Coping strategies for postpartum depression: a multi-centric study of 1626 women

Abstract

The transition to motherhood is stressful as it requires several important changes in family dynamics, finances, and working life, along with physical and psychological adjustments. This study aimed at determining whether some forms of coping might predict postpartum depressive symptomatology. A total of 1626 pregnant women participated in a multi-centric longitudinal study. Different evaluations were performed 8 and 32 weeks after delivery. Depression was assessed using the Edinburgh Postnatal Depression Scale (EPDS) and the structured Diagnostic Interview for Genetic Studies (DIGS). The brief Coping Orientation for Problem Experiences (COPE) scale was used to measure coping strategies 2-3 days postpartum. Some coping strategies differentiate between women with and without postpartum depression. A logistic regression analysis was used to explore the relationships between the predictors of coping strategies and major depression (according to DSM-IV criteria). In this model, the predictor variables during the first 32 weeks were self-distraction (OR 1.18, 95 % CI 1.04-1.33), substance use (OR 0.58, 95 % CI 0.35-0.97), and self-blame (OR 1.18, 95 % CI 1.04-1.34). In healthy women with no psychiatric history, some passive coping strategies, both cognitive and behavioral, are predictors of depressive symptoms and postpartum depression and help differentiate between patients with and without depression.

Prevalence and Determinants of Postpartum Depression in Sukoharjo District, Central Java

“…Seseorang mengalami stres melalui proses kognitif, perilaku, emosional dan biologis yang kompleks. Proses pemilihan strategi merupakan evaluasi terhadap kompetensi pribadi untuk menghadapi masalah (Gutiérrez-Zotes et al, 2016).…”

“…Aspek-aspek dukungan tersebut akan mendukung kesehatan mental ibu pasca persalinan (Gjerdingen et al, 2014). Rodríguez et al (2010) juga menyebutkan adanya hubungan antara gejala depresi pasca persalinan dan penanganan koping (Gutiérrez-Zotes et al, 2016).…”

Quality of life and coping strategies of outpatients with a depressive disorder in maintenance therapy – a cross-sectional study

“… 12 Passive avoidance predicts depressive symptoms. 19 In this study, we use the terms positive (adaptive) and negative (maladaptive) coping strategies. Adaptive coping is considered to be efficient, and maladaptive coping reflects the noneffective handling of stressful situations.…”

Postpartum depression and its correlates in middle‐class women in Hunan, China

“…Given that depressive women are less likely to seek professional help (Piyanee & David, 2009), identifying risk factors of PPD enables healthcare providers to design timely prevention intervention for high‐risk women. The following five risk factors have repeatedly been reported: new mothers’ characteristics, obstetric features, psychological factors, social support, and coping strategies (Gutiérrezzotes et al., 2016; Kuk, Andrea, & Hala, 2011; O'Hara & Mccabe, 2013; Reid & Taylor, 2015; Sari et al., 2013). Previous studies have found that younger maternal age, lower education levels, poor economic status (Kuk et al., 2011), a history of abnormal pregnancy and complications during pregnancy and delivery (O'Hara & Mccabe, 2013; Sari et al., 2013), high pregnancy stress (Kuk et al., 2011; Rodrigues & Schiavo, 2011), low social support (Kuk et al., 2011; Reid & Taylor, 2015), and negative coping strategies (Gutiérrezzotes et al., 2015, 2016) may result in a higher risk of PPD.…”

“…The following five risk factors have repeatedly been reported: new mothers’ characteristics, obstetric features, psychological factors, social support, and coping strategies (Gutiérrezzotes et al., 2016; Kuk, Andrea, & Hala, 2011; O'Hara & Mccabe, 2013; Reid & Taylor, 2015; Sari et al., 2013). Previous studies have found that younger maternal age, lower education levels, poor economic status (Kuk et al., 2011), a history of abnormal pregnancy and complications during pregnancy and delivery (O'Hara & Mccabe, 2013; Sari et al., 2013), high pregnancy stress (Kuk et al., 2011; Rodrigues & Schiavo, 2011), low social support (Kuk et al., 2011; Reid & Taylor, 2015), and negative coping strategies (Gutiérrezzotes et al., 2015, 2016) may result in a higher risk of PPD. Although numerous documents summarized risk factors of PPD, we cannot assume the risk factors among middle‐class women in Hunan are the same with those mentioned above, because Chinese middle class are different from the other population, such as impoverished women, in terms of many social, economic, and demographic characteristics (Bonnefond, Clement, & Combarnous, 2015).…”