Peripartum Depression, Traditional Culture, and Israeli Society

Dekel, Sharon; Stanger, Varda; Georgakopoulos, Emily R; Stuebe, Caren; Dishy, Gabriella

doi:10.1002/jclp.22360

Cited by 4 publications

(2 citation statements)

References 27 publications

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“…We included samples derived from different world regions, which offers a broad perspective on PP-PTSD but might create wide variations in prevalence rates. Ideally, we would have targeted large, prospective, longitudinal studies to clarify childbirth-related PTSD with/without PTSD or trauma history and the moderating factor of culture (Dekel et al, 2016b). Future studies are warranted to examine the various pathways for the development of PP-PTSD and its symptom trajectory.…”

Section: Discussionmentioning

confidence: 99%

Childbirth Induced Posttraumatic Stress Syndrome: A Systematic Review of Prevalence and Risk Factors

2017

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Background: Posttraumatic stress related with the childbirth experience of full-term delivery with health outcomes has been recently documented in a growing body of studies. The magnitude of this condition and the factors that might put a woman at risk for developing childbirth-related postpartum posttraumatic stress disorder (PP-PTSD) symptoms are not fully understood.Methods: In this systematic review of 36 articles representing quantitative studies of primarily community samples, we set to examine PP-PTSD prevalence rates and associated predictors with a focus on the role of prior PTSD and time since childbirth.Results: A significant minority of women endorsed PP-PTSD following successful birth. Acute PP-PTSD rates were between 4.6 and 6.3%, and endorsement of clinically significant PP-PTSD symptoms was identified in up to 16.8% of women in community samples of high quality studies. Negative subjective experience of childbirth emerged as the most important predictor. Endorsement of PTSD before childbirth contributed to PP-PTSD; nevertheless, women without PTSD also exhibited PP-PTSD, with acute rates at 4.6%, signifying a new PTSD onset in the postpartum period.Conclusion: Although the majority of women cope well, childbirth for some can be perceived as a highly stressful experience and even result in the development of PP-PTSD symptoms. More research is needed to understand postpartum adaption and childbirth-related posttraumatic stress outcomes.

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Section: Discussionmentioning

confidence: 99%

Childbirth Induced Posttraumatic Stress Syndrome: A Systematic Review of Prevalence and Risk Factors

2017

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“…As for PPD, no studies in Israel have examined its associations with discrimination. Studies on inequalities in PPD prevalence and risk factors among ethno-national groups of mothers [36], religious groups of women in Israel [57], and levels of barriers to PPD care [41] suggest intersections of different forms of discrimination emanating from ethno-national and cultural identity, level of religiosity, socioeconomic status [54], and immigrant status, and that this discrimination transforms into ethno-national and gender inequities among women in different segments of Israeli society.…”

Section: Introductionmentioning

confidence: 99%

Multiple forms of discrimination and postpartum depression among indigenous Palestinian-Arab, Jewish immigrants and non-immigrant Jewish mothers

et al. 2019

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BackgroundWhile discrimination takes multiple forms, racial or ethnic discrimination is a root cause of this health-damaging social phenomenon. We drew on intersectionality theory, which offers an account of discrimination’s multiple effects, to consider associations between women’s experiences of discrimination and postpartum depression (PPD) using four measures: single forms of discrimination (SFD); multiple forms of discrimination (MFD); ethnic discrimination combined with MFD (E-MFD); and a composite MFD that interacted with women’s identity (C-MFD).MethodsWe interviewed a stratified sample of 1128 mothers face to face in 2014–2015 during mothers’ visits to maternal and child health clinics. The mothers belonged to three groups in Israel: Palestinian-Arab minority, Jewish immigrant, and non-immigrant Jewish. We conducted unadjusted and adjusted logistic regressions for PPD, measured on the Edinburgh Postnatal Depression Scale, in associations with SFD (experiencing discrimination based on any of the following: age, sex, class, ethno-national identity, religiosity level and skin color); MFD (experiencing 0,1, 2 or ≥ 3 of SFD); E-MFD (ethnic discrimination combined with other MFD); and finally, C-MFD (interaction between MFD and women’s identity).ResultsPalestinian-Arab mothers had higher PPD and reported higher SFD (based on ethnicity, religiosity level, and socioeconomic status), as well as higher MFD and E-MFD. This was followed by Jewish immigrant mothers, and lastly by non-immigrant Jewish mothers. However, both MFD and E-MFD had a strong association with PPD among non-immigrant Jewish mothers reporting 2MFD and ≥ 3MFD, and Palestinian-Arab mothers reporting ≥3MFD, but no significant association among immigrant Jewish mothers. When we used C-MFD, we found a dose-response association in which Palestinian-Arab mothers experiencing more MFD (2MFD and ≥ 3MFD) were more likely to experience PPD. This was followed by immigrant Jewish mothers (reporting 2MFD and ≥ 3MFD), and lastly by non-immigrant Jewish mothers.ConclusionsMFD should be considered in relation to women’s identity (being part of a minority, immigrant, or non-immigrant majority group) in maternal mental health research and practice. Otherwise, we risk underestimating the effects of MFD on PPD, especially in minority and immigrant mothers, who are more likely to face interlocking forms of discrimination.

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Hidden Figures: Are Ultra-Orthodox Jewish Women Really so Different When it Comes to Health Care?

Simhi

Yoselis²,

Sarid

et al. 2019

J Relig Health

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Peripartum Depression, Traditional Culture, and Israeli Society

Cited by 4 publications

References 27 publications

Childbirth Induced Posttraumatic Stress Syndrome: A Systematic Review of Prevalence and Risk Factors

Childbirth Induced Posttraumatic Stress Syndrome: A Systematic Review of Prevalence and Risk Factors

Multiple forms of discrimination and postpartum depression among indigenous Palestinian-Arab, Jewish immigrants and non-immigrant Jewish mothers

Hidden Figures: Are Ultra-Orthodox Jewish Women Really so Different When it Comes to Health Care?

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