Is Seasonal Variation Another Risk Factor for Postpartum Depression?

Panthangi, Veena; West, Patricia; Savoy‐Moore, Ruth T.; Geeta, Manjeet; Reickert, Eileen

doi:10.3122/jabfm.2009.05.080066

Cited by 20 publications

(17 citation statements)

References 16 publications

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“…It is difficult to say if this finding could be related to the seasonal affective disorders; in fact, prevalence rates of depression with a seasonal pattern vary greatly according to the criteria used to diagnose it (Jewell et al, 2010). Based on the theory that seasonal depression may be in relation with reduced exposure to light, several studies have been conducted with contrasting results (Panthangi et al, 2009;Yang et al, 2011).…”

Section: Discussionmentioning

confidence: 94%

Socio-Economic Determinants and Self-Reported Depressive Symptoms During Postpartum Period

et al. 2012

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The researchers' aims were to estimate the prevalence of postpartum depressive symptoms in Italy. Cross-sectional data from the survey, "Health and use of health care in Italy" were analyzed. The authors focused on 5,812 women, pregnant some time during five years before the survey. Multiple logistic regression was used to evaluate risk factors independently associated with postpartum depressive symptoms. Evaluation of seasonal trends was also performed.In the total sample, 23.5% (n = 1,365) reported having suffered postpartum depressive symptoms: 20.7% experienced baby blues, and 2.8% postpartum depression. Factors significantly associated with baby blues were, among others, living in northern or central areas (adjusted odds ratio [aOR] 1.88; 95%CI 1.57-2.15 and 1.40; 95%CI 1.20-1.63, respectively), history of depression (aOR 1.34; 95%CI 1.15-1.56), and attendance at antenatal classes (aOR 1.13; 95%CI 1.04-1.22). Factors significantly associated with postpartum depression were: anamnesis of depression (aOR 3.32; 95%CI 2.69-4.09), gaining more than 16 kg of weight during pregnancy (aOR 1.48; 95%CI 1.03-2.12), and undergoing a cesarean section (planned: aOR 1.56; 95%CI 1.05-2.29; unplanned: aOR 1.78; 95%CI 1.16-2.73). Multiparity was a protective factor both for baby blues (aOR 0.80; 95%CI 0.70-0.91), and postpartum depression (aOR 0.71; 95%CI 0.51-0.98). No clear seasonality was observed for postpartum depression, while for baby blues a certain aggregation of events was registered during the central months of the year. The authors' study highlighted variables associated with baby blues and postpartum depression to target screening for women for postpartum depressive symptoms.

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Section: Discussionmentioning

confidence: 94%

Socio-Economic Determinants and Self-Reported Depressive Symptoms During Postpartum Period

et al. 2012

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“…Panthangi et al [32] used the Edinburgh Postpartum Depression Scale to assess postpartum depression in women who had given birth during the previous 5 to 8 weeks and showed the relationship between postpartum depression and history of depression. Saleh et al [27] also reported that prior psychiatric problems were a significant predictor of postpartum depression as assessed by the Edinburgh Postpartum Depression Scale.…”

Section: Discussionmentioning

confidence: 99%

Mental health problems and influencing factors in Japanese women 4 months after delivery

Yamamoto

Abe

Arima

et al. 2014

J Physiol Anthropol

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BackgroundPostpartum mental health problems are a major public health issue; however, studies on the mental health status of mothers and its influencing factors between 8 weeks and 1 year postpartum are scarce. Furthermore, it would be necessary to examine the factors influencing mothers’ mental health in order to evaluate their physiological adaptations to the nursing environment.MethodsWe examined the mental health status of postpartum women and the factors influencing poor mental health at 4 months after delivery. A cross-sectional study of 584 postpartum women was conducted. Information on mental health status, delivery, and other factors was collected using a self-administered questionnaire. Women were asked about their age, height, weight, gestational or marital status, whether they were eating regular meals, appetite, frequency of going out, financial difficulty, stressful life events, and history of depression. The Japanese version of the 12-item General Health Questionnaire (GHQ-12) was used to identify potential poor mental health status. Participants with GHQ-12 scores of ≥4 were classified as the high GHQ-12 score group (poor mental health status) and participants with GHQ-12 scores of ≤3 were classified as the low GHQ-12 score group (good mental health status).ResultsForty-five women (7.7%) were classified as having high GHQ-12 scores. Multiple logistic regression analysis revealed that older age, not eating meals regularly, and history of depression were significantly associated with poor mental health. Financial difficulty had a borderline association with poor mental health in this model.ConclusionsThese risk factors might help practitioners identify women at high risk of poor mental health after delivery.

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“…Alarmingly, studies have also shown that as many as 50% of postpartum depression cases are undiagnosed (Chaudron et al, 2005; Murray, Woolgar, Murray, & Cooper, 2003), and reasons for this statistic include lack of attention on the mental health of the mother by health care providers as well as under‐reporting of symptoms by the mother herself. Many factors have been found to influence or mediate mothers’ vulnerability to becoming depressed in the postpartum period, including: (1) factors related to childbirth and childcare such as sleep patterns, type of delivery and lack of social support; and (2) non‐specific factors such as history of depression outside of the perinatal period, seasonal mood fluctuations, socioeconomic status, lack of social support, stressful recent life events and marital conflict (Boyce & Todd, 1992; Goyal, Gay, & Lee, 2009; Koo, Lynch, & Cooper, 2003; Panthangi, West, Savoy‐Moore, Geeta, & Reickert, 2009; Vik et al, 2009; Xie, He, Koszycki, Walker, & Wen, 2009).…”

Section: Maternal Behavior Is Affected By Concurrent Mood or Deprmentioning

confidence: 99%

Annual Research Review: All mothers are not created equal: neural and psychobiological perspectives on mothering and the importance of individual differences

Barrett

Fleming

2010

Child Psychology Psychiatry

386

358

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Quality of mothering relies on the integrity of multiple physiological and behavioral systems and on two maternal factors, one proximal and one distal, that have a great impact on how a mother mothers: postpartum depression and early experiences. To mother appropriately requires the action of systems that regulate sensation, perception, affect, reward, executive function, motor output and learning. When a mother is at risk to engage in less than optimal mothering, such as when she is depressed or has experienced adversity in childhood, the function of many or all of maternal and related systems may be affected. In this paper, we will review what is currently known about the biological basis of mothering, with attention to literature on hormones but with a particular focus on recent advances in the fields of functional neuroimaging. Instead of discussing strictly 'maternal' brain imaging studies, we instead use a systems approach to survey important findings relevant to brain systems integral to and/or strongly related to the mothering experience: (a) social behavior; (b) reward and affect; (c) executive function; and (d) maternal behavior. We find that there are many commonalities in terms of the brain regions identified across these systems and, as we would expect, all are sensitive to the influence of, or function differently in the context of, depression and adverse early experience. It is likely that the similarity and cross-talk between maternal, affect and stress systems, observed behaviorally, hormonally and in the context of brain function, allows for mood disturbance and early adverse experiences to have a significant impact on the quality of mothering and the motivation to mother.

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Is Seasonal Variation Another Risk Factor for Postpartum Depression?

Cited by 20 publications

References 16 publications

Socio-Economic Determinants and Self-Reported Depressive Symptoms During Postpartum Period

Socio-Economic Determinants and Self-Reported Depressive Symptoms During Postpartum Period

Mental health problems and influencing factors in Japanese women 4 months after delivery

Annual Research Review: All mothers are not created equal: neural and psychobiological perspectives on mothering and the importance of individual differences

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