Predictors of depressive symptoms in older <scp>J</scp>apanese primiparas at 1 month post‐partum: A risk‐stratified analysis

Iwata, Hiroyasu; Mori, Etsuro; Tsuchiya, Miyako; Sakajo, Akiko; Maehara, Kunie; Ozawa, Harumi; Morita, Akiko; Maekawa, Tomoko; Aoki, Kyoko; Koji, Takehiko

doi:10.1111/jjns.12099

Cited by 10 publications

(6 citation statements)

References 23 publications

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“…Out of these, text screening yielded 20 (17%) papers on India and 67 papers (8%) on Japan. Finally, 15 papers (13%) on India [ 10 , 13 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 ] and 35 papers (4%) on Japan [ 7 , 8 , 9 , 14 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 ] were included in the review. Thirty-seven papers (India, n = 5; Japan, n = 32) were excluded because they did not...…”

Section: Resultsmentioning

confidence: 99%

“…In this review, we selected two countries: India and Japan. These countries were selected because their social and cultural aspects (such as family structures, fertility rate, and childrearing cultures) clearly differ from each other, although perinatal depression is prevalent in both India and Japan (India: antenatal depression, 6–26.3%; postnatal depression, 7.5–45.5%; Japan: antenatal depression, 5.6–5.8%; postnatal depression, 5.0–21.5%) [ 7 , 8 , 9 , 10 ]. India, located in South Asia, is the second most populous country in the world (over 1.2 billion people) with a total fertility rate of 2.4 [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

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Cross-National Differences in Psychosocial Factors of Perinatal Depression: A Systematic Review of India and Japan

et al. 2017

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Perinatal depression is prevalent worldwide. However, there are few available studies that discuss the different cultural factors affecting perinatal depression within Asian countries. This study aims to compare the literature regarding related factors relating to perinatal depression in India and Japan, and to synthesize the evidence common to both countries in addition to the country-specific evidence. We conducted a systematic review using several databases (CINAHL, MEDLINE, Pubmed, Ovid, SCOPUS, IndMED, and ICHUSI). Keywords were “antenatal depression” or “postpartum depression”, and “India” or “Japan”. Both Japanese and English language papers were reviewed. The identified evidence was compared between the two countries, as well as with non-Asian countries based on previous reports. In total, 15 articles on India and 35 on Japan were reviewed. Although several factors were shared between the two countries as well as with other non-Asian countries (vulnerable personality, being abused, age, marital conflict, and lower socio-demographic status), some differing factors were identified between India and Japan and non-Asian countries; India: poor socioeconomic status, living only with the husband, pregnancy not welcomed by the husband, a female baby, and poor relationship with in-laws; Japan: infertility treatment, conflict with work–life balance, poor relationships with biological mother or in-laws, and concerns about social relations with the other mother’s friends. To conclude, involving the family and community may be important for implementing both global standardized and culture-specific interventions. In India, treatment involving the in-laws may be effective because large family structure is a significant predictor of perinatal depression. In Japan, a family/community approach involving not only the mother’s family of origin but also the working environment is essential.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Cross-National Differences in Psychosocial Factors of Perinatal Depression: A Systematic Review of India and Japan

et al. 2017

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“…The mental status of mothers considered to have low levels of oxytocin associate with incomplete breastfeeding seemed to be stable. Therefore, in social environments and/or clinical characteristics of pregnant Japanese women, there may be some serious risk factors for postpartum depression other than the status of breastfeeding, such as personal and family factors, socioeconomic status, support from other family members and personal plans for furthering careers [4][5][6][7][8] . For example, in our recent Japanese study that asked mothers' biggest worry at two weeks after delivery, only 10% reported anxiety about breastfeeding 8 .…”

Section: Discussionmentioning

confidence: 99%

“…Postpartum depression has been recognized as the leading medical complication among new mothers 2,3 . To date, some risk factors for postpartum depression, such as personal and family factors, socioeconomic status, support from other family members and personal plans for furthering careers, have been examined [4][5][6][7][8] . Some studies have demonstrated that breastfeeding can protect mothers from postpartum depression and are starting to clarify which biological and psychological processes may explain this protection [9][10][11] .…”

Section: Introductionmentioning

confidence: 99%

Relationship between postpartum depression and lactation status at a Japanese perinatal center: A cross-sectional study

Suzuki

2019

F1000Res

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Background: Some studies have demonstrated that breastfeeding can protect mothers from postpartum depression; therefore, we examined the association between postpartum depression and lactation status at one month after delivery at a Japanese perinatal center. Methods: We reviewed the obstetric records of all (total 809) nulliparous healthy women with vaginal singleton delivery at 37-41 weeks’ gestation at our institute between July 2018 and June 2019. A face-to-face interview with the women was conducted on admission for delivery to ask whether or not they hoped to perform exclusive breastfeeding for their babies, and an additional interview was conducted one month after delivery to ask about their feeding methods currently. Maternal mental status was examined based on the scores using the Edinburgh Postnatal Depression Scale (EPDS), and women with EPDS scores of ≥9 points were regarded as ‘positive screening’. Results: 592 women (73.1%) hoped to perform exclusive breastfeeding for their babies on admission. Of these, at one month, 442 (74.7%) performed exclusive breastfeeding, while 150 (25.3%) performed mixed or artificial feeding. The average EPDS scores and the incidence of EPDS scores ≥9 points in the women performing exclusive breastfeeding were 4.3 ± 3.6 and 14.3% (63/442), respectively. They did not differ from those in the women performing mixed or artificial breast feeding [4.2 ± 3.7, p = 0.60 and 13.3% (20/150), p = 0.78]. Conclusion: Development of postpartum depression does not seem to be associated with incomplete breastfeeding at our hospital, and therefore there are other risk factors indicated in the development of postpartum depression.

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“…Iwata et al [21] reported that factors such as concerns about infant caretaking and financial burden as well as physical burden in daily life were predictive factors for depression at 1 month postpartum. Thus, factors other than LBPP at 3 months postpartum might be associated with EPDS score.…”

Section: Discussionmentioning

confidence: 99%

Possible Predictive Factors for Low Back and Pelvic Pain at Three Months Postpartum Assessed in a Prospective Study from Early Pregnancy until the Postpartum Period

Uemura¹,

Horike²,

Maeda³

et al. 2018

OJN

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Background: Low back and pelvic pain (LBPP) is an important issue related to mental health as well as to difficulty for daily life activity during early pregnancy and in the postpartum period. We examined the intensity of LBPP, difficulty for daily life activity and mental health and their associations from early pregnancy until 3 months postpartum in a prospective study. We also examined predictive factors for LBPP at 3 months postpartum. Methods: We recruited 55 pregnant women who responded to questionnaires in the first, second and third trimesters and at one week, one month and 3 months postpartum. We designed a self-administered questionnaire including a visual analog scale (VAS), pregnancy mobility index (PMI) of LBPP and Edinburgh postnatal depression scale (EPDS). Results: There were significant differences in the proportions of women with LBPP in the first trimester (63.6%), second trimester (78.2%) and third trimester (83.6%) and at one week postpartum (80.0%), one month postpartum (69.1%) and 3 months postpartum (56.4%). VAS score at 3 months postpartum was significantly correlated with VAS scores at the first trimester (r = 0.410, p = 0.002), second trimester (r = 0.298, p = 0.027) and one month postpartum (r = 0.476, p < 0.001). VAS score at 3 months postpartum was significantly correlated with PMI scores at the first trimester and one month postpartum.

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Predictors of depressive symptoms in older Japanese primiparas at 1 month post‐partum: A risk‐stratified analysis

Abstract: These results highlight the importance of early assessment of depressive symptoms and the provision of continuous care.

Cited by 10 publications

References 23 publications

Cross-National Differences in Psychosocial Factors of Perinatal Depression: A Systematic Review of India and Japan

Cross-National Differences in Psychosocial Factors of Perinatal Depression: A Systematic Review of India and Japan

Relationship between postpartum depression and lactation status at a Japanese perinatal center: A cross-sectional study

Possible Predictive Factors for Low Back and Pelvic Pain at Three Months Postpartum Assessed in a Prospective Study from Early Pregnancy until the Postpartum Period

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