Abstract:Nearly a third of women who participated had depressive symptoms at four weeks postpartum in a public hospital in Tucumán, Argentina. Socio-demographic, particularly personal psychiatric history, factors and social and cultural influences can impact results. Our results highlight the need for improved screening and better diagnostic tool for women with postpartum depression in Argentina and to investigate the impact of postpartum depressive symptoms on women's health and their families.
“…Also, when compared with other screening tools for maternal depression, EPDS was found to have satisfactory sensitivity and specificity, and identified changes in depression over time . Further, the EPDS has well‐documented reliability and validity including high internal consistency, with a Cronbach's α ranging from .87 to .93 . The Cronbach's α of the EPDS in the present study was .93.…”
Section: Methodssupporting
confidence: 47%
“…Myriad marital/husband factors that help to predict PPD have been identified in previous studies . Marital relationships characterized by low levels of intimacy and high levels of controlling behaviors from the partner have also been linked with childbirth depression .…”
Section: Review Of the Literaturementioning
confidence: 95%
“…Internationally, it is estimated that between 10% and 41% of postpartum women experience symptoms of PPD . A systematic review and meta‐analysis by Shorey et al reported an incidence of PPD at 17% among postpartum women, with a higher prevalence (26%) noted in the Middle East and a lower prevalence (8%) noted in Europe.…”
Section: Review Of the Literaturementioning
confidence: 99%
“…Scholars have identified risk factors attributed to PPD among women, which were divided into the following four categories: individual factors, husband/marital factors, pregnancy‐related factors, and psychosocial factors …”
Section: Review Of the Literaturementioning
confidence: 99%
“…A wide range of studies have linked PPD to individual factors such as higher maternal age (≥35 years) having a religion, having a nuclear family structure, having health problems, and being a single mother . In recent studies, recurrent stress due to a lack of social support, lack of financial capabilities, lack of employment, and being in the lower class of society was linked with a higher incidence of PPD …”
Purpose: This study explored the prevalence and predictors of postpartum depression (PPD) as well as the utilization and evaluation of PPD services among postpartum women in rural areas of the Philippines.
Design and Methods:A cross-sectional study was conducted. One hundred sixty-five women who visited maternal facilities in the rural areas of the Central Philippines completed the Edinburgh Postnatal Depression Scale (EPDS).Findings: The prevalence of PPD was 16.4% at the sixth postpartum week.Occupation and marital status had significant direct influences on PPD. PPD services were not routinely provided by doctors and nurses.Practice Implications: Our results highlight a greater need to intensify government programs relative to PPD services, specifically related to the early detection and screening of PPD among high-risk pregnancies. K E Y W O R D S depression, Edinburgh Postnatal Depression Scale (EPDS), Philippines, postpartum How to cite this article: Labrague LJ, McEnroe-Petitte D, Tsaras K, et al. Predictors of postpartum depression and the utilization of postpartum depression services in rural areas in the Philippines. Perspect Psychiatr Care. 2020;56:308-315.
“…Also, when compared with other screening tools for maternal depression, EPDS was found to have satisfactory sensitivity and specificity, and identified changes in depression over time . Further, the EPDS has well‐documented reliability and validity including high internal consistency, with a Cronbach's α ranging from .87 to .93 . The Cronbach's α of the EPDS in the present study was .93.…”
Section: Methodssupporting
confidence: 47%
“…Myriad marital/husband factors that help to predict PPD have been identified in previous studies . Marital relationships characterized by low levels of intimacy and high levels of controlling behaviors from the partner have also been linked with childbirth depression .…”
Section: Review Of the Literaturementioning
confidence: 95%
“…Internationally, it is estimated that between 10% and 41% of postpartum women experience symptoms of PPD . A systematic review and meta‐analysis by Shorey et al reported an incidence of PPD at 17% among postpartum women, with a higher prevalence (26%) noted in the Middle East and a lower prevalence (8%) noted in Europe.…”
Section: Review Of the Literaturementioning
confidence: 99%
“…Scholars have identified risk factors attributed to PPD among women, which were divided into the following four categories: individual factors, husband/marital factors, pregnancy‐related factors, and psychosocial factors …”
Section: Review Of the Literaturementioning
confidence: 99%
“…A wide range of studies have linked PPD to individual factors such as higher maternal age (≥35 years) having a religion, having a nuclear family structure, having health problems, and being a single mother . In recent studies, recurrent stress due to a lack of social support, lack of financial capabilities, lack of employment, and being in the lower class of society was linked with a higher incidence of PPD …”
Purpose: This study explored the prevalence and predictors of postpartum depression (PPD) as well as the utilization and evaluation of PPD services among postpartum women in rural areas of the Philippines.
Design and Methods:A cross-sectional study was conducted. One hundred sixty-five women who visited maternal facilities in the rural areas of the Central Philippines completed the Edinburgh Postnatal Depression Scale (EPDS).Findings: The prevalence of PPD was 16.4% at the sixth postpartum week.Occupation and marital status had significant direct influences on PPD. PPD services were not routinely provided by doctors and nurses.Practice Implications: Our results highlight a greater need to intensify government programs relative to PPD services, specifically related to the early detection and screening of PPD among high-risk pregnancies. K E Y W O R D S depression, Edinburgh Postnatal Depression Scale (EPDS), Philippines, postpartum How to cite this article: Labrague LJ, McEnroe-Petitte D, Tsaras K, et al. Predictors of postpartum depression and the utilization of postpartum depression services in rural areas in the Philippines. Perspect Psychiatr Care. 2020;56:308-315.
ImportanceCurrent evidence on the association between family history of psychiatric disorders and postpartum depression is inconsistent; family studies have identified familial risk of postpartum depression, whereas systematic reviews and umbrella reviews, compiling all risk factors for postpartum depression, often have not.ObjectiveTo investigate the association between family history of psychiatric disorders and risk of developing postpartum depression within 12 months post partum.Data SourcesLiterature searches were conducted in PubMed, Embase, and PsycINFO in September 2021 and updated in March 2022, accompanied by citation and reference search.Study SelectionStudies eligible for inclusion comprised peer-reviewed cohort and case-control studies reporting an odds ratio (OR) or sufficient data to calculate one for the association between family history of any psychiatric disorder and postpartum depression. Study selection was made by 2 independent reviewers: title and abstract screening followed by full-text screening.Data Extraction and SynthesisReporting was performed using the MOOSE checklist. Two reviewers independently extracted predefined information and assessed included studies for risk of bias using the Newcastle-Ottawa Scale. Data were pooled in a meta-analysis using a random-effects model. Heterogeneity was investigated with meta-regression, subgroup, and sensitivity analyses. Publication bias was investigated using a funnel plot, and GRADE (Grading of Recommendations Assessment, Development, and Evaluation) was used to evaluate the overall certainty of the findings.Main Outcomes and MeasuresThe primary outcome was the pooled association between family history of psychiatric disorders and postpartum depression.ResultsA total of 26 studies were included, containing information on 100 877 women. Meta-analysis showed an increased OR of developing postpartum depression when mothers had a family history of psychiatric disorders (OR, 2.08; 95% CI, 1.67-2.59; I2 = 57.14%) corresponding to a risk ratio of 1.79 (95% CI, 1.52-2.09), assuming a 15% postpartum depression prevalence in the general population. Subgroup, sensitivity, and meta-regression analyses were in line with the primary analysis. The overall certainty of evidence was deemed as moderate according to GRADE.Conclusions and RelevanceIn this study, there was moderate certainty of evidence for an almost 2-fold higher risk of developing postpartum depression among mothers who have a family history of any psychiatric disorder compared with mothers without.
Pregnancy and/or the puerperium involve social, physiological and psychological changes that make women more vulnerable to mental disorders such as anxiety and depression, even more so if these develop in stressful contexts such as the pandemic. The aim of this study is to identify factors associated with the risk of postpartum anxiety and depression during the COVID-19 pandemic. A cross-sectional study was conducted among postpartum women (n = 69) who gave birth between March 2020 and March 2021 in Melilla, a Spanish cross-border city with Morocco whose borders were closed, making it a confined city. The scales used were the State-Trait Anxiety Inventory and the Edinburgh Postnatal Depression Scale. Results reported an elevated risk of depression (85.5%) and anxiety (63.8%), with severe anxiety reaching 40.6% of cases. Predictors of postpartum depression comprised a personal history of mood disorders (β = 8.421; CI95% = 4.863/11.978) and having been diagnosed with COVID-19 during pregnancy or postpartum (β = 4.488; CI95% = 1.331/7.646). As regards anxiety, it is predicted on the basis of mood antecedents (β = 14.175; CI95% = 7.870/20.479), the fact of having been diagnosed with COVID-19 during pregnancy or postpartum (β = 8.781; CI95% = 2.970/14.592) and the fact of being a multipara (β = 5.513; CI95% = 0.706/10.321). In conclusion, special attention should be paid to women with a history of mood disorders and a positive diagnosis of COVID-19 during pregnancy or postpartum, even more so in the case of multiparous women, because of its impact on mental health during the postpartum period.
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