Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Depression, Postpartum”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 91 records · Page 5Linked to original sources
PubMed2000

[Clinical study on postpartum depression and its related factors].

OBJECTIVE: The prevalence rate, related factors and clinical characteristics of postpartum depression were studied in order to promote obstetrician's understanding of the disease, and resort to preventive and therapeutic measure earlier. METHODS: Two hundred and ten puerpera were selected from September to November 1998 for mood study by self-rating depression scale, self-rating anxiety scale, Hamilton depression scale, and self-made questionnaires. RESULTS: The prevalence rate of postpartum depression was 37.14% (78/210), of which, 91.03% (71/78) was mild, and 8.97% (7/78) moderate. In addition, 10.48% (22/210) of women got anxiety after delivery. The symptoms, including decreased activity, difficulty in thinking, problems in decision-making, difficulty in doing things, feeling of uselessness and hopelessness were chief complaints of postpartum depression patients. Bad social behavior and mood controlling, inadequate psychological preparation for delivery, lack of knowledge of delivery were closely correlated to the onset of postpartum depression, which are the risk factors of postpartum depression. CONCLUSIONS: Postpartum depression is a spiritual and psychological obstacle with relatively high prevalence rate. Bad social psychological factors can bring out and aggravate postpartum depression. It is important to carry out prenatal psychological care and to propagate the knowledge of delivery, to find out and cure of postpartum depression as soon as possible.

Adult↗
PubMed2006

Dietary folate and vitamins B12, B6, and B2 intake and the risk of postpartum depression in Japan: the Osaka Maternal and Child Health Study.

BACKGROUND: Previous studies showed an inverse association between folate intake and depression. However, epidemiological evidence for folate intake and postpartum depression is unavailable. This prospective study examined the relationship of dietary consumption of folate and B vitamins during pregnancy with the risk of postpartum depression. METHODS: Study subjects were 865 Japanese women. Dietary data were obtained during pregnancy from a validated self-administered diet history questionnaire. Postpartum depression was defined as present when subjects had an Edinburgh Postnatal Depression Scale score of 9 or higher between 2 and 9 months postpartum. Adjustment was made for age, gestation, parity, cigarette smoking, alcohol intake, family structure, family income, education, changes in diet in the previous 1 month, season when data at baseline were collected, body mass index, time of delivery before the second survey, medical problems in pregnancy, baby's sex, and baby's birth weight. RESULTS: Postpartum depression developed in 121 subjects (14.0%) 2 to 9 months postpartum. There was no measurable association between intake of folate, cobalamin, or pyridoxine and the risk of postpartum depression. Compared with riboflavin intake in the first quartile, only riboflavin consumption in the third quartile was independently related to a decreased risk of postpartum depression (multivariate odds ratio: 0.53, 95% CI: 0.29-0.95, P for trend=0.55). LIMITATIONS: Personal and family psychiatric history, sociocultural factors, and personal and family relations were not controlled for. The possibility of misclassification of dietary information during pregnancy should be considered. CONCLUSIONS: Our results suggest that moderate consumption of riboflavin may be protective against postpartum depression.

Cohort Studies↗
PubMedDate not supplied

Readability: an important issue impacting healthcare for women with postpartum depression.

PURPOSE: To evaluate the reading level of depression-screening instruments commonly used in postpartum depression (PPD) and evaluate the reading level of prevalent consumer pamphlets and books on PPD. DESIGN AND METHODS: Descriptive study evaluating the reading level of four PPD instruments (the Edinburgh Postnatal Depression Scale, The Center for Epidemiologic Symptoms of Depression, the Postpartum Depression Screening Scale, and the Beck Depression Inventory-II), five pamphlets from grassroots organizations, and seven consumer books using the Fry Readability Graph. RESULTS: The readability of the postpartum screening instruments varied, but all were at or below the recommended 6th grade reading level. CES-D had the lowest reading level (grade 2). The readability of the consumer publications also varied, but all had a higher reading level than the recommended 6th grade level, some at the college reading level. CLINICAL IMPLICATIONS: Readability is an important consideration in the choice of depression-screening instruments and written materials for consumers. Nurses using any of the four postpartum screening instruments studied can feel confident that women who can read will be able to read them. The readability of a book, pamphlet, or instrument should be of concern to nurses who work with women during the postpartum period.

Attitude to Health↗
PubMed2003

Psychotherapy for postpartum depression: a preliminary report.

A postpartum depression treatment efficacy study showed both a mother-infant psychotherapy group and interpersonal psychotherapy to be superior to a waiting-list comparison group in reducing maternal depressive symptoms, improving mothers' perceptions of their infants' adaptability and reinforcement value, and increasing mothers' positive affect and verbalization with their infants. Clinical implications regarding the importance of early intervention for women experiencing major depression in the postpartum period and their families are discussed.

Adult↗
PubMed1990

Postpartum depression: a debilitating yet often unassessed problem.

Postpartum depression, which affects up to 20 percent of new mothers, is an illness often neglected or dismissed by health professionals, leaving the majority of such mothers and their families untreated and confused. This article describes the reasons postpartum depression frequently goes unrecognized and the characteristics, symptoms, and risk factors that help identify this syndrome. Treatment approaches and interventions, the impact on the family, and the family's involvement in the stages of treatment are addressed. Developing a support group for those experiencing postpartum depression is one way social workers can bring this syndrome to the forefront. Implications for social work practice in identifying, referring, and treating mothers at risk for and currently experiencing postpartum depression are discussed.

Depression↗
PubMed2000

Cultural elements of postpartum depression. A study of 327 Jewish Jerusalem women.

OBJECTIVE: To examine the social, cultural and religious factors underlying postpartum depression within a cultural cross-section of Jewish Jerusalem women. STUDY DESIGN: A prospective, repeated-measures study of 327 women. The Edinburgh Postpartum Depression Scale (EPDS) was administered immediately postpartum and 6-10 weeks later. Detailed sociodemographic information included perceptions of the pregnancy, community supports and religious affiliation. Odds ratios, 95% confidence interval and P values were calculated for all covariates. Multiple logistic regression was performed to estimate the degree of independent association between religiosity and postpartum depression. RESULTS: Postpartum depressive symptoms significantly associated with secular affiliation (odds ratio [OR] 2.9 [1.3-6.3] and tended toward an inverse association with orthodox affiliation (OR 0.6 [0.3-1.3]). Across secular, traditional, religious and orthodox groups, there was a decreasing trend in EPDS mean scores. Other predictors of depressive symptoms were psychiatric history, immigrant status and poor support with newborn care. CONCLUSION: Our study sample was particularly suitable for the assessment of cultural and religious elements of postpartum depression. We found religiosity, with its associated social and community structuring and well-defined social roles, to be significantly associated with self-reported postpartum depressive symptoms. These findings suggest that cultural factors, including role definitions, community support and rituals, may explain discrepancies found in the incidence of postpartum depression.

Adult↗
PubMedDate not supplied

Predictors of postpartum depression: an update.

BACKGROUND: Approximately 13% of women experience postpartum depression. Early recognition is one of the most difficult challenges with this mood disorder because of how covertly it is suffered. OBJECTIVES: The purpose of this meta-analysis was to update the findings of an earlier meta-analysis of postpartum depression predictors that had synthesized the results of studies conducted mostly in the 1980s. METHOD: A meta-analysis of 84 studies published in the decade of the 1990s was conducted to determine the magnitude of the relationships between postpartum depression and various risk factors. Using the software system Advanced Basic Meta-Analysis, effect sizes were calculated three ways: unweighted, weighted by sample size, and weighted by quality index score. RESULTS: Thirteen significant predictors of postpartum depression were revealed. Ten of the 13 risk factors had moderate effect sizes while three predictors had small effect sizes. The mean effect size indicator ranges for each risk factor were as follows: prenatal depression (.44 to .46), self esteem (.45 to. 47), childcare stress (.45 to .46), prenatal anxiety (.41 to .45), life stress (.38 to .40), social support (.36 to .41), marital relationship (.38 to .39), history of previous depression (.38 to .39), infant temperament (.33 to .34), maternity blues (.25 to .31), marital status (.21 to .35), socioeconomic status (.19 to .22), and unplanned/unwanted pregnancy (.14 to .17). CONCLUSIONS: Results confirmed findings of an earlier meta-analysis and in addition revealed four new predictors of postpartum depression: self-esteem, marital status, socioeconomic status, and unplanned/unwanted pregnancy.

Anxiety↗
PubMedDate not supplied

Acculturation level and postpartum depression in Hispanic mothers.

PURPOSE: Perinatal health outcomes for Hispanic women are associated with acculturation. The purpose of this study was to explore the relationship between acculturation levels and postpartum depressive symptomatology and diagnosed postpartum depression among Hispanic subgroups. STUDY DESIGN AND METHODS: The Postpartum Depression Screening Scale and the Short Acculturation Scale were used in the two phases of data collection. Phase 1 and 2 samples consisted of 377 and 150 Hispanic mothers, respectively. Puerto Rican mothers showed higher levels of acculturation than Mexican and other Hispanic women. A DSM-IV diagnostic interview (SCID) was used to establish a diagnosis of depression. Hierarchical regression analyses were used to study the unique relationships between ethnicity, depressive symptomatology, diagnosed depression, and acculturation. RESULTS: There was no consistent relationship between acculturation and postpartum depression. Significant predictors of elevated postpartum depressive symptoms in Hispanic mothers were Puerto Rican ethnicity and cesarean delivery. Single marital status was a significant risk factor for postpartum depression. A limitation of the study was use of language as the sole criterion measure for acculturation. Acculturation is a complex construct with problematic measurement that needs greater refinement to facilitate research in which it is used as a variable. CLINICAL IMPLICATIONS: Hispanic mothers are a heterogeneous group and should not be treated as a homogeneous group. Subgroups of Hispanic mothers may not have the same level of acculturation or the same level of postpartum depressive symptomatology.

Acculturation↗
PubMed1998

Childhood abuse, postpartum depression and parenting difficulties: a literature review of associations.

OBJECTIVE: The aim of this paper is to obtain an understanding of the links between maternal postpartum depression, poor parenting and childhood abuse, and the subsequent development of adult psychopathology in children from these families. METHOD: A literature review was undertaken of studies on postpartum depression looking at parental childhood abuse, parenting and child outcomes, as well as childhood abuse and its association with adult depression and parenting difficulties. RESULTS: Considerable overlap is noted in predisposing factors for major depression, postpartum depression, inadequate parenting and childhood abuse. Links appear to begin in early infancy, suggesting postpartum depression as a possible mechanism for intergenerational transmission of psychopathology. CONCLUSIONS: Further research is required to look at the outcome of children of women who are at high risk of chronic or recurrent depression and of difficulties parenting; the postpartum period is the optimum time for identification and intervention.

Adolescent↗
PubMedDate not supplied

Immigrant Asian Indian women and postpartum depression.

OBJECTIVE: To determine the incidence of postpartum depressive symptomatology in a sample of immigrant Asian Indian women and to establish whether cultural factors such as arranged marriage or gender of the newborn are associated with differences in depression scores. DESIGN: Quantitative, descriptive study. SETTING: Ten private obstetric and pediatric offices in Northern California. PARTICIPANTS: A convenience sample of 58 self-selected immigrant Asian Indian women between 2 weeks and 12 months postpartum. MAIN OUTCOME MEASURE: Depressive symptomatology as measured by the 35-item self-report Postpartum Depression Screening Scale. RESULTS: There was a minor depressive symptomatology rate of 28% and an additional major depressive symptomatology rate of 24%. No differences in depression scores were found with regard to arranged marriage or the gender of the newborn. CONCLUSIONS: Findings suggest that Asian Indian women living in the United States are just as likely to experience postpartum depressive symptomatology as White women. Therefore, it is critical to identify and refer women at risk for postpartum depression to ensure they do not become part of the 50% who remain undiagnosed. Health care providers need to become cognizant of the potential for postpartum depression and become skilled in the detection of this mood disorder.

Adaptation, Psychological↗
PubMedDate not supplied

The effectiveness of various postpartum depression treatments and the impact of antidepressant drugs on nursing infants.

BACKGROUND: Postpartum depression is seen in approximately 13% of women who have recently given birth; unfortunately, it often remains untreated. Important causes for undertreatment of this disorder are providers' and patients' lack of information about the effectiveness of various treatments, and their concerns about the impact of treatment on nursing infants. This article presents research-based evidence on the benefits of various treatments for postpartum depression and their potential risks to nursing infants. METHODS: The medical literature on postpartum depression treatment was reviewed by searching MEDLINE and Current Contents using such key terms as "postpartum depression," "treatment," "therapy," "psychotherapy," and "breastfeeding." RESULTS AND CONCLUSIONS: There is evidence that postpartum depression improves with antidepressant drug therapy, estrogen, individual psychotherapy, nurse home visits, and possibly group therapy. Of the more frequently studied antidepressant drugs in breastfeeding women, paroxetine, sertraline, and nortriptyline have not been found to have adverse effects on infants. Fluoxetine, however, should be avoided in breastfeeding women. By administering effective treatment to women with postpartum depression, we can positively impact the lives of mothers, their infants, and other family members.

Antidepressive Agents↗
PubMedDate not supplied

[Influence of behaviour, attitudes and childrearing on the development of the child in mothers with postpartum depression].

INTRODUCTION: Various studies find an association between the postpartum depression and child development; nevertheless, it exists few uniformity in the method in which are accomplished these. The objective of this study is to analyze the influence of the postpartum depression on the development of the children during the first 28 months. Also, it is studied the childrearing of the mother, as possible mechanism for which exercises this influence. METHOD: Longitudinal and prospective study of 205 primiparous women and their children. The definitive sample understands 23 depressed women and 37 belonging to the group control that they are followed during the first 28 months postpartum. RESULTS: It is obtained a 13.5% from women with postpartum depression. The duration of the depression is related to a childrearing characterized by a under affection and care. The childrearing low in affection is associated negatively with the cognitive and social development of the son during the first year of life. The association of a greater duration of the depression with a childrearing low in affected during the first year has a negative affection on the cognitive development of the son to the 28 months. CONCLUSIONS: The mothers with postpartum depression accomplish a childrearing on their children characterized by a lower affection and care. The variable that more weigh develops on the development of the child during the period of study is the childrearing low in affection.

Adult↗
PubMed2006

[Prevalence of postpartum depression and associated factors].

OBJECTIVE: To assess the prevalence of postpartum depression and associated factors. METHODS: The study was carried out in Pelotas, a city in the Southern region of Brazil, between October and November 2000. Mothers (n=410) were interviewed in the hospital using two questionnaires on obstetric and psychosocial data. Later, these mothers were visited at home, within 30 to 45 days after delivery. Occurrence of postpartum depressive symptoms was assessed by the Hamilton Scale for Depression. Chi-square test was used for comparison between proportions and non conditional logistic regression was utilized in the multivariate analysis. Data analysis was conducted hierarchically: economic variables in the first level, sociodemographic in the second level, the obstetrics variables in the third level and, in the fourth level, the psychosocial variables. RESULTS: The prevalence of postpartum depression observed in this sample was 19.1%. Family income (OR=5.24; CI 95%: 2.00-13.69), preference as to the child's gender (boys: OR=3.49; CI 95%: 1.76-6.93) and thinking about interrupting the pregnancy (OR=2.52; CI 95%: 1.33-4.76), were variables associated with postpartum depression. CONCLUSIONS: These results indicate that low economic status of the puerperal woman and nonacceptance of pregnancy are key elements in the development of postpartum depression.

Adolescent↗
PubMedDate not supplied

Theoretical perspectives of postpartum depression and their treatment implications.

Approximately 13% of new mothers experience postpartum depression. This crippling mood disorder wreaks havoc not only on the mothers themselves but also on their entire families. Between 25% and 50% of mothers with postpartum depression have episodes lasting 6 months or longer. The most significant factor in the duration of the postpartum depression is the length of delay to adequate treatment. The purpose of this article is to describe five different theoretical perspectives of postpartum depression and the interventions for treatment derived from each: the medical model, feminist theory, attachment theory, interpersonal theory, and self-labeling theory. Crucial to clinicians' choice of treatment of postpartum depression is the theoretical lens they use to view this devastating mood disorder. Nursing implications derived from these theoretical perspectives are addressed.

Depression, Postpartum↗
PubMed2005

Prevalence of postpartum depression in a native American population.

OBJECTIVES: Data were collected on postpartum depression from 151 women, ages 16-40 years who received postpartum health services from a rural obstetrical clinic in North Carolina between September 2002 and May 2003. Reflective of the racial and socio-economic makeup of the county, 60.9% of the sample were American Indian (Lumbee tribe) 25.8% were African American and 13.3% were Caucasian or other. METHODS: The Postpartum Depression Screening Scale (PDSS) was utilized to explore the prevalence of postpartum depression requiring clinical intervention in a largely unexplored population, minority women. RESULTS: The incidence of postpartum depression symptoms was over 23%, which is significantly higher than even the most liberal estimates in other populations. As with previous literature on risk factors, the sample demonstrates a strong association between symptoms of depression, history of depression and receiving treatment for depression. CONCLUSIONS: The PDSS proved to be a clinically useful tool in this setting. Findings support the importance of implementing routine screening protocols to guide practice and implement support services.

Adolescent↗
PubMed2000

Effects of gonadal steroids in women with a history of postpartum depression.

OBJECTIVE: Endocrine factors are purported to play a role in the etiology of postpartum depression, but direct evidence for this role is lacking. The authors investigated the possible role of changes in gonadal steroid levels in postpartum depression by simulating two hormonal conditions related to pregnancy and parturition in euthymic women with and without a history of postpartum depression. METHOD: The supraphysiologic gonadal steroid levels of pregnancy and withdrawal from these high levels to a hypogonadal state were simulated by inducing hypogonadism in euthymic women-eight with and eight without a history of postpartum depression-with the gonadotropin-releasing hormone agonist leuprolide acetate, adding back supraphysiologic doses of estradiol and progesterone for 8 weeks, and then withdrawing both steroids under double-blind conditions. Outcome measures were daily symptom self-ratings and standardized subjective and objective cross-sectional mood rating scales. RESULTS: Five of the eight women with a history of postpartum depression (62.5%) and none of the eight women in the comparison group developed significant mood symptoms during the withdrawal period. Analysis of variance with repeated measures of daily and cross-sectional ratings of mood showed significant phase-by-group effects. These effects reflected significant increases in depressive symptoms in women with a history of postpartum depression but not in the comparison group after hormone withdrawal (and during the end of the hormone replacement phase), compared with baseline. CONCLUSIONS: The data provide direct evidence in support of the involvement of the reproductive hormones estrogen and progesterone in the development of postpartum depression in a subgroup of women. Further, they suggest that women with a history of postpartum depression are differentially sensitive to mood-destabilizing effects of gonadal steroids.

Adult↗
PubMedDate not supplied

Perceptions of nurses' caring by mothers experiencing postpartum depression.

OBJECTIVE: To explore the meaning of nurses' caring for mothers experiencing postpartum depression. DESIGN: Phenomenological research design; in depth, unstructured interviews were conducted. SETTING: The interviews were conducted in the mothers' homes. PARTICIPANTS: A purposive sample of 10 mothers who had experienced postpartum depression. RESULTS: Using Colaizzi's (1978) phenomenological method, the transcriptions of these interviews were analyzed. Seven themes emerged that illustrated nurses' caring for mothers experiencing postpartum depression: having sufficient knowledge about postpartum depression; using astute observation and intuition to make quick, correct diagnoses; providing hope that the mothers' living nightmares will come to an end; readily sharing their time; making appropriate referrals for the right path to recovery; providing continuity of care; and understanding what the mothers were experiencing. CONCLUSIONS: The exhaustive description of caring that emerged from this phenomenological study will help sensitize nurses to issues to consider in caring for mothers experiencing postpartum depression.

Clinical Nursing Research↗