Postpartum depression in older women

Strelow, Brittany; Fellows, Nicole; Fink, Stephanie; O'Laughlin, Danielle; Radke, Gladys; Stevens, J.; Tweedy, Johanna M.

doi:10.1097/01.jaa.0000530288.83376.8e

Cited by 12 publications

(10 citation statements)

References 18 publications

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“…The relationship between age and perinatal depressive symptoms is not well established in the literature [8]. Our results are consistent with studies suggesting that older women are at higher risk of pregnancy depressive symptoms [40]. However, the strength of the cross-sectional associations found in the present investigation was weak, so the results should be interpreted with caution and replication should be encouraged.…”

Section: Factors Cross-sectionally Associated With Prenatal Depressivsupporting

confidence: 81%

Predicting Postpartum Depressive Symptoms from Pregnancy Biopsychosocial Factors: A Longitudinal Investigation Using Structural Equation Modeling

Martínez-Borba

Suso‐Ribera

Osma

et al. 2020

IJERPH

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The prediction of postpartum depression (PPD) should be conceptualized from a biopsychosocial perspective. This study aims at exploring the longitudinal contribution of a set of biopsychosocial factors for PPD in perinatal women. A longitudinal study was conducted, assessment was made with a website and included biopsychosocial factors that were measured during pregnancy (n = 266, weeks 16–36), including age, affective ambivalence, personality characteristics, social support and depression. Depression was measured again at postpartum (n = 101, weeks 2–4). The analyses included bivariate associations and structural equation modeling (SEM). Age, affective ambivalence, neuroticism, positive, and negative affect at pregnancy were associated with concurrent depression during pregnancy (all p < 0.01). Age, affective ambivalence, positive affect, and depression at pregnancy correlated with PPD (all p < 0.05). Affective ambivalence (β = 1.97; p = 0.003) and positive (β = −0.29; p < 0.001) and negative affect (β = 0.22; p = 0.024) at pregnancy remained significant predictors of concurrent depression in the SEM, whereas only age (β = 0.27; p = 0.010) and depression (β = 0.37; p = 0.002) at pregnancy predicted PPD. Biopsychosocial factors are clearly associated with concurrent depression at pregnancy, but the stability of depression across time limits the prospective contribution of biopsychosocial factors. Depression should be screened early during pregnancy, as this is likely to persist after birth. The use of technology, as in the present investigation, might be a cost-effective option for this purpose.

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Section: Factors Cross-sectionally Associated With Prenatal Depressivsupporting

confidence: 81%

Predicting Postpartum Depressive Symptoms from Pregnancy Biopsychosocial Factors: A Longitudinal Investigation Using Structural Equation Modeling

Martínez-Borba

Suso‐Ribera

Osma

et al. 2020

IJERPH

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“…As mothers within an age range of 26-30 years and with the occupation of spauses (employee) and type of pregnancy (wanted) had the lowest rate of depression. Strelow in the United States, on the other hand, has shown that younger mothers, aged 15-24 years (compared to older mothers of 25-29 years), are less prone to depression [37]. Guin [38] also stated that mothers within an age range of 36-40 years reported the highest rate of depression, and those within a range of 20-25 years had the lowest.…”

Section: Discussionmentioning

confidence: 99%

The Relationship Between Social Support and Postpartum Depression

Hajipoor

Pakseresht²,

Niknami

et al. 2021

J Holist Nurs Midwifery

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Introduction: Postpartum depression is a common and severe problem that has adverse effects on maternal and family health. Social support is one of the determinants of health, and in recent years has received increasing attention, and its overlook is a significant risk factor for postpartum depression. Objective: This study aimed to determine the relationship between social support and postpartum depression in women referring to comprehensive health centers in Rasht City, Iran. Materials and Methods: The present study is a cross-sectional, analytical study performed on 300 mothers referred to the comprehensive health service centers in Rasht 2-4 weeks after their deliveries. They were selected by cluster sampling method, which was done systematically within each cluster. The study data were collected using a three-part questionnaire of demographic characteristics, Edinburgh Postpartum Depression Scale (EPDS), and Hopkins social support. The obtained data were analyzed using descriptive and inferential statistics (t-test, Friedman, Mann-Whitney, Kruskal-Wallis, Spearman correlation coefficient, and rank logistic regression). Results: The results showed that the mean±SD age of the study mothers was 29±5.3 years. About 63.7% of mothers had low postpartum depression, and their mean±SD total score of social support was 64.03±16.92. The most support received from the spauses and parents. There was a statistically significant relationship between social support received by mothers after childbirth with education level (P=0.003), job (P=0.001), spauses’ job (P=0.001), income (P=0.001), residence status (P=0.043), number of deliveries (P=0.05) and pregnancy desire (P=0.047) and there was a significant inverse correlation between depression score and social support score by spauses (P=0.004, r=-0.167), parents (P=0.002, r=-0.176) and total social support score (P=0.024, r =-0.130). After adjusting for individual social variables, the effect of social support score on the part of the spauses (P=0.001), parents (P=0.006), friends, and relatives (P=0.033) continued to be associated with the severity of depression. Also, the number of deliveries (P=0.05) and h spauses’ jobs (self-employed) were significant compared to the unemployed ones (P=0.049). Conclusion: The results showed a significant and inverse relationship between social support and symptoms of postpartum depression. Although these results show the most support from spauses and parents, the amount of support received in the area of spauses’ parents, friends, and relatives were low. It is necessary to draw the attention of midwives and health care providers to mothers and inform them about the importance of social support and its prominent role in reducing postpartum depression.

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“…The stress conditions of pregnant women especially primigravidas can occur and continue until postpartum. Strewlow et al (2018) reported that primigravida mothers have a 50-80% risk of postpartum depression. Antenatal care plays an important role in the safety of the mother and fetus, minimizes pregnancy risks, and reduces postpartum mortality.…”

Section: Cortisolmentioning

confidence: 99%

Effects of ‘STOP’ Mindfulness on Decreasing Cortisol in Primigravida Mothers

2019

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Background: Stress in pregnant women may give different effects on the development of pregnancy. Mindfulness is an intervention which can be practiced independently by primigravida mothers for stress management. Stress is indicated by a biological parameter of cortisol levels. Purpose: This study aimed to analyze the effects of mindfulness on decreasing cortisol levels in primigravida mothers. Methods: This study used a pretest-posttest quasy experimental design with a control group. The samples were 30 primigravida mothers who experienced stress in the area of public health centers in Semarang city. A consecutive sampling technique was used to select the samples. Mindfulness with STOP technique (Stop-Take a breath-Observe-Proceed) was given for four meetings for 60 minutes each. Before and after the implementation of mindfulness, 3 ml of blood was taken from the samples for the cortisol examination. Data were analyzed using a paired t-test.Results: The results showed that the majority of women (46.7%) were in the second trimester of pregnancy, and aged 20-35 years old (86.7%). The mean of cortisol level before and after the intervention was 180.60 and 152.50, respectively. There was a decrease in the level of cortisol after the implementation of mindfulness with a p-value of 0.000 (? <0.05).Conclusion: Mindfulness is effective in decreasing cortisol levels in primigravida mothers. Mindfulness can be used as an intervention to increase the self-reliance of pregnant women for stress management.

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Postpartum depression in older women

Cited by 12 publications

References 18 publications

Predicting Postpartum Depressive Symptoms from Pregnancy Biopsychosocial Factors: A Longitudinal Investigation Using Structural Equation Modeling

Predicting Postpartum Depressive Symptoms from Pregnancy Biopsychosocial Factors: A Longitudinal Investigation Using Structural Equation Modeling

The Relationship Between Social Support and Postpartum Depression

Effects of ‘STOP’ Mindfulness on Decreasing Cortisol in Primigravida Mothers

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