Predictive Validity of Screening Tools and Role of Self-Esteem and Coping in Postpartum Depression Risk
Diagnostics,
Год журнала:
2025,
Номер
15(9), С. 1152 - 1152
Опубликована: Апрель 30, 2025
Background/Objectives:
Postpartum
depression
(PPD)
is
a
prevalent
mental
health
disorder
affecting
women
after
childbirth,
with
significant
adverse
effects
on
both
maternal
and
infant
outcomes.
Early
detection
intervention
are
critical
to
improving
trajectories.
Material
Methods:
This
narrative
review
compares
the
predictive
validity
of
commonly
used
screening
instruments
for
PPD,
including
Edinburgh
Postnatal
Depression
Scale
(EPDS),
Patient
Health
Questionnaire-9
(PHQ-9),
brief
tools
like
PHQ-2
PHQ-4.
It
also
examines
role
self-esteem,
assessed
using
Rosenberg
Self-Esteem
(RSES),
coping
mechanisms,
evaluated
through
COPE
Inventory,
in
moderating
PPD
risk.
Results:
Validation
studies
reveal
variability
performance
across
different
populations,
emphasizing
need
contextual
calibration.
Low
self-esteem
maladaptive
strategies
consistently
associated
higher
risk,
socioeconomic
status
(SES)
further
influencing
these
relationships.
Interventions
focusing
enhancing
promoting
adaptive
coping,
such
as
cognitive–behavioral
therapy
psychoeducation,
show
promise
reducing
incidence.
Conclusions:
highlights
gaps
existing
research,
particularly
regarding
during
pregnancy,
calls
integrated
models
incorporating
psychosocial
variables.
Early,
context-sensitive
approaches
essential
effective
prevention
management.
Язык: Английский
Coping as a Mediator between Attachment and Depression either in Pregnancy or in the Early Postpartum Period: A Structural Equation Modelling Approach
Опубликована: Май 26, 2023
Abstract
Peripartum
depression
(PPD)
is
a
major
complication
of
pregnancy
and
many
risk
factors
have
been
associated
with
its
development,
including
dysfunctional
coping
strategies
insecure
attachment
styles,
both
during
postpartum.
The
aim
our
study
was
to
investigate
the
role
in
mediating
relationship
between
women’s
style
PPD
pregnancy,
one
week
after
childbirth,
large
cohort
women.
We
hypothesized
that
anxious
avoidant
would
be
mediated
by
use
maladaptive
strategies.
assessment
instruments
were
Edinburgh
Postnatal
Depression
Scale
(EPDS),
Brief
Coping
Orientation
for
Problem
Experiences
(COPE),
Close
Relationship
(ECR).
results
indicated
effect
styles
(anxious
attachment)
on
antepartum
depressive
symptomatology
partially
styles.
Anxious
has
also
an
indirect
significant
postpartum
through
emotional
coping;
however,
does
not
seem
significantly
related
depression.
Our
findings
revealed
only
it
important
consider
understanding
but
plays
these
relationships.
These
help
preventive
coping-based
intervention
strategy
enhance
capacity
women
more
adaptive
pregnancy.
Язык: Английский
Stress and Coping Strategies among Women in Late Motherhood
Journal of Clinical Medicine,
Год журнала:
2024,
Номер
13(7), С. 1995 - 1995
Опубликована: Март 29, 2024
Background:
The
shifting
reproductive
age
of
women
is
reflected
in
European
populations.
Pregnancy
older
than
35
years
considered
high-risk
and
can
be
an
additional
source
stress.
aim
this
study
was
to
assess
the
perceived
stress
experiencing
late
motherhood
coping
strategies
used.
Methods:
conducted
Poland
by
means
a
diagnostic
survey,
using
COPE
(Coping
Orientation
Problems
Experienced)
Inventory,
Perceived
Stress
Scale
(PSS),
Berlin
Social
Support
Scales
(BSSS),
self-administered
questionnaire.
included
310
who
gave
birth
their
first
child
after
313
respondents
control
group
before
age.
Results:
Based
on
results,
there
were
no
statistically
significant
differences
feelings
among
(M
=
18.33)
compared
18.14).
However,
observed
regarding
strategies.
Conclusions:
Women
giving
more
likely
use
including
active
coping,
planning,
positive
reformulation,
acceptance,
turning
religion,
seeking
instrumental
support.
Язык: Английский
Exploring the Relationship between Neuroticism and Perinatal Depressive Symptoms: Findings from a 2-Year, Multicenter Study in Italy
Brain Sciences,
Год журнала:
2024,
Номер
14(4), С. 366 - 366
Опубликована: Апрель 9, 2024
Neuroticism
is
a
personality
trait
associated
with
the
risk
of
affective
disorders
and
perinatal
depression.
We
investigated
relationship
between
different
levels
neuroticism,
psychological
characteristics,
depressive
symptoms
in
sample
pregnant
women
(N
=
2631)
who
accessed
gynecology
departments
Puglia
Region
(Italy)
from
July
2020
to
November
2022.
Women
were
assessed
for
factors
their
third
trimester
pregnancy
(T0)
after
childbirth
(T1),
followed-up
at
6
months
1
year
delivery
if
presenting
signs
depression
(T2–T3).
The
Edinburgh
Postnatal
Depression
Scale
(EPDS)
was
used
screen
symptoms,
neuroticism
through
subscales
NEO
Five
Factor
Inventory.
Standardized
measures
resilience,
coping
strategies,
partner
attachment,
quality
life
also
employed.
Higher
significantly
with:
(a)
higher
scores
on
EPDS;
(b)
anxiety
experience
close
relationships;
(c)
lower
wellbeing;
(d)
resilience;
(e)
active
coping;
(f)
self-blame.
Our
findings
may
suggest
that
specific
factor
should
be
routinely
clinical
screening
order
promote
an
early
referral
or
psychiatric
support
services.
Язык: Английский