Psychometric properties of psychosocial dimensions associated with postpartum depression

Ghaedrahmati, Maryam; Kazemi, Ashraf; Kheirabadi, Gholamreza; Bahrami, Masoud; Ebrahimi, Ardalan

doi:10.1111/jog.14930

Cited by 10 publications

(13 citation statements)

References 33 publications

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“…36 37 Additionally, although all postpartum women are vulnerable to changes in sleep quality, it was found that the chances of sleep disorders were 1.77 times greater at the age extremes (under 18 years old and over 35-years-old). This can be explained by the high prevalence of high-risk pregnancies and, consequently, complications in childbirth, 38 greater social vulnerability, lack of partner support (mainly observed in very young women), 39 and teenage pregnancy. 13…”

Section: Discussionmentioning

confidence: 99%

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Factors Associated with Poor Sleep Quality in Postpartum Women: A Crossectional Study

Motta,

Lucchese,

Leão

et al. 2024

Sleep Sci

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Objective This study aimed to analyze the factors associated with poor sleep quality in women in the postpartum period who were assisted in a municipality in central Brazil. Material and Methods This is a cross-sectional study (n = 400) conducted virtually from 2020 to 2021. Sociodemographic and clinical characteristics, self-perceived sleep, and the Pittsburgh Sleep Quality Index (PSQI) were assessed. Results It was identified that 82% of postpartum women were between 18 and 35-years-old and had an average monthly household income of R$2,339.27 ± 1,812.95. It was also found that 33.50% (95% CI: 28.7–38.0) had sleep disorders (PSQI >10); 70.25% (95%CI 65.8–74.8) had poor sleep quality (PSQI >5); 57.4% (95% CI: 52.0–63.1) had inadequate sleep on weekdays/workdays; and 64.1% (95% CI 59.3–69.2) had unsuitable sleep on weekends/days off. It was found that the factors associated with sleep disturbance were: age between <18 years and >35 years (p = 0.048); difficulty to think clearly (p = 0.043); frequent sadness (p = 0.046); poor sleep quality; low income (p = 0.030); difficulty to think clearly (p = 0.013); and loss of interest in things (p = 0.030). As for sleep on weekdays, the associated factors were: marital status without a partner (p = 0.008); and being a victim of physical violence (p = 0.003). Finally, for sleep on weekends/off: nonwhite skin-color (p = 0.039); and having postpartum depression (p = 0.029). Conclusion The findings of the present study call attention to the impacts of changes in women's bodies, behavior, and interpersonal relationships caused by the arrival of a newborn. We also highlight the need for a multidisciplinary and comprehensive medical approach in this period.

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Section: Discussionmentioning

confidence: 99%

“…Studies have reinforced that the absence of social support is associated with poor sleep quality in the postpartum period. 13 39…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with Poor Sleep Quality in Postpartum Women: A Crossectional Study

Motta,

Lucchese,

Leão

et al. 2024

Sleep Sci

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“…The demographic profile of our study population revealed several noteworthy trends. While the mean age of participants was 28.5 years, a diverse age range was observed, highlighting the relevance of studying postpartum mental health across various life stages (Ghaedrahmati et al, 2017;Lubotzky-Gete et al, 2021;Rollè et al, 2017;Shorey et al, 2018). Most participants were married, and a significant proportion had obtained at least a high school education, emphasizing the importance of considering both marital status and educational background as potential factors influencing mental health outcomes (Vismara et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

Postpartum Depression and Anxiety: A Community-Based Study on Risk Factors Before, During and After Pregnancy

ULLAH,

JAVED,

ARIF

et al. 2023

Biol Clin Sci Res J

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Postpartum anxiety and depression are a significant public health concern as it is the leading cause of maternal morbidity. It is associated with adverse effects on the cognitive and social development of the infant. The primary aim of the study is to find postpartum depression and anxiety as a community-based study on risk factors before, during, and after pregnancy. The prospective cohort study was conducted in Khyber Teaching Hospital Peshawar from April 2023 to July 2023. A total of 320 pregnant women were recruited for this study. Participants were enrolled during their antenatal visits to healthcare facilities within the community, ensuring representation across diverse demographic and socio-economic backgrounds. Data collection for this community-based study on postpartum depression and anxiety was executed meticulously across three distinct phases: before, during, and after pregnancy. Data was collected from 320 pregnant females. The mean age of participants was 28.5±4.2 years. Most participants had at least a high school education (65%) and reported a moderate household income (55%). 18% of participants had a history of previous episodes of depression or anxiety. 35% reported experiencing significant life stressors before pregnancy, with financial concerns being the most common (62%). 24% had a family history of mental health disorders. It is concluded that this study has revealed a significant prevalence of postpartum depression (22%) and anxiety (18%) among participants. The identified risk factors, including prior mental health history and high prenatal stress, emphasize the need for early intervention and targeted support systems during the perinatal period.

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“…2,3 Postpartum PTSD refers to a stress-induced mental disorder that occurs in the perinatal period due to exposure to childhood abuse, perinatal complications, traumatic childbirth, or the delivery of high-risk neonates. 4 According to the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V) in 2013, 5 the main symptoms of postpartum PTSD include intrusion or re-experiencing the traumatic event, avoidance of anything related to the traumatic event, negative alterations in cognitions and mood, arousal, and reactivity. 6,7 Giving birth is a major life event and results in significant physical and psychological changes for women.…”

Section: Introductionmentioning

confidence: 99%

Construct validity and psychometric properties of the Chinese version of the City Birth Trauma Scale

Nie

Cheng

Huang

et al. 2022

J of Obstet and Gynaecol

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Background: Currently, most postpartum posttraumatic stress disorder (PTSD) screening scales used in China are general PTSD scales which are not compiled specifically for pregnant women and thus cannot reflect the unique needs of this population. This study aimed to translate the City Birth Trauma Scale (City BiTS) into Chinese and validate its psychometric characteristics in Chinese postpartum women. Methods: After translation, back-translation, and expert discussion, 596 mothers at 1 to 12 months postpartum filled out the questionnaires through the Internet. The reliability and validity of the translated questionnaire were tested. Results: The Cronbach's α coefficient of the Chinese version of City BiTS (City BiTS-C) was 0.889, the testretest reliability was 0.86, and the content validity was 0.93. Exploratory factor analysis extracted two factors accounted for 63.148% of the variance. The City BiTS-C had appropriate construct validity in the Chinese culture (root mean square error of approximation [RMSEA] = 0.048, <0.05; χ 2 /df = 2.666, <3). The values of the incremental fit index (IFI) and the Tucker-Lewis coefficient (TLI) were 0.990 and 0.976, which identified that the model was a good fit for the data. The values of the comparative fit index (CFI) and the normed fit index (NFI) were 0.890 and 0.873, respectively. Conclusions: The City BiTS-C is a reliable and valid measure to screening and diagnosis the postpartum PTSD among new mothers who gave birth in the past year in mainland China. Implications: The City BiTS-C is a short, reliable, and valid instrument that measures the symptoms of postpartum PTSD, and it is recommend for clinical screening.

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Psychometric properties of psychosocial dimensions associated with postpartum depression

Cited by 10 publications

References 33 publications

Factors Associated with Poor Sleep Quality in Postpartum Women: A Crossectional Study

Factors Associated with Poor Sleep Quality in Postpartum Women: A Crossectional Study

Postpartum Depression and Anxiety: A Community-Based Study on Risk Factors Before, During and After Pregnancy

Construct validity and psychometric properties of the Chinese version of the City Birth Trauma Scale

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