Post-partum depression, anxiety and marital satisfaction: A perspective from Southeastern Nigeria

Odinka, Jaclyn I.; Nwoke, Marybasil; Chukwuorji, JohnBosco Chika; Egbuagu, Kenneth; Mefoh, Philip C.; Odinka, Paul Chigozie; Amadi, Kennedy U.; Muomah, Rosemary C.

doi:10.4102/sajpsychiatry.v24i0.1109

Cited by 31 publications

(25 citation statements)

References 53 publications

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“…The result of the current review also showed a positive association between marital dissatisfaction and postpartum depression. This finding is in agreement with another study that reports a significant inverse association between marital satisfaction and PPD [ 50 ]. This may be due to women with a new baby who may seek additional love and support from her partner.…”

Section: Discussionsupporting

confidence: 94%

Postpartum depression and associated factors among postpartum women in Ethiopia: a systematic review and meta-analysis, 2020

et al. 2020

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Introduction The postpartum period is recognized as a high-risk period for the development of various mood disorders like postpartum depression. Globally, postnatal depression is a serious public health problem that has a negative impact on the mother’s health and child development, especially in developing countries. In Ethiopia, even though there are different primary studies conducted on postpartum depression, there is no nationally representative evidence. Therefore, the aim of this systematic review and meta-analysis was to estimate the pooled prevalence and associated factors of postpartum depression in Ethiopia. Methods Published and unpublished articles from various electronic databases and digital libraries were accessed. This systematic review included studies that were conducted on the magnitude and factors associated with postpartum depression among postnatal women in Ethiopia. A random-effect model was used to estimate the pooled magnitude of postpartum depression with a 95% confidence interval (CI). Inverse variance (I2) was used to visualize the presence of heterogeneity, and forest plot was used to estimate the pooled magnitude of postpartum depression. Publication bias was assessed by funnel plots and Egger’s statistical tests. A meta-regression and subgroup analysis were computed to minimize underlying heterogeneity. Result Initially, a total of 764 studies were accessed. Twenty-eight full articles were assessed for eligibility criteria, of which twelve studies fulfilled inclusion criteria were included in the final meta-analysis. The overall pooled magnitude of postpartum depression was 22.89% (95% CI 17.75%, 28.03%) with the lowest (12.20%) and highest (33.82%) in the Southern nations region. Unplanned pregnancy, domestic violence, lack of social support, previous history of depression, infant loss, and dissatisfaction in marriage showed a statistically significant association with postpartum depression. Conclusions In the current analysis, the prevalence of postpartum depression was high as compared with other developing countries. Routine screening of mothers in the postpartum period and integrating mental health with maternal health care is highly recommended.

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Section: Discussionsupporting

confidence: 94%

Postpartum depression and associated factors among postpartum women in Ethiopia: a systematic review and meta-analysis, 2020

et al. 2020

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“…Childbirth is a stressful process, and multiple changes, physically and mentally, occur during this period. This study confirms that anxiety influences postpartum MS directly, with results showing that women with more anxiety have lower levels of postpartum SF, and MS, as shown in previous studies (20,21). Also, women who had a history of infertility, body dissatisfaction, low income, and the lower number of times breastfeeding per day were more anxious.…”

Section: Discussionsupporting

confidence: 90%

Predictive factors of marital satisfaction in women during postpartum period: The PATH model

Youseflu

Niroomand

2020

Preprint

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Background: This study aimed to test a conceptual model considering the interrelated role of anxiety, body satisfaction, breastfeeding, SF, type of personality, income, education, history of infertility on women’s marital satisfaction (MS). Also test the mediating role of SF, anxiety, and breastfeeding.Methods: In a cross-sectional study, 447 women after childbirth meeting the inclusion criteria were enrolled from public health clinics. All mothers were selected in 6 month childbirth period. The female SF index (FSFI), Body Self-Relation Questionnaire (BSRQ), the Enrich Marital Satisfaction and the NEO Personality Inventory (NEO PI-R) were used. Data was analyzed using descriptive test, and Path analysis. Results: We found that SF, anxiety, the level of education, income, and extraversion personality have direct effects on MS. Anxious women have worse SF and MS. In our study, SF, breastfeeding, and anxiety were the three major mediators. Body satisfaction, extraversion personality, and lower level of anxiety through improvement in SF have an indirect effect on MS. A higher level of education has a positive direct effect and indirect effect pathway from breastfeeding on MS. Furthermore, breastfeeding is more observed among educated, and infertile women that cause reduce the women's anxiety level, and this way improves SF and also MS (P<0.05). Conclusion: This study revealed that the women who had higher levels of body dissatisfaction, sexual dysfunction, and anxiety have increased the possibility of MS problems 6-month postpartum. Given these relationships, it is recommended to health professionals to educate women about body changes during postpartum and to find ways to improve mothers' MS.

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“…In their study, Bakhshi et al [29] showed that with increasing severity of depression among men and women, their marital life satisfaction decreased. Odinka et al [30] in their study of low-risk women in the postpartum period also found a significant association between the severity of depression and anxiety and marital life satisfaction. The results of both studies were consistent with the present study.…”

Section: Discussionmentioning

confidence: 86%

Depression, stress, anxiety and their predictors in Iranian pregnant women during the outbreak of COVID-19

et al. 2020

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Background Pregnancy as a sensitive period of a woman’s life can be affected by various psychological factors that can have adverse effects on the woman, her fetus and future baby. Since COVID-19 is a new phenomenon with limited information available, it may have adverse psychological effects on pregnant women. Therefore, this study was conducted to determine the status of depression, stress, anxiety and their predictors in Iranian pregnant women during the outbreak of COVID-19. Methods This descriptive-analytical cross-sectional study was performed on 205 pregnant women covered by Tabriz health centers in Iran. The sampling method used was cluster sampling. The data collection tool was the socio-demographic characteristics questionnaire and the DASS-21 (Depression, Anxiety and Stress Scale-21), which were completed online by pregnant women. The general linear model was used to determine the predictive factors of depression, anxiety and stress. Results The mean (SD) score of depression, stress, and anxiety were 3.91 (3.9), 6.22 (4.25), and 3.79 (3.39), respectively; the score range of 0 to 21. Depression, stress, and anxiety symptoms were observed in 32.7, 32.7, and 43.9% of the participants, respectively, with varying degrees from mild to very severe. Based on the adjusted general linear model, variables of education level, spouse’s job and marital life satisfaction were the predictors of depressive symptoms. Variables of spouse’s education level, spouse’s support, marital life satisfaction and the number of pregnancies were the predictive factors of anxiety symptoms and the variables of spouse’s education level, household income sufficiency, spouse’s support and marital life satisfaction were predictors of stress symptoms. Conclusions Considering the role of marital life satisfaction, high level of spouse’s education and income in reducing symptoms of stress, anxiety, and depression in pregnant women in critical situations such as the prevalence of COVID-19, it seems that using strategies to promote marital life satisfaction and socio-economic status can play an effective role in controlling anxiety and reducing stress and depression in pregnant women.

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Post-partum depression, anxiety and marital satisfaction: A perspective from Southeastern Nigeria

Cited by 31 publications

References 53 publications

Postpartum depression and associated factors among postpartum women in Ethiopia: a systematic review and meta-analysis, 2020

Postpartum depression and associated factors among postpartum women in Ethiopia: a systematic review and meta-analysis, 2020

Predictive factors of marital satisfaction in women during postpartum period: The PATH model

Depression, stress, anxiety and their predictors in Iranian pregnant women during the outbreak of COVID-19

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