AI Article Synopsis
- Antenatal mental health significantly influences postpartum depression (PPD), as shown in a study involving 438 women in Crete, Greece.
- High levels of maternal anxiety and depression during pregnancy correlate with an increased risk of experiencing PPD, with the odds of PPD rising by 70% for each 5-point increase in anxiety and 27% for higher depression scores.
- These findings highlight the importance of monitoring mental health in expecting mothers for early identification and support of those at risk for postpartum depression.
Article Abstract
Purpose: Antenatal maternal mental health has been identified as an important determinant of postpartum depression (PPD). We investigated the occurrence of depression both antenatally and postnatally and examined whether maternal trait anxiety and depression during pregnancy were associated with PPD at 8 weeks postpartum in a prospective mother-child cohort (Rhea Study) in Crete, Greece.
Methods: 438 women completed the Edinburgh Postnatal Depression Scale (EPDS) and the Trait subscale of the State-Trait Anxiety Inventory (STAI-Trait) questionnaires assessing antenatal depression and anxiety, respectively, during the third trimester of pregnancy as well as the EPDS at 8 weeks postpartum.
Results: The prevalence of women with probable depression (EPDS score ≥13) was 16.7 % at 28-32 weeks of pregnancy and 13.0 % at 8 weeks postpartum. A per 5 unit increase in the STAI-Trait subscale increased the odds for PPD by 70 % (OR = 1.70, 95 % CI 1.41, 2.05), whereas a per unit increase in EPDS during pregnancy increased the odds for PPD by 27 % (OR = 1.27, 95 % CI 1.19, 1.36).
Conclusions: Our findings suggest that antenatal maternal psychological well-being has a significant effect on PPD, which might have important implications for early detection during pregnancy of women at risk for postpartum depression.
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| http://dx.doi.org/10.1007/s00127-013-0758-z | DOI Listing |
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