Prospective Study into Puerperal Depression

Dalton, Katharina

doi:10.1192/bjp.118.547.689

Cited by 171 publications

(80 citation statements)

References 7 publications

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“…Widely ranging rates of depression during pregnancy have been found: for example from 27% to 62% [3][4][5]. A comparison between Pakistani and Canadian women showed a higher proportion of Pakistani women (48.4%) with antenatal depression than aboriginal (31.2%) and Caucasian (8.6%) Canadian women [6].…”

Section: Introductionmentioning

confidence: 99%

Antenatal depression and its predictors in Lahore, Pakistan

Humayun

Haider²,

Imran³

et al. 2013

East Mediterr Health J

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Mental health is an important but neglected component of reproductive health. This study aimed to determine the prevalence and risk factors for antenatal depression among women attending for antenatal care at an urban tertiary care hospital in Lahore, Pakistan. In a cross-sectional study, structured questionnaires were filled and screening for depression was done using the Edinburgh postnatal depression scale (EPDS). Out of 506 antenatal attendees 126 (24.9%) had no depression (EPDS scores < 10), 53 (10.5%) scored 10-12 and 327 (64.6%) had EPDS scores > 12. Depression scores (≥ 10) were more common in mothers aged < 20 years (93.7%) than those aged > 35 years (55.0%). Fear of childbirth and separation from husband were identified as significant risk factors for development of antenatal depression, while family history of psychiatric illness was significant protective factor. Domestic violence, drug abuse, lack of support, previous miscarriage and personal history of previous psychiatric illness were not found to be significant risk factors. Medicine, Federal Postgraduate Medical Institute and Shaikh Khalifa Bin Zayed Al-Nahyan Medical College, Lahore, Pakistan (Correspondence to A. Humayun: drayeshah@gmail.com RÉSUMÉ La santé mentale est une composante importante et pourtant négligée de la santé génésique. La présente étude visait à déterminer la prévalence et les facteurs de risque de la dépression prénatale chez les femmes consultant un service de soins prénatals à l'hôpital de soins de santé tertiaires de la ville de Lahore (Pakistan). Dans une étude transversale, des questionnaires structurés ont été complétés puis analysés à l'aide de l'Edinburgh postnatal depression scale (échelle de dépression post-natale d'Édimbourg) à la recherche d'indications de dépression. Sur les 506 patientes en période prénatale, 126 (24,9 %) ne souffraient pas de dépression (scores < 10), 53 (10,5 %) ont obtenu des résultats entre 10 et 12 et 327 (64,6 %) ont eu des résultats supérieurs à 12 sur l'échelle de dépression post-natale d'Édimbourg. Les scores de dépression (≥ 10) étaient plus fréquents chez les femmes âgées de moins de 20 ans (93,7 %) que chez celles de plus de 35 ans (55,0 %). La peur de l'accouchement et une séparation conjugale ont été identifiées comme des facteurs de risque significatifs pour le développement de la dépression prénatale, alors que les antécédents familiaux de maladie psychiatrique étaient des facteurs de risque protecteurs importants. La violence domestique, la toxicomanie, l'absence de soutien et des antécédents de fausses-couches et de maladie psychiatrique chez la patiente n'ont pas été identifiés comme des facteurs de risque importants. 1 Department of Community

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Section: Introductionmentioning

confidence: 99%

Antenatal depression and its predictors in Lahore, Pakistan

Humayun

Haider²,

Imran³

et al. 2013

East Mediterr Health J

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“…Researchers have found the presence of postpartum blues to be positively associated with a history of premenstrual tension, 6 acrytngbaby, a vomiting baby, or a baby who gives the mother bad nights. 7 The research of Paykel and assoctates 8 suggests that the blues may indicate a tendency toward postpartum depression. In their study, moderate to severe postpartum blues had been previously noted in six (85%) of the seven women with postpartum depression as opposed to 16 (31 %) of the 52 women without postpartum depression.…”

Section: Postpartum Mental and Physical Problemsmentioning

confidence: 98%

Postpartum mental and physical problems

Gjerdingen¹,

Froberg²,

Wilson³

1986

Postgraduate Medicine

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“…Elation during late pregnancy is acommon occurrence. Dalton (1971) found that it was present in 64~o of women with puerperal depression, compared with only 26 ~o of normal women. Patients who experienced the sequence of euphoria in pregnancy followed by post-partum depression described their pregnant state in such terms as "blissful", "never so well in my life", "walked miles with ease" and "boundless energy".…”

Section: Relation Of Prolactin To Ovarian Hormones and Dysphoriamentioning

confidence: 99%

“…For example, Dalton (1971), who emphasizes the progesterone deficiency idea, and who claims good results in many cases with progesterone treatment, appears to be describing mostly a syndrome of premenstrual irritability and hostility, rather than depression as such. Similarly, Backstrom & Carstensen (1974) presented impressive evidence for low progesterone levels in women with "premenstrual anxiety."…”

Section: Relation Of Prolactin To Ovarian Hormones and Dysphoriamentioning

confidence: 99%

The psychobiology of premenstrual dysphoria: review of theories and treatments

Steiner

Carroll

1977

Psychoneuroendocrinology

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SUMMARY(1) The evidence for a role of prolactin in the premenstrual syndrome is discussed in this review. (2) The timing of the onset and offset of both physical and psychological dysphoric symptoms corresponds with the luteal elevation and menstrual decrease of serum prolactin levels. (3) Women with premenstrual symptoms have been shown to have high prolactin levels throughout the menstrual cycle and especially in the premenstruum. (4) Suppression of prolactin secretion with bromocriptine is reported to be effective in preventing both physical and psychological premenstrual symptoms. (5) The mode of action of bromocriptine requires further study to exclude possible direct central nervous system effects of the drug, independent of its prolactin-suppressing action. (6) Indirect evidence for a role of prolactin in the prernenstrual syndrome comes from (a) the actions of prolactin in causing renal retention of water, sodium and potassium; (b) the interactions of prolactin with lithium (which is reported to relieve premenstrual symptoms in some patients

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Prospective Study into Puerperal Depression

Cited by 171 publications

References 7 publications

Antenatal depression and its predictors in Lahore, Pakistan

Antenatal depression and its predictors in Lahore, Pakistan

Postpartum mental and physical problems

The psychobiology of premenstrual dysphoria: review of theories and treatments

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