Postpartum depression and postpartum post-traumatic stress disorder: prevalence and associated factors

BMC Psychiatry, Journal Year: 2021, Volume and Issue: 21(1)

Published: Oct. 5, 2021

Abstract Background Despite the increased global interest from researchers in postpartum depression (PPD) and post-traumatic stress disorder (PP-PTSD), studies of PPD China have shown a wide range variability. Indeed, prevalence risk factors for PP-PTSD received little attention China. Aim To determine China, to examine relationships between sociodemographic, pregnancy-related, newborn-related variables, PP-PTSD. Methods A cross-sectional study involving 1136 women who returned obstetrics clinic routine examination were enrolled. The characteristics collected. Social support, symptoms measured by Perceived Support Scale (PSSS), Edinburgh Postnatal Depression (EPDS), Perinatal Post-traumatic Stress Questionnaire (PPQ). Results rates 23.5 6.1%, respectively. multivariate model showed that presence was strongest factor vice versa. Other included low sleep quality, social support newborn’s incubator admission. In terms symptoms, non-Han ethnicity, while having one child protective factor. Conclusions This addressed some gaps literature provided better understanding which may contribute early detection intervention. Attention should be paid are most susceptible and/or PP-PTSD, including those with admission, siblings.

Language: Английский

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Diagnosis of peripartum depression disorder: A state-of-the-art approach from the COST Action Riseup-PPD

Comprehensive Psychiatry, Journal Year: 2024, Volume and Issue: 130, P. 152456 - 152456

Published: Jan. 29, 2024

Peripartum depression (PPD) is a major disorder (MDD) episode with onset during pregnancy or within four weeks after childbirth, as defined in DSM-5. However, research suggests that PPD may be distinct diagnosis. The goal of this study was to summarize the similarities and differences between MDD by synthesizing current on diagnosis concerning different clinical features give directions for improving practice. To lay groundwork narrative review, several databases were searched using general search phrases its components When compared MDD, peripartum exhibits characteristics. manifests variety symptoms, i.e., more anxiety, psychomotor obsessive thoughts, impaired concentration, fatigue loss energy, but less sad mood suicidal ideation, MDD. Although prevalence rates are comparable, there greater cross-cultural variances PPD. Additionally, has some risk factors mechanisms such ovarian tissue expression, premenstrual syndrome, unintended pregnancy, obstetric complications. There need in-depth comparing entire postpartum year. diagnostic criteria should modified, particularly (i) addition specific symptoms (i.e., anxiety), (ii) specifier extending first year following (iii) change either "pregnancy onset" "postpartum onset". Diagnostic further discussed.

Language: Английский

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Bidirectional association between autoimmune disease and perinatal depression: a nationwide study with sibling comparison

Molecular Psychiatry, Journal Year: 2024, Volume and Issue: 29(3), P. 602 - 610

Published: Jan. 9, 2024

Abstract Although major depression, characterized by a pro-inflammatory profile, genetically overlap with autoimmune disease (AD) and the perinatal period involve immune system adaptations AD symptom alterations, bidirectional link between depression (PND) is largely unexplored. Hence, objective of this study was to investigate association PND AD. Using nationwide Swedish population health registers, we conducted nested case-control matched cohort study. From 1,347,901 pregnancies during 2001–2013, included 55,299 incident PND, their unaffected full sisters, 10 women per case. We identified 41 subtypes diagnoses recorded in registers compared population-matched using multivariable regressions. Women an had 30% higher risk subsequent (95% CI 1.2–1.5) exposed 1.3–1.4). Comparable associations were found when comparing sisters (nested OR: 1.3, 95% 1.2–1.5, HR: 1.1–1.6), studying antepartum postpartum depression. The more pronounced among without psychiatric comorbidities 1.5, 1.4–1.6, 1.4, 1.4–1.5) strongest for multiple sclerosis 2.0, 1.6–2.3, 1.8, 1.0–3.1). These findings demonstrate independent comorbidities, suggesting possibly shared biological mechanisms. If future translational science confirms underlying mechanisms, healthcare providers need be aware increased ADs vice versa.

Language: Английский

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Perinatal depression and risk of maternal cardiovascular disease: a Swedish nationwide study

European Heart Journal, Journal Year: 2024, Volume and Issue: 45(31), P. 2865 - 2875

Published: June 18, 2024

Abstract Background and Aims Increasing evidence suggests that some reproductive factors/hazards are associated with a future risk of cardiovascular disease (CVD) in women. While major (non-perinatal) depression has consistently been CVD, the long-term CVD after perinatal (PND) is largely unknown. Methods A nationwide population-based matched cohort study involving 55 539 women diagnosed PND during 2001–14 Sweden 545 567 unaffected individually on age year conception/delivery was conducted. All were followed up to 2020. Perinatal identified from Swedish national health registers. Using multivariable Cox models, hazard ratios (HR) any type-specific according estimated. Results The mean at diagnosis 30.8 [standard deviation (SD) 5.6] years. During follow-up 20 years (mean 10.4, SD 3.6), 3533 (6.4%) (expected number 2077) 202 (3.7%) developed CVD. Compared women, had 36% higher developing [adjusted HR = 1.36, 95% confidence interval (CI): 1.31–1.42], while compared their sisters, 20% (adjusted 1.20, CI 1.07–1.34). results most pronounced without history psychiatric disorder (P for interaction < .001). association observed all subtypes, highest case hypertensive (HR 1.50, CI: 1.41–1.60), ischaemic heart 1.37, 1.13–1.65), failure 1.06–1.74). Conclusions Women middle adulthood. Reproductive history, including PND, should be considered assessments

Language: Английский

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Prevalence and Associated Factors of Postpartum Anxiety and Depression Symptoms Among Women in Shanghai, China

Journal of Affective Disorders, Journal Year: 2020, Volume and Issue: 274, P. 848 - 856

Published: May 23, 2020

Language: Английский

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Trajectories of antenatal depression and adverse pregnancy outcomes

American Journal of Obstetrics and Gynecology, Journal Year: 2021, Volume and Issue: 226(1), P. 108.e1 - 108.e9

Published: July 17, 2021

Language: Английский

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The Relationship Between Adverse Childhood Experiences and Postpartum Depression: A Systematic Review and Meta-Analysis

Trauma Violence & Abuse, Journal Year: 2024, Volume and Issue: 25(4), P. 3066 - 3081

Published: March 22, 2024

Although numerous factors have been found to influence postpartum depression (PPD), no previous meta-analysis systematically explored whether it is affected by adverse childhood experiences (ACEs). This study aimed explore the of ACEs and their subtypes on PPD. A systematic literature search was conducted using Web Science, PubMed, Embase, Wan Fang, China Science Technology Journal Database, Chinese Biomedical National Knowledge Infrastructure, screened according inclusion exclusion criteria. Methodological quality assessment data extraction were performed included studies. random-effects model used pool effects. In total, 24 studies included, 73 independent effects extracted from them. The revealed that ACE a risk factor for PPD (odds ratio [OR] = 2.31, 95% confidence interval [CI] [2.04, 2.63]). subgroup analysis results showed emotional abuse subtype most strongly related occurrence (OR 2.95, CI [2.08, 4.20]), followed neglect 2.87, [1.89, 4.36]) sexual 2.81, [1.93, 4.09]). addition, family member incarceration 2.62, [1.51, 4.54]), physical [1.67, 3.19]), 2.15, [1.36, 3.39]) also strong Early screening plays an important role in prevention intervention

Language: Английский

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Inflammatory biomarkers and perinatal depression: A systematic review

PLoS ONE, Journal Year: 2024, Volume and Issue: 19(5), P. e0280612 - e0280612

Published: May 31, 2024

Background Approximately 10 to 20% of pregnant women worldwide experience perinatal depression (PND), a depressive episode with onset during pregnancy or after childbirth. We performed systematic review identify, summarize and discuss studies on inflammatory biomarkers described in relation PND. Method Inclusion criteria defined the selection observational written English, French, Spanish Portuguese, that evaluate analytical levels molecules (protein levels) biological fluids women, diagnosis using ICD/DSM diagnostic symptoms assessed by standardized psychometric instruments, and/or postpartum. Case reports, experimental studies, reviews, qualitative analysis, meta-analysis, gray literature replicated data were excluded. Three electronic databases used for search (Pubmed, Web Science PsychInfo) quality assessment selected Newcastle-Ottawa Scale. Data extraction included study design; number subjects; obstetric information; tools timepoints markers assessment. Results 56 (sample size cross-sectional case-control ranging from 469; sample longitudinal 26 467), where major aim was analyze association between postpartum period this review. Overall, findings our lend support hypothesis several may be associated peripartum symptoms. The associations somewhat different looking at compared delivery time-point postpartum, mainly referred increased IL-6, IL-8, CRP TNF-α among depressed. Discussion In summary, provide evidence supporting correlate However, work also highlighted notable differences timing sampling methodologies assess period. Additionally, variations observed how approached, including their classification as exposure outcome variables, assessments. It is essential future research investigate influence assessments both gain deeper understanding association. This comprehensive exploration pivotal elucidating intricate relationship inflammation depression.

Language: Английский

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Maternal perinatal depressive symptoms trajectories and impact on toddler behavior – the importance of symptom duration and maternal bonding

Journal of Affective Disorders, Journal Year: 2020, Volume and Issue: 273, P. 542 - 551

Published: May 12, 2020

Maternal perinatal depression is a public health problem affecting mothers and children worldwide. This study aimed to increase the knowledge regarding impact of timing maternal on child behavioral difficulties at 18 months, taking into consideration gender bonding. Data from Swedish population-based longitudinal mother-infant (n = 1,093) were used for linear regression modeling. Associations between antenatal depression, postpartum persistent problems assessed. associated with higher Child Behavior Checklist scores. Girls affected greater degree. Postpartum bonding mediated most negative effects behavior; not however. reported by mother. Information paternal depressive symptoms was lacking. Different onset showed distinct associations problems. The bonding, indicating underlying mechanisms possibly related fetal programming. Screening even during pregnancy would be important in routine care order early identify treat depression.

Language: Английский

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Intimate Partner Violence and Perinatal Post-Traumatic Stress and Depression Symptoms: A Systematic Review of Findings in Longitudinal Studies

Trauma Violence & Abuse, Journal Year: 2020, Volume and Issue: 23(3), P. 733 - 747

Published: Nov. 28, 2020

The link between maternal violence exposure and adverse obstetric outcomes is well-documented, but less understood about the relationship intimate partner (IPV) perinatal post-traumatic stress symptoms(PTSS) depression in women around world. A systematic review was conducted to synthesize empirical literature on associations IPV (e.g., before pregnancy, during postpartum) symptoms period. This acknowledged effects of timing, timing assessment, subtypes. Forty-seven longitudinal studies met inclusion criteria were reviewed determine mental health. Findings suggested a strong Results more consistent health sustained close or period than for lifetime exposure. In general, physical, sexual, psychological independently associated with PTSS. underscore importance theoretically driven research development treatment protocols worldwide.

Language: Английский

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