Preconception gynecological risk factors of postpartum depression among Japanese women: The Japan Environment and Children's Study (JECS)

Muchanga, Sifa Marie Joelle; Yasumitsu‐Lovell, Kahoko; Eitoku, Masamitsu; Mbelambela, Etongola Papy; Ninomiya, Hitoshi; Komori, Kaori; Tozin, Rahma Rashid; Maeda, Nobuyo; Fujieda, Mikiya; Suganuma, Narufumi

doi:10.1016/j.jad.2017.03.049

Cited by 36 publications

(28 citation statements)

References 58 publications

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“…Additionally, Coleman and his colleagues also found that severe menstrual pain was an important risk factor strongly associated with depression 20 . Our study suggests that parturient women with dysmenorrhea have a high risk of PPD; this result is consistent with the findings from a Japanese study that included 11,341 PPD patients and 71,148 controls 23 . Their study demonstrated that parturients with dysmenorrhea had 1.13 times higher risk of developing PPD (OR, 1.13; 95% CI: 1.06–1.21), after adjustment for socio-demographic factors, health behavioural factors, psychiatric illness history, psychosocial factors, obstetrical factors and birth outcome factors 23 .…”

Section: Discussionsupporting

confidence: 92%

Dysmenorrhea increased the risk of postpartum depression in Chinese Han parturients

Meng

Cheng

et al. 2019

Sci Rep

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Several studies have shown that dysmenorrhea increased the risk of depression. However, the association between dysmenorrhea and postpartum depression (PPD) is unclear. The purpose of this study is to evaluate the effects of dysmenorrhea on the development of PPD among Chinese women. A case-control study was performed on parturients who delivered from January 1, 2016, to December 31, 2016, at Bao an Maternal and Child Health Hospital in Shenzhen, China. The Edinburgh Postnatal Depression Scale (EPDS) was used to screen for maternal postpartum depression. Logistic regression models were used to examine the association between dysmenorrhea and the risk of PPD. A total of 360 women including 120 cases and 240 controls were enrolled. Our study showed that parturients with PPD had a higher percentage of dysmenorrhea than women without PPD (64.2% vs 47.9%, P = 0.004). In univariate analysis, we observed that dysmenorrhea increased the risk for PPD (OR = 1.95; 95% CI: 1.24–3.06; P = 0.004). In the fully adjusted model, dysmenorrhea was still significantly associated with an increased risk of PPD (OR = 2.45; 95% CI: 1.36–4.54; P = 0.003). Our data confirmed that dysmenorrhea may be a risk factor for PPD. Therefore, screening for postpartum depression should be considered in parturients with a history of dysmenorrhea.

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Section: Discussionsupporting

confidence: 92%

Dysmenorrhea increased the risk of postpartum depression in Chinese Han parturients

Meng

Cheng

et al. 2019

Sci Rep

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“…EPDS (Cox et al 1987), which comprises 10 items listed in a four-point Likert scale from 0 to 3 according to the increasing severity of symptoms, ranges from BYes, most of the time,^BYes, sometimes,^BNot very often,^to BNo, not at all.^Okano et al translated the EPDS into Japanese, backtranslated the scale, conducted the test-retest method to examine reliability, and calculated Cronbach's α (0.78) (Okano et al 1996). Okano et al reported that the appropriate cutoff point for detecting PPD was 9 or higher, with 75% sensitivity and 93% specificity (Yamaoka et al 2016;Muchanga et al 2017), whereas 12 or higher is generally used as the cutoff point worldwide (Cox et al 1987). A recent study on Japanese women has shown the optimal cutoff of EPDS score for major depressive episode during pregnancy as 12 (Usuda et al 2017).…”

Section: Variablesmentioning

confidence: 99%

Impact of intention and feeling toward being pregnant on postpartum depression: the Japan Environment and Children’s Study (JECS)

Baba

Kimura

Ikehara

et al. 2018

Arch Womens Ment Health

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Pregnancy intention is reported to be associated with the risk of postpartum depression (PPD), but the impact of feelings toward being pregnant on PPD is unknown. We aimed to examine whether feelings toward being pregnant are associated with PPD at 1 month after childbirth. In our nationwide study between 2011 and 2014 in Japan, we used multivariate logistic regression analyses to examine the associations between pregnancy intention and feelings toward being pregnant with PPD [Edinburgh Postnatal Depression Scale (EPDS score > 9 or > 12)] among Japanese women. Among 92,431 women, 14.0 and 5.4% had PPD with EPDS scores > 9 and > 12, respectively. Compared with women who felt very happy to be pregnant, those whose pregnancy was unintended but happy, unintended and confused, those who felt troubled, and those who felt no emotion toward being pregnant had increased risks of PPD [multivariable odds ratios (95% confidence intervals (CIs))

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“…Strategi koping dipengaruhi oleh beberapa aspek yang berbeda, seperti status sosial ekonomi, gaya koping, optimisme, keterkaitan antar penyebab stres, dan pengendalian stresor (Monzani et al, 2015). Depresi postpartum dapat terjadi mulai dari setelah melahirkan sampai satu bulan sesudahnya, bahkan sampai satu tahun (Muchanga et al, 2017). Insiden depresi meningkat secara signifikan selama tiga bulan pertama setelah ibu melahirkan, dan kejadian depresi akan meningkat tiga kali lipat lebih tinggi pada lima minggu setelah melahirkan (Kettunen, Koistinen and Hintikka, 2014).…”

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Prevalence and Determinants of Postpartum Depression in Sukoharjo District, Central Java

Putriarsih

Budihastuti²,

Murti

2017

J MATERN CHILD HEALTH

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Background: After delivery psychological disorder otherwise appropriately and immediately handled may lead to postpartum depression (PPD). PPD has serious impact on mothers that manifests as lower quality of life and inability to care of themselves, their partner, and infants. There is a lack of studies on PPD in Indonesia. Its prevalence and determinants are not wellunderstood. This study seek to estimate the prevalence and the determinants of PPD in Sukoharjo, Central Java. Subjects and Method: This was an analytic observational study with cross-sectional design. The study was conducted at community health centers in Sukoharjo District, Central Java, from November to December, 2017. A total sample of 200 postpartum mothers was selected for this study using cluster random sampling, with community health center as the cluster. The dependent variable was PPD. The independent variables were maternal age, parity, labor complication, maternal education, self-efficacy, family income, coping strategy, unwanted pregnancy, and family support. The data were collected by questionnaire and analyzed by path analysis. Results: PPD prevalence in Sukoharjo, Central Java, was 18.5%. The risk of PPD increased with labor complication (b= 3.14, SE= 0.45, p<0.001), unwanted pregnancy (b= 1.54, SE= 0.45, p<0.001), and low family income (b= -0.05, SE= 0.01, p<0.001). The risk of PPD decreased with age (b= -0.07, SE= 0.03, p= 0.028), stronger self-efficacy (b= -0.55, SE= 0.09, p<0.001), and improved coping strategy (b= -0.56, SE= 0.03, p= 0.064). Unwanted pregnancy increased with younger age (b= -0.02, SE= 0.01, p= <0.001), parity (b= 0.27, SE= 0.04, p<0.001), weaker family support (b= -0.05, SE= 0.02, p= 0.044), and lower family income (b= -0.01, SE= <0.01, p= 0.003). The risk of labor complication decreased with increasing age (b= -0.03, SE= 0.01, p<0.001) and higher family income (b= -0.01, SE= <0.01, p<0.001), but increased with parity (b= 0.27, SE= 0.05, p<0.001). Coping strategy improved with increasing age (b= 0.17, SE= 0.07, p= 0.015) and higher maternal education (b= 1.94, SE= 0.48, p<0.001). Self-efficacy increased with higher family income (b= 0.04, SE= 0.01, p<0.001) and stronger family support (b= 0.03, SE= 0.12, p= 0.016). Conclusion: PPD prevalence is 18.5% in Sukoharjo, Central Java. The risk of PPD increases with labor complication, unwanted pregnancy, and low family income, but decreases with age, stronger self-efficacy, and improved coping strategy.

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Preconception gynecological risk factors of postpartum depression among Japanese women: The Japan Environment and Children's Study (JECS)

Abstract: CONCLUSION: Women with endometriosis and menstrual problems were at risk of developing postpartum depression. This study suggests a perinatal mental health screening for predisposed women.

Cited by 36 publications

References 58 publications

Dysmenorrhea increased the risk of postpartum depression in Chinese Han parturients

Dysmenorrhea increased the risk of postpartum depression in Chinese Han parturients

Impact of intention and feeling toward being pregnant on postpartum depression: the Japan Environment and Children’s Study (JECS)

Prevalence and Determinants of Postpartum Depression in Sukoharjo District, Central Java

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