis of 50 studies of risk factors for PTSD after birth found that antenatal depression, fear of childbirth, prior PTSD, negative birth experience, lack of support and postpartum depression contribute to susceptibility to birth-related PTSD (Ayers et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

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Longitudinal trajectories of post-traumatic stress disorder (PTSD) after birth and associated risk factors

Dikmen-Yildiz

Ayers

Phillips

2018

Journal of Affective Disorders

106

117

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Section: Discussionsupporting

confidence: 84%

Section: Introductionmentioning

confidence: 99%

Longitudinal trajectories of post-traumatic stress disorder (PTSD) after birth and associated risk factors

Dikmen-Yildiz

Ayers

Phillips

2018

Journal of Affective Disorders

106

117

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“…Similar findings have been reported in previous literatures that higher anxiety and depression symptom scores increased the risk of developing PTSD symptoms [ 3 , 11 , 75 , 76 ]. This confirms earlier findings that depression and anxiety are large component of PTSD and are highly comorbid with PTSD after birth [ 11 , 75 ].…”

Section: Discussionsupporting

confidence: 92%

Longitudinal mediation analysis of the factors associated with trajectories of posttraumatic stress disorder symptoms among postpartum women in Northwest Ethiopia: Application of the Karlson-Holm-Breen (KHB) method

2022

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Introduction In recent years, literatures identified childbirth as a potentially traumatic experience resulting in posttraumatic stress disorder (PTSD), with 19.7 to 45.5% of women perceiving their childbirth as traumatic. A substantial variation in PTSD symptoms has been also indicated among women who experience a traumatic childbirth. However, there has been no research that has systematically investigated these patterns and their underlying determinants in postpartum women in Ethiopia. Objective The aim of this study was to investigate the trajectories of PTSD symptoms and mediating relationships of variables associated with it among postpartum women in Northwest Ethiopia. Methods A total of 775 women were recruited after childbirth and were followed at the 6th, 12th and 18th week of postpartum period during October, 2020 –March, 2021. A group-based trajectory modeling and mediation analysis using KHB method were carried out using Stata version 16 software in order to determine the trajectories of PTSD symptoms and mediation percentage of each mediator on the trajectories of PTSD symptoms. Results Four distinct trajectories of postpartum posttraumatic stress disorder symptoms were identified. Perceived traumatic childbirth, fear of childbirth, depression, anxiety, psychological violence, higher WHODAS 2.0 total score, multigravidity, stressful life events of health risk, relational problems and income instability were found to be predictors of PTSD with recovery and chronic PTSD trajectory group membership. Depression and anxiety not only were strongly related to trajectories of PTSD symptoms directly but also mediated much of the effect of the other factors on trajectories of PTSD symptoms. In contrast, multiparity and higher mental quality of life scores were protective of belonging to the PTSD with recovery and chronic PTSD trajectory group membership. Conclusion Women with symptoms of depression, anxiety, fear of childbirth and perceived traumatic childbirth were at increased risk of belonging to recovered and chronic PTSD trajectories. Postnatal screening and treatment of depression and anxiety may contribute to decrease PTSD symptoms of women in the postpartum period. Providing adequate information about birth procedures and response to mothers’ needs during childbirth and training of health care providers to be mindful of factors that contribute to negative appraisals of childbirth are essential to reduce fear of childbirth and traumatic childbirth so as to prevent PTSD symptoms in the postpartum period.

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“…This is similar to the study by [3]. Psychological complaints can occur in mothers who experience physical problems and can even experience depression when not recognized and not treated immediately [4] [5]. The results of this study indicate the ability of mothers to resolve post-partum health problems is strongly influenced by the support system of their husbands, parents or the community.…”

Section: Discussionsupporting

confidence: 82%

Effect of Mother Baby Care (MBC) Package with the Palembang Cultural Approach Adaptation to Physic and Psychological Period Post Partum

Jawiah¹,

Mediarti²,

Rosnani³

2021

Proceedings of the First International Conference on Health, Social Sciences and Technology (ICoHSST 2020)

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Self-reliance can be done by building a empowerment woman and child-directed quality of life and the role of women through the success of post partum mothers in mer awat herself and her baby. Pemulangan early from hospitals require assistance care at home with nursing care method Mother Baby Care (MBC) with Palembang cultural approach. The purpose of this study to assess the effect of packet MBC with a cultural approach Palembang to physical and psychological adaptation mom post partum. The methode used Quasi-Eksperimental pretest-posttest with Controllergroup . Sampling using purposive sampling, with 30 respondents each group. Bivariate data analiysis used two different mean dependent samples paired t-test, Wilcoxon and Mann Whithney test. Diperoleh h acyl research there is not a difference sigi ni fican physical adaptations post partum mothers before and after the intervention of the intervention group. p value = 0.000, t idak ada differences in physical adaptations mother postpartum seb forgetting and after the intervention in the control group p value = 0.397, there are significant differencec in adaptation of psychological maternal postpartum before and after the intervention group intervensi p value = 0.000 , t There was no difference in psychological adaptation of post partum mothers both before and after the intervention in the control group. p value = 0.114. Results of multivariate concluded that age (p value: 0.006) and family support (p value: 0,036) Mother adaptation influence post partum after getting a care package Mother Baby Care (MBC) with approach Palembang culture.

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In first-time mothers, post-partum depressive symptom prospectively predict symptoms of post-traumatic stress

Cited by 20 publications

References 17 publications

Longitudinal trajectories of post-traumatic stress disorder (PTSD) after birth and associated risk factors

Longitudinal trajectories of post-traumatic stress disorder (PTSD) after birth and associated risk factors

Longitudinal mediation analysis of the factors associated with trajectories of posttraumatic stress disorder symptoms among postpartum women in Northwest Ethiopia: Application of the Karlson-Holm-Breen (KHB) method

Effect of Mother Baby Care (MBC) Package with the Palembang Cultural Approach Adaptation to Physic and Psychological Period Post Partum

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