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Stability of depressive symptoms over 3 months post-partum

Aim: Prolonged depression during the post-partum period is associated with maternal and infant mortality and morbidity. Less attention has been given to factors that predict the persistence of depression beyond the first 3 months post-partum. Methods: From a longitudinal cohortof 2279 women who...

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Main Authors: Abdollahi, Fatemeh, Zarghami, Mehran, Shariff Ghazali, Sazlina, Lye, Munn Sann
Format: Article
Language:English
Published: Wiley-Blackwell Publishing 2015
Online Access:http://psasir.upm.edu.my/id/eprint/46373/1/Stability%20of%20depressive%20symptoms%20over%203%20months%20post-partum.pdf
http://psasir.upm.edu.my/id/eprint/46373/
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spelling my.upm.eprints.463732018-03-02T01:57:15Z http://psasir.upm.edu.my/id/eprint/46373/ Stability of depressive symptoms over 3 months post-partum Abdollahi, Fatemeh Zarghami, Mehran Shariff Ghazali, Sazlina Lye, Munn Sann Aim: Prolonged depression during the post-partum period is associated with maternal and infant mortality and morbidity. Less attention has been given to factors that predict the persistence of depression beyond the first 3 months post-partum. Methods: From a longitudinal cohortof 2279 women who attended Mazandaran’s primary health centres in 2009, 478 women with an Edinburgh Postnatal Depression Scale (EPDS) score of 12 or greater in the third trimester of pregnancy were recruited. Persistently depressed women (depressed at all three occasions: during pregnancy, and at 2 and 12 weeks post-partum) were compared with those without depression to determine demographic, cultural, obstetric and biopsychosocial predictors for persistence of depression. Data were analysed using chi-square test, t-test and logistic regression models. Results: The stability of depression was found in 193 (46.2 %) of 418 depressed cases who were followed up over the study period. Of those mothers who scored more than the threshold of 12 during the third trimester of pregnancy, 277 (66.3%) and 221 (52.9%) had high EPDS at 2 and 12 weeks post-partum. Psychological distress (based upon the General Health Questionnaire), low maternal parental self-efficacy (based upon the Parental Expectation Survey) and perceived social isolation (based upon the Network Orientation Scale) were independent predictors of persistent depression. Conclusion: Fewer depressed mothers in this study were found to recover during the first 3 months after giving birth. Psychosocial factors predicted sustained depression from pregnancy to 3 months post-partum. The findings highlight the significance of support in enhancing maternal mental health. Wiley-Blackwell Publishing 2015 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/46373/1/Stability%20of%20depressive%20symptoms%20over%203%20months%20post-partum.pdf Abdollahi, Fatemeh and Zarghami, Mehran and Shariff Ghazali, Sazlina and Lye, Munn Sann (2015) Stability of depressive symptoms over 3 months post-partum. Early Intervention in Psychiatry, 11. pp. 57-62. ISSN 1751-7885; ESSN: 1751-7893 10.1111/eip.12215
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
language English
description Aim: Prolonged depression during the post-partum period is associated with maternal and infant mortality and morbidity. Less attention has been given to factors that predict the persistence of depression beyond the first 3 months post-partum. Methods: From a longitudinal cohortof 2279 women who attended Mazandaran’s primary health centres in 2009, 478 women with an Edinburgh Postnatal Depression Scale (EPDS) score of 12 or greater in the third trimester of pregnancy were recruited. Persistently depressed women (depressed at all three occasions: during pregnancy, and at 2 and 12 weeks post-partum) were compared with those without depression to determine demographic, cultural, obstetric and biopsychosocial predictors for persistence of depression. Data were analysed using chi-square test, t-test and logistic regression models. Results: The stability of depression was found in 193 (46.2 %) of 418 depressed cases who were followed up over the study period. Of those mothers who scored more than the threshold of 12 during the third trimester of pregnancy, 277 (66.3%) and 221 (52.9%) had high EPDS at 2 and 12 weeks post-partum. Psychological distress (based upon the General Health Questionnaire), low maternal parental self-efficacy (based upon the Parental Expectation Survey) and perceived social isolation (based upon the Network Orientation Scale) were independent predictors of persistent depression. Conclusion: Fewer depressed mothers in this study were found to recover during the first 3 months after giving birth. Psychosocial factors predicted sustained depression from pregnancy to 3 months post-partum. The findings highlight the significance of support in enhancing maternal mental health.
format Article
author Abdollahi, Fatemeh
Zarghami, Mehran
Shariff Ghazali, Sazlina
Lye, Munn Sann
spellingShingle Abdollahi, Fatemeh
Zarghami, Mehran
Shariff Ghazali, Sazlina
Lye, Munn Sann
Stability of depressive symptoms over 3 months post-partum
author_facet Abdollahi, Fatemeh
Zarghami, Mehran
Shariff Ghazali, Sazlina
Lye, Munn Sann
author_sort Abdollahi, Fatemeh
title Stability of depressive symptoms over 3 months post-partum
title_short Stability of depressive symptoms over 3 months post-partum
title_full Stability of depressive symptoms over 3 months post-partum
title_fullStr Stability of depressive symptoms over 3 months post-partum
title_full_unstemmed Stability of depressive symptoms over 3 months post-partum
title_sort stability of depressive symptoms over 3 months post-partum
publisher Wiley-Blackwell Publishing
publishDate 2015
url http://psasir.upm.edu.my/id/eprint/46373/1/Stability%20of%20depressive%20symptoms%20over%203%20months%20post-partum.pdf
http://psasir.upm.edu.my/id/eprint/46373/
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score 13.211869

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