Post-partum depression in a cohort of women from a rural area of Tamil Nadu, India

Chandran, Mani; Tharyan, Prathap; Muliyil, Jayaprakash; Abraham, Sunil

doi:10.1192/bjp.181.6.499

Cited by 323 publications

(353 citation statements)

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“…These risk factors are likely to be interactive as well as multiplicative in effect. These findings are consistent with findings of previous studies such as poverty, [9] low level of education [14], more than one girl child [11], pressure and desire for a male child, high adverse life events score [8], previous psychiatric disorder [15], poor spousal relation [16], and poor support from the family [8] have been implicated as risk factors, although few studies have denied one or more of these factors as significant factors [17]. The study conducted in Chennai also indicated that PPD was significantly more in women who had unskilled husbands and had nonarranged marriages.…”

Section: Discussionsupporting

confidence: 93%

“…The prevalence of PPD in the women attending postnatal clinic was 15.8 % in the study sample consistent with rates found in other studies with little variation in the South Asian region [8][9][10][11][12]. The study, thus, strengthens the findings of previous studies and signifies the importance of identifying PPD, more so because none of these mothers had sought help for these symptoms, although they were functionally impaired.…”

Section: Discussionsupporting

confidence: 90%

“…It is also predicted that non-communicable diseases including mental disorders in developing countries would increase many folds in 2020 [6], but lack of research on psychological morbidity, particularly puerperal psychosis and depression, would remain a challenge for assessing the global burden of disease [7]. Few studies related to postnatal depression are reported from South Asia including India [8][9][10][11][12], but information from northern India is lacking. This study intends to add to the existing knowledge about PPD and associated risk factors in northern India.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Postpartum Depression in North Indian Women: Prevalence and Risk Factors

Gupta

Kishore

Mala

et al. 2013

J Obstet Gynecol India

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Postpartum Depression in North Indian Women: Prevalence and Risk Factors

Gupta

Kishore

Mala

et al. 2013

J Obstet Gynecol India

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“…A series of cohort studies from developing countries have confirmed this finding 5,8,22,32,33,34 ; and a systematic review of relevant studies found that 41.5% of postnatal depression cases had arisen during the antenatal period, suggesting that interventions for depression may need to begin before childbirth 31 .…”

Section: Introductionmentioning

confidence: 92%

Depression during pregnancy: prevalence and risk factors among women attending a public health clinic in Rio de Janeiro, Brazil

et al. 2009

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Depression is the most prevalent psychiatric disorder during pregnancy and is associated with psychosocial and clinical obstetric factors. Despite being an important public health issue, there are few studies about this issue in Brazil. A cross-sectional study was carried out, involving 331 pregnant women attending a public primary health service over a one-year period in Rio de Janeiro city, Brazil. Participants were interviewed about their socio-demographic status, obstetric/medical conditions, life events and violence during pregnancy. Depression was assessed using the Composite International Development Interview. The prevalence of depression during pregnancy was 14.2% (95%CI: 10.7-18.5) and associated factors included: previous history of depression and any psychiatric treatment, unplanned pregnancy, serious physical illness and casual jobs. These data emphasize the need for screening for depression and its risk factors during pregnancy in settings where care is available. Psychosocial interventions and social policies need to be devised for this population.

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“…A DPP pode durar meses, apresentando sintomas intensos que acabam impossibilitando as tarefas diárias atribuídas à mãe nesse período. A maioria dos estudos refere que a DPP atinge de 10 a 15% das mulheres [3][4][5] . Entretanto, no Brasil, algumas das prevalências encontradas foram 13,4% em Brasília 6 , 37,1% em São Paulo 7 e 19,1% em Pelotas 8 .…”

Section: Introductionunclassified

Depressão pós-parto e percepção de suporte social durante a gestação

Konradt

Silva

Jansen³

et al. 2011

Rev. psiquiatr. Rio Gd. Sul

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ResumoObjetivo: Verifi car o impacto da percepção de baixo suporte social durante a gestação como fator de risco para a depressão no período de 30 a 60 dias pós-parto. Método: Este estudo de coorte teve como população-alvo gestantes atendidas no Sistema Único de Saúde na cidade de Pelotas (RS). Para avaliar depressão pós-parto, foi utilizada a Edinburgh Postnatal Depression Scale (EPDS). Foram consideradas deprimidas as parturientes que atingiram ≥ 13 pontos na escala. Resultados: Das 1.019 mulheres avaliadas, 168 (16,5%) apresentaram depressão pós-parto. Aquelas que não receberam suporte do companheiro (p = 0,000), de familiares (p = 0,000) e de amigos (p = 0,000) demonstraram maior risco de ter depressão pós-parto. Conclusão: Nossos achados sugerem que a percepção de suporte social durante a gravidez pode ser um fator protetor para a depressão pós-parto. Descritores: Apoio social, depressão pós-parto, gestantes. AbstractObjective: To assess the impact of low perceived social support during pregnancy as a risk factor for depression within 30 to 60 days postpartum. Method: This cohort study included pregnant women treated at public hospitals (Brazilian Unifi ed Health System) in the city of Pelotas, state of Rio Grande do Sul, southern Brazil. Postpartum depression was assessed using the Edinburgh Postnatal Depression Scale (EPDS). Women with scores ≥ 13 points were considered to be depressed. Results: Of the total of 1,019 women assessed, 168 (16.5%) presented postpartum depression. Women who did not receive support from their partners (p = 0.000), their families (p = 0.000), and friends (p = 0.000) were at higher risk for developing postpartum depression. Conclusion: Our fi ndings suggest that perceived social support during pregnancy may be a protective factor against postpartum depression. Keywords: Social support, postpartum depression, pregnancy. Artigo original Correspondência IntroduçãoA depressão materna pode ocorrer no período de até 12 meses após o parto (período pós-parto), possui as mesmas características da depressão na população em geral, como humor deprimido, perda de interesse ou prazer pelas coisas, sentimentos de baixa autoestima e diminuição da concentração 1 . Além disso, frequentemente esse período é marcado por alterações hormonais e mudanças no caráter social, na organização familiar e na identidade feminina 2 .Os episódios de depressão pós-parto (DPP) apresentam sintomas de irritabilidade leve ou severa, tristeza, ansiedade, oscilação de humor e fadiga. A DPP pode durar meses, apresentando sintomas intensos que acabam impossibilitando as tarefas diárias atribuídas à mãe nesse período. A maioria dos estudos refere que a DPP atinge de 10 a 15% das mulheres 3-5 . Entretanto, no Brasil, algumas das prevalências encontradas foram 13,4% em Brasília 6 , 37,1% em São Paulo 7 e 19,1% em Pelotas 8 .São considerados fatores de risco para a DPP vivenciar eventos estressantes, relação marital precária, pouco suporte social, história de depressão ou ansiedade durante a gravidez e história familiar pr...

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Post-partum depression in a cohort of women from a rural area of Tamil Nadu, India

Abstract: Depression occurred as frequently during late pregnancy and after delivery as in developed countries, but there were cultural differences in risk factors. These findings have implications for policies regarding maternal and childcare programmes.

Cited by 323 publications

References 18 publications

Postpartum Depression in North Indian Women: Prevalence and Risk Factors

Postpartum Depression in North Indian Women: Prevalence and Risk Factors

Depression during pregnancy: prevalence and risk factors among women attending a public health clinic in Rio de Janeiro, Brazil

Depressão pós-parto e percepção de suporte social durante a gestação

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