The dynamic course of peripartum depression across pregnancy and childbirth

Dekel, Sharon; Ein‐Dor, Tsachi; Ruohomäki, Aleksi; Lampi, Jussi; Voutilainen, Sari; Tuomainen, Tomi‐Pekka; Heinonen, Seppo; Kumpulainen, Kirsti; Pekkanen, Juha; Keski‐Nisula, Leea; Pasanen, Markku; Lehto, Soili M.

doi:10.1016/j.jpsychires.2019.03.016

Cited by 28 publications

(26 citation statements)

References 57 publications

(54 reference statements)

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“…Nonetheless, the severity of PND symptoms may significantly change over time in any population. In this study, 4.7% of women reported elevated PND symptoms over time, which is in contrast to previous studies [ 27 , 46 – 48 ]. For example, a study of 425 pregnant women in South Africa found two depression trajectories [ 48 ].…”

Section: Discussioncontrasting

confidence: 99%

“…The fit indices of the models generated through LGMM are reported in Table 2 . The four- class solution was excluded given that the solution had one class comprising less than 10 women [ 27 ]. The AIC and BIC values suggested that the three-class solution yielded the best fit while the entropy value favoured the two-class solution.…”

Section: Resultsmentioning

confidence: 99%

“…The reason for this difference could be that the study in South Africa focused on low-income women, and a lack of food and living resources might affect the trajectory of perinatal depression. Moreover, some studies have reported the existence of a chronic and persistent high-level depression trajectory [ 27 ]. In this study, only 37% of the subjects lived with their partners and nearly 40% of the subjects were unmarried.…”

Section: Discussionmentioning

confidence: 99%

“…A meta-analysis of 23 studies related to PND symptom trajectories found that some research teams determined the trajectory of depression based on the characteristics and severity of the disease [ 26 ]. In contrast, others chose advanced statistical methods [ 27 – 30 ]. Thus, the variation in the number of final trajectories reported in different studies, ranging from two to six different PND trajectories, is likely related to the different grouping standards.…”

Section: Introductionmentioning

confidence: 99%

“…Other studies have reported that pregnancy complications increase the possibility of a persistent depression trajectory. The persistent depression trajectory is also associated with the maternal preterm delivery than other trajectories [ 27 ]. There is less published evidence for a dynamic trajectory of depression in the Asian population.…”

Section: Introductionmentioning

confidence: 99%

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Distinct trajectories of perinatal depression in Chinese women: application of latent growth mixture modelling

Hong

Le²,

Lu³

et al. 2022

BMC Pregnancy Childbirth

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Background Current research on perinatal depression rarely pays attention to the continuity and volatility of depression symptoms over time, which is very important for the early prediction and prognostic evaluation of perinatal depression. This study investigated the trajectories of perinatal depression symptoms and aimed to explore the factors related to these trajectories. Methods The study recruited 550 women during late pregnancy (32 ± 4 weeks of gestation) and followed them up 1 and 6 weeks postpartum. Depressive symptoms were measured using the Edinburgh Postnatal Depression Scale (EPDS). Latent growth mixture modelling (LGMM) was used to identify trajectories of depressive symptoms during pregnancy. Results Two trajectories of perinatal depressive symptoms were identified: “decreasing” (n = 524, 95.3%) and “increasing” (n = 26, 4.7%). History of smoking, alcohol use and gestational hypertension increased the chance of belonging to the increasing trajectories, and a high level of social support was a protective factor for maintaining a decreasing trajectory. Conclusions This study identified two trajectories of perinatal depression and the factors associated with each trajectory. Paying attention to these factors and providing necessary psychological support services during pregnancy would effectively reduce the incidence of perinatal depression and improve patient prognosis.

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Section: Discussioncontrasting

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Distinct trajectories of perinatal depression in Chinese women: application of latent growth mixture modelling

Hong

Le²,

Lu³

et al. 2022

BMC Pregnancy Childbirth

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Gender Differences Among Head and Neck Microvascular Reconstructive Surgeons

Hobday

Armache

Frost

et al. 2023

Otolaryngol.--head neck surg.

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ObjectiveTo determine whether gender differences exist in the training history, practice patterns, and home lives of surgeons who perform microvascular reconstruction of the head and neck.Study DesignCross‐sectional survey.SettingMedical facilities that employ surgeons who practice head and neck microvascular reconstruction in the United States.MethodsA survey was created using the Research Electronic Data Capture Framework and was distributed via email to microvascular reconstructive surgeons. Descriptive statistics were performed using Stata software.ResultsNo significant differences were found in training or current practice patterns between microvascular surgeons who identify as men versus those who identify as women. Women had fewer children (p = .020) and were more likely to be childless (p = .002). Whereas men were more likely to report a spouse/partner as primary caretaker, women were more likely to hire a professional caretaker or cite themselves as a primary caretaker (p < .001). Women were more likely to have finished residency (p = .015) and fellowship (p = .014) more recently and to practice in the Southeast (p = .006). Of the microvascular surgeons who reported practice setting switches, men more commonly changed positions for career advancement, whereas women were more likely to switch due to burnout (p = .002).ConclusionThis study found no gender‐based differences in training or practice patterns. However, significant differences were identified in childbearing, family structure, geographic practice location, and motives for switching practice.

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