Incidence of postpartum mood disorders depending on selected risk factors – a logistic regression model
DOI:
https://doi.org/10.12775/MBS.2016.010Keywords
puerperium, baby blues, postpartum depression, Edinburgh Postnatal Depression ScaleAbstract
The aim of the study was to assess the severity of mood disorders in women in the first and sixth week postpartum and to determine the incidence of baby blues depending on selected risk factors.
Material and methods. 285 postpartum women were enrolled in the study. The research project was divided into two stages (first and sixth week postpartum). The Edinburgh Postnatal Depression Scale (EPDS) was used to assess the severity of mood disorders. The indicator of the presence of disorders was set at ≥ 12 points on the 30-point EPDS scale. In order to determine the impact of selected independent variables on the dichotomous dependent variable (baby blues), a logistic regression model was used based on the formula.
Results. In the first week postpartum, baby blues was found in 23.2% of the postpartum women. The risk for postnatal depression after six weeks postpartum was determined in 17.3% of the women. The odds ratio for baby blues correlated with: unfavorable financial situation of the women (OR=2.56), a family history of mental disorders (OR=3.87), and dissatisfaction with medical care received during childbirth (OR=5.24).
Conclusions
Cases of baby blues were determined in every fourth woman from the sample group.
The risk for postnatal depression was found in 17.3% of women after six weeks postpartum.
The odds ratio for baby blues was affected by the following statistically significant factors: unfavorable financial situation of the women, genetic predispositions and dissatisfaction with perinatal medical care.
References
Hanley J. Zaburzenia psychiczne w ciąży i połogu. Redakcja wydania I polskiego Sidorowicz S. Elsevier Urban&Partner, Wrocław 2009.
Święcicki Ł. Depresje, obraz kliniczny, klasyfikacja, przyczyny. W: Pużyński S.(red.) Zaburzenia depresyjne w praktyce lekarza rodzinnego. Instytut Psychiatrii i Neurologii, Warszawa 2000,15-45.
Kmita G. Wybrane problemy psychologiczne u kobiet w okresie poporodowym. Pierwsze miesiące po porodzie - typowe trudności. W: Chazan B. (red.) Położnictwo w praktyce lekarza rodzinnego. Wydawnictwo Lekarskie PZWL, Warszawa 1997,298-306.
Hopkins J, Marcus M, Campbell SB. Postpartum depression: a critical review. Psychol Bull.1984;95(3):498-515.
Brockington I. Postpartum psychiatric disorders. Lancet 2004;363(9405):303-310.
Reck C, Stehle E, Reinig K, Mundt C. Maternity blues as a predictor of DSM-IV depression and anxiety disorders in the first three months postpartum. J Affect Disord. 2009;113(1-2):77-87.
Dudek D, Siwek M, Zięba A, Nowak G. Depresja poporodowa. Przegl Lek. 2002:59(11):919-923.
Jaeschke R, Siwek M, Dudek D. Poporodowe zaburzenia nastroju - update 2012. Neuropsychiatria i Neuropsy-chologia 2012;7(3):113-121.
Yonkers KA, Smith MV, Brunetto WL, MPH, Cavaleri MA, LCSW. Rozpoznawanie depresji u kobiet zgłaszających sie do ginekologa. Ginekol Dypl. 2005;6(40):14-27.
Dubey C, Gupta N, Bhasin S. Prevalence and associated risk factors for postpartum depression in women attending a tertiary hospital, Delhi, India. Int J Soc Psychiatry 2012;58(6):577-580.
Fisher J, Tran T, La BT, Kriitmaa K, Rosenthal D, Tran T. Common perinatal mental disorders in northern Viet Nam: community prevalence and health care use. Bull World Health Organ. 2010;88(10):737-745.
Piotrowski T, Kaczyński J. Zaburzenia psychiczne związane z połogiem. W: Dębski R. (red.) Stany nagłe. Położnictwo i ginekologia. Medical Tribune Polska, Warszawa 2012, wydanie I, 262-269.
Howard LM, Flach C, Mehay A, Sharp D, Tylee A. The prevalence of suicidal ideation identified by the Edinburgh Postnatal Depression Scale in postpartum women in primary care: findings from the RESPOND trial. BMC Pregnancy and Childbirth. 2011;11:57.
Sit D, Rothschild AJ, Wisner KL. A review of postpartum psychosis. J Womens Health (Larchmt) 2006;15(4):352-368.
Bloom EA, Jansen PW, Verhulst FC, Hofman A, Raat H, Jaddoe VW, et al. Perinatal complications increase the risk of postpartum depression. The Generation R Study. BJOG 2010;117(11):1390-1398.
Mori T, Tsuchiya KJ, Matsumoto K, Suzuki K, Mori N, Takei N. Psychosocial risk factors for postpartum depression and their relation to timing of onset: The Hamamatsu Birth Cohort (HBC) Study. J Affect Disord.2011;135(1-3):341- 346.
Payne JL, MacKinnon DF, Mondimore FM, McInnis MG, Schweizer B, Zamoiski RB, et al. Familial aggregation of postpartum mood symptoms in bipolar disorder pedigrees. Bipolar Disord.2008;10(1):38-44.
Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry 1987;150:782-786.
Reroń A, Gierat B, Huras H. Ocena częstotliwości występowania depresji poporodowej. Gin Prakt. 2004;12(3):32-35.
Czarnecka M, Jaszczak M. The prevalence and risk factors of depression in women postpartum. Archives of Perinatal Medicine 2006;12(3):7-10.
Romero-Gutièrrez G, Dueňas-de la Rossa EM, Regalado-Cedillo CA, Ponce-Ponce de Leon AL. Prevalence of maternal sadness and its associated factors. Ginecol Obstet Mex. 2010;78(1):53-57.
Kirpinar J, Gözüm S, Pasinliöglu T. Perspective study of postpartum depression in eastern Turkey prevalence, socio-demographic and obstetric correlates prenatal anxiety and early awareness. J Clin Nurs. 2010;19(3-4):422-431.
Łukasik A, Błaszczyk K, Wojcieszyn M, Belowska A. Charakterystyka zaburzeń afektywnych u położnic w 1 tygodniu połogu. Ginekol Pol. 2003; 74(10): 1194-1199.
Johnstone SJ, Boyce PM, Hickey AR, Morris-Yatees AD, Harris MG. Obstetric risk factors for postnatal depression in urban and rural community samples. Aust N Z J Psychiatry 2001;35(1):69-74.
Mendel A. Doświadczenie porodu a poporodowe obniżenie nastroju u kobiet. W: Lichtenberg-Kokoszka E, Janiuk E, Dzierżanowski J. (red.) Optymalizacja porodu- zagadnienie interdyscyplinarne. Oficyna Wydawnicza Impuls, Kraków 2008, 65-69.
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