Postpartum psychiatric illness in Arab culture: Prevalence and psychosocial correlates

Ghubash, R.; Abou‐Saleh, Mohammed T.

doi:10.1192/bjp.171.1.65

Cited by 112 publications

(117 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Polygamous marriages, which affect a subgroup of women in parts of South Asia, may be associated with vulnerability and distress (HoYen, et al, 2007). Findings on this risk factor in other locations are inconsistent (Ghubash & Abou-Saleh, 1997;Kadir, Nordin, Ismail, Yaacob, & Mustapha, 2005;Rushidi, Hayati, Baizuri, Amir, & Mahmood, 2005), but it is hypothesised that the association is mediated by the quality of the relationship with the husband (1997).…”

Section: Discussionmentioning

confidence: 99%

Social relationships and postpartum depression in South Asia: A systematic review

Jones

Coast

2012

Int J Soc Psychiatry

View full text Add to dashboard Cite

LSE has developed LSE Research Online so that users may access research output of the School. Copyright © and Moral Rights for the papers on this site are retained by the individual authors and/or other copyright owners. Users may download and/or print one copy of any article(s) in LSE Research Online to facilitate their private study or for non-commercial research. You may not engage in further distribution of the material or use it for any profit-making activities or any commercial gain. You may freely distribute the URL (http://eprints.lse.ac.uk) of the LSE Research Online website.This document is the author's final accepted version of the journal article. There may be differences between this version and the published version. You are advised to consult the publisher's version if you wish to cite from it. IntroductionPostpartum depression is a mild mental and behavioural disorder associated with the puerperium commencing within 6 weeks of delivery (World Health Organization, 2010). It is a global public health concern because of its adverse effects on the mother, infant and close others (Almond, 2009;Fisher, Cabral de Mello, Izutsu, & Tran, 2011). Historically, it was hypothesised that postpartum depression was largely absent in 'nonwestern' contexts due to greater social support during the postpartum period (Stern & Kruckman, 1983). Postpartum depression prevalence of around 13% is estimated for North American and western European contexts (Affonso, De, Horowitz, & Mayberry, 2000;O'Hara & Swain, 1996), but recent estimates suggest a much higher prevalence in South Asia, up to 36% in Pakistan (Gausia, Fisher, Ali, & Oosthuizen, 2009;Husain et al., 2006;Savarimuthu et al., 2010) Evidence for the aetiological contribution of psyco-social factors to postpartum depression is greater than that for biological factors, with chronic social adversity in women playing a substantial role (Fisher, et al., 2011;Robertson, Celasun, & Stewart, 2003). Systematic reviews consistently highlight an association between postpartum depression and aspects of social relationships, such as low social support or low quality marital relationship (Beck, 2001;O'Hara & Swain, 1996;Robertson, et al., 2003). This is supported by a large body of literature linking social relationships with a range of physical and mental health outcomes more generally (Cohen, Gottlieb, & Underwood, 2000). Social relationships may affect cognitions, emotions, behaviours and biological responses in a manner which has implications for health, either directly ('main effects' hypothesis) or indirectly by influencing affective reactions to situations ('stress buffering' hypothesis) .'Social relationships' are a complex and multi-dimensional concept. The literature focuses on 'social support', defined as the exchange of social resources between persons (Cohen & Syme, 1985). Support has structural dimensions, such as the size and range of the support network, as well as functional dimensions, such as the type, source and quality of support (House & Khan, 1985). Su...

show abstract

Section: Discussionmentioning

confidence: 99%

Social relationships and postpartum depression in South Asia: A systematic review

Jones

Coast

2012

Int J Soc Psychiatry

View full text Add to dashboard Cite

show abstract

“…As required by the defection hypothesis, PPD does correlate with low levels of social support (Areias et al 1996;Ghubash and Abou-Saleh 1997;Thorpe et al 1992;Yoshida et al 1997) and low infant viability (Ghubash and Abou-Saleh 1997;Yoshida et al 1997). Unfortunately, studies in small, kin-based societies that are most likely to resemble ancestral social environments are essentially nonexistent.…”

Section: Tests Of the Defection Hypothesis For Postpartum Depressionmentioning

confidence: 99%

The Functions of Postpartum Depression

Hagen

1999

Evolution and Human Behavior

219

137

View full text Add to dashboard Cite

Evolutionary approaches to parental care suggest that parents will not automatically invest in all offspring, and they should reduce or eliminate investment in their children if the costs outweigh the benefits. Lack of paternal or social support will increase the costs born by mothers, whereas infant health problems will reduce the evolutionary benefits to be gained. Numerous studies support the correlation between postpartum depression (PPD) and lack of social support or indicators of possible infant health and development problems. PPD may be an adaptation that informs mothers that they are suffering or have suffered a fitness cost, which motivates them to reduce or eliminate investment in offspring under certain circumstances, and that may help them negotiate greater levels of investment from others. PPD also appears to be a good model for depression in general.

show abstract

“…Varying rates of postnatal depression and depressive symptoms have been reported within and across countries. The rate of postnatal depression ranges from 10% to 15% in developed countries [6][7][8], but is higher in developing countries where rates ranging from 16% to 36% have been recorded [9][10][11][12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Postnatal depression among Bahraini women: prevalence of symptoms and psychosocial risk factors

Dallal¹,

Grant²

2012

East Mediterr Health J

View full text Add to dashboard Cite

The prevalence of postnatal depression in Bahrain is unknown and screening for known risk factors does not take place. This study estimated the prevalence of postnatal depressive symptoms and the associated risk factors among a random sample of Bahraini women attending primary health care centres with their babies for the 8-week child check-up. The Arabic version of the Edinburgh Postnatal Depression Scale (EPDS) was used with a cut-off score of ≥ 12 for depression. The prevalence of postnatal depressive symptoms among 237 mothers was 37.1%. No significant relationships were identified between depression symptoms and any of demographic variables or pregnancy/birth characteristics studied. However, several psychosocial risk factors were significantly associated with postnatal depression and, after multiple regression analysis, a history of depressive symptoms and perceived lack of support from the husband remained significant factors. Further studies that include diagnostic assessments are needed to confirm these findings. 1Primary Health Care, Ministry of Health, Manama, Bahrain (Correspondence to F.H. Al Dallal: drfareeda@hotmail.co.uk Dépression postnatale chez des femmes bahreïnies : prévalence des symptômes et des facteurs de risque psychosociauxRÉSUMÉ La prévalence de la dépression postnatale à Bahreïn n'est pas connue et aucun dépistage des facteurs de risque avérés n'est réalisé. La présente étude a estimé la prévalence des symptômes de dépression postnatale et des facteurs de risque associés dans un échantillon aléatoire de femmes bahreïnies consultant les centres de soins de santé primaires avec leur bébé pour la visite des huit semaines. La version en langue arabe de l'Edinburgh Postnatal Depression Scale (Échelle de dépression postnatale d'Édimbourg) a été utilisée avec une valeur seuil supérieure ou égale à 12 pour la dépression. La prévalence des symptômes de la dépression postnatale chez les 237 mères de l'étude était de 37,1 %. Aucune relation significative n'a été identifiée entre les symptômes de dépression et les variables démographiques ou les caractéristiques des grossesses ou des accouchements étudiés. Toutefois, plusieurs facteurs de risque psychosociaux étaient significativement associés à la dépression postnatale et, après l'analyse de régression multiple, des antécédents de symptômes dépressifs ainsi que le sentiment de recevoir un soutien insuffisant de la part du conjoint se sont révélé être des facteurs importants. Des études supplémentaires comprenant des évaluations diagnostiques sont requises pour confirmer ces résultats.‫املتوسط‬ ‫لرشق‬ ‫الصحية‬ ‫املجلة‬ ‫عرش‬ ‫الثامن‬ ‫املجلد‬ ‫اخلامس‬ ‫العدد‬ 433

show abstract

Postpartum psychiatric illness in Arab culture: Prevalence and psychosocial correlates

Cited by 112 publications

References 11 publications

Social relationships and postpartum depression in South Asia: A systematic review

Social relationships and postpartum depression in South Asia: A systematic review

The Functions of Postpartum Depression

Postnatal depression among Bahraini women: prevalence of symptoms and psychosocial risk factors

Contact Info

Product

Resources

About