The Relationships between Postpartum Adaptation and Postpartum Depression Symptoms of First Pregnancy Mothers in Taiwan

Ho, Ciao Lin; Chang, Lu; Wan, Kong Sang

doi:10.2190/pm.45.1.a

Cited by 13 publications

(7 citation statements)

References 25 publications

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“…The prevalence of patients with PPD screened by the EPDS in Taiwan was found to be 21%, 42%, and 39% in 2004, 2007, and 2013, respectively [13,14,15]. The incidence of PPDS in this study was thus significantly lower than in these past surveys.…”

Section: Discussioncontrasting

confidence: 53%

“…The Chinese version of the EPDS has appropriate reliability and validity for screening for PPD among Taiwanese women [12]. The prevalence of PPD screened using the EPDS in Taiwan was 21%, 42%, and 39% in 2004, 2007, and 2013, respectively [13,14,15]. The results of these studies also indicated that cesarean section, postpartum complications, a previous history of depression, unplanned pregnancy, low income, and a lack of familial support increase PPDS risk.…”

Section: Introductionmentioning

confidence: 99%

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Association between Postpartum Nutritional Status and Postpartum Depression Symptoms

Lin

Chen

et al. 2019

Nutrients

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Taiwanese women may practice traditional confinement after childbirth, and no study has investigated the nutritional status and the effects of postpartum depression on such women. The aim of this study was to investigate the association between nutritional status and postpartum depression at 6–8 weeks postpartum. A cross-sectional study was conducted on postpartum women who returned to the obstetrics and gynecology clinic for routine examination from January 2016 to September 2017. A total of 344 women received assessments based on the Edinburgh Postnatal Depression Scale (EPDS). An EPDS score of ≥10 indicated the presence of postpartum depressive symptoms (PPDS). A total of 97 women without such symptoms and 23 with PPDS completed nutritional parameter analyses and questionnaires. The results showed that the prevalence of postpartum depression (PPD) was 8.4%. The proportion was 70% for those who practiced confinement at home, significantly higher than for those in the non-PPDS group (45%). The overall psychological stress score was significantly higher and the postpartum care satisfaction score was significantly lower in those with PPDS compared to those without. In terms of nutritional biomarkers, the plasma riboflavin levels in the PPDS group were significantly lower than those in their symptomless counterparts (13.9%). The vitamin D insufficiency and deficiency rates in the non-PPD and PPDS groups were 35%, 41%, 48%, 26%, respectively. However, compared with those in the non-PPDS group, those with PPDS had significantly higher ratios of Σn-6/Σn-3, C20:3n-6/C18:3n-6, and C20:4n-6/(C20:5n-3 + C22:6n-3) (by 8.2%, 79.7%, and 8.8%, respectively), whereas they had lower ratios of C22:6n-3/C22:5n-6 (by 15.5%). Higher plasma riboflavin and erythrocyte C16:1n-9, C24:1n-9, C18:3n-6, and C20:5n-3 levels and lower Σn-6 fatty acid and C22:5n-6 levels decreased the risk of PPD after type of confinement, overall mental stress scores, and postpartum care satisfaction scores were adjusted for the logistic regression analysis. In conclusion, the plasma riboflavin level and erythrocyte fatty acid composition are potentially major contributors to PPD development.

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Section: Discussioncontrasting

confidence: 53%

Section: Introductionmentioning

confidence: 99%

Association between Postpartum Nutritional Status and Postpartum Depression Symptoms

Lin

Chen

et al. 2019

Nutrients

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“…Out of 13 studies addressing family support (including mother, mother-in-law, and general family), 10 found significant negative associations (#51, 77, 104, 105, 108, 117, 134, 161, 171, 176) and 3 found no effect on PPD risk despite relatively large samples (#75, 123, 142). Three studies combining low perceived support from family and friends also found significant univariate associations with elevated PPD symptoms and risk (Ho et al 2013, Ramchandani et al 2009, Rich-Edwards et al 2006). However, social support from other women with children or from friends was not associated with PPD symptoms after controlling for other risk factors (Dennis et al 2004, Secco et al 2007, Siu et al 2012).…”

Section: Psychosocial Predictors Of Postpartum Depressionmentioning

confidence: 93%

Biological and Psychosocial Predictors of Postpartum Depression: Systematic Review and Call for Integration

Yim

Stapleton

Guardino

et al. 2015

Annu. Rev. Clin. Psychol.

498

396

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Postpartum depression (PPD) adversely affects the health and well being of many new mothers, their infants, and their families. A comprehensive understanding of biopsychosocial precursors to PPD is needed to solidify the current evidence base for best practices in translation. We conducted a systematic review of research published from 2000 through 2013 on biological and psychosocial factors associated with PPD and postpartum depressive symptoms. Two hundred fourteen publications based on 199 investigations of 151,651 women in the first postpartum year met inclusion criteria. The biological and psychosocial literatures are largely distinct, and few studies provide integrative analyses. The strongest PPD risk predictors among biological processes are hypothalamic-pituitary-adrenal dysregulation, inflammatory processes, and genetic vulnerabilities. Among psychosocial factors, the strongest predictors are severe life events, some forms of chronic strain, relationship quality, and support from partner and mother. Fully integrated biopsychosocial investigations with large samples are needed to advance our knowledge of PPD etiology.

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“…Mother's non-employment was found to be significantly correlated with PPD (r=0.201, sig=0.45). Aligned with previous finding, mothers who experience PPD are mostly non-working mothers or housewives and mothers with part-time type of employment compared to full-time working mothers (Bener, Burgut, Ghuloum, & Sheikh, 2012;Ho, Chang, & Wan, 2013). It is because in postpartum period, financial issue is a factor that affects the onset of PPD (Bener et al, 2012).…”

Section: Discussionmentioning

confidence: 58%

Predictors of Postpartum Depression: The Role of Emotion Regulation, Maternal Self-Confidence, and Marital Satisfaction on Postpartum Depression

Dinni

Ardiyanti

2020

jpsi

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Postpartum Depression (PPD) is a serious mother’s mental health problem that may endanger the safety of mother and her child. This study aimed to identify whether emotion regulation, maternal self-confidence, and marital satisfaction could be a significant predictor of PPD. The participants of this study were 100 women who gave birth in the past 2-24 weeks. Research instruments presented via online platform, comprised of: ASIPP (Alat Asesmen Ibu Postpartum/Postpartum Maternal Assessment Tool containing the Emotion Regulation Scale, the Maternal Self-Confidence Scale, and the Marital Satisfaction Scale) and the early detection scale for postpartum depression. Regression analysis showed that only maternal self-confidence and emotional regulation were proven significant in simultaneously predicting PPD, while marital satisfaction was not proven to significantly predict PPD either partially or simultaneously. This finding suggested that psychological prevention programs for postpartum mothers were better focused on encouraging maternal self-confidence and emotion regulation ability of the mothers.

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The Relationships between Postpartum Adaptation and Postpartum Depression Symptoms of First Pregnancy Mothers in Taiwan

Cited by 13 publications

References 25 publications

Association between Postpartum Nutritional Status and Postpartum Depression Symptoms

Association between Postpartum Nutritional Status and Postpartum Depression Symptoms

Biological and Psychosocial Predictors of Postpartum Depression: Systematic Review and Call for Integration

Predictors of Postpartum Depression: The Role of Emotion Regulation, Maternal Self-Confidence, and Marital Satisfaction on Postpartum Depression

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