Factors associated with onset timing, symptoms, and severity of depression identified in the postpartum period

Fisher, Sheehan D.; Wisner, Katherine L.; Clark, Crystal T.; Sit, Dorothy; Luther, James F.; Wisniewski, Stephen R.

doi:10.1016/j.jad.2016.05.063

Cited by 47 publications

(33 citation statements)

References 67 publications

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“…The greater economic hardship, the more mental stress the mothers experienced. The results of our study showed that childbirth complications and newborn health problems were significantly associated with an increased odds of PPD, similar to another study [15]. Childbirth is the time when mother perceived high level of stress and in this situation often co-exist with other additional stressful events such as financial hardship and limited marital support that could undoubtedly influence development of PPD.…”

Section: Discussionsupporting

confidence: 88%

The Rate and Risk Factors of Pospartum Depression in Sana’a Yemen

Ali¹

2017

JGO

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Abstract:This cross -sectional study was done to assess the rate and risk factors of postpartum depression among women who had given birth between 4 -6 weeks prior to interview in four public medical centers of Sana'a city over a period from February to July 2016. We administered the Edinburgh postnatal Depression Scale to 642 women. Among these, 97 women had scored ≥ 12, giving the rate of 15.1% of postpartum depression. Mothers with this condition were more likely to have unwanted pregnancy, recent conflict with husbands / family, financial hardship, anxiety and health problems during pregnancy, and difficulties in breastfeeding. The study revealed a high rate of postpartum depression. Although it is recognized that timing and ideal interval for screening is unknown such screening would increase detection, treatment and improve health outcomes of women and their children.

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Section: Discussionsupporting

confidence: 88%

The Rate and Risk Factors of Pospartum Depression in Sana’a Yemen

Ali¹

2017

JGO

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“…Low education is associated with unstable employment and fewer resources that increase the risk for a malignant course of depression (Fisher et al, 2016). The key predictive characteristics included parity, education, and current global functioning and baseline depression severity.…”

Section: Discussionmentioning

confidence: 99%

“…Women with fewer children and without a history of chronic illness or physical abuse have less stress taxing their emotional and financial resources. Low education is associated with unstable employment and fewer resources that increase the risk for a malignant course of depression (Fisher et al, 2016). The postpartum period is associated with a decline in global functioning in general, but postpartum depression adds additional strain on mothers' physical, social, and emotional functioning (Boyce et al, 2000).…”

Section: Discussionmentioning

confidence: 99%

Four maternal characteristics determine the 12‐month course of chronic severe postpartum depressive symptoms

Fisher

Sit

Yang³

et al. 2019

Depress Anxiety

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Background: Postpartum depression is a heterogeneous disorder in phenotype and etiology.Characterizing the longitudinal course of depressive symptoms over the first year after birth and identifying variables that predict distinct symptom trajectories will expedite efficient mental health treatment planning. The purpose was to determine 12-month trajectories of postpartum depressive symptoms, identify characteristics that predict the trajectories, and provide a computational algorithm that predicts trajectory membership. Methods:A prospective cohort of women delivering at an academic medical center (2006)(2007)(2008)(2009)(2010)(2011) was recruited from an urban women's hospital in Pittsburgh, PA. Women with a postpartum depressive disorder (n = 507) participated and completed symptom severity assessments at 4-8 weeks (intake), 3 months, 6 months, and 12 months. Women were predominantly Caucasian (71.8%), married (53.3%), and college educated (38.7%). Clinician interviews of depressive symptom severity, medical and psychiatric history, assessment of function, obstetric experience, and infant status were conducted.

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“…When considering depression in parents and child functioning, postnatal depression receives a great amount of public attention, yet depression during pregnancy is also a concern. For example, it is one of the strongest predictors of postpartum depression; thus, depression that occurs in pregnancy signals that the children might be repeatedly exposed (Fisher et al, 2016). Prenatal depression is also concerning because it is associated with mothers' negative perceptions of her child, which persist into the postpartum period (Lee & Hans, 2015), and with less sensitive parenting of the infant (Goodman, Bakeman, McCallum, Rouse, & Thompson, 2017).…”

mentioning

confidence: 99%