Sociodemographic and delivery risk factors for developing
postpartum depression in a sample of 3233 mothers from the
Czech ELSPAC study

J 2017

Sociodemographic and delivery risk factors for developing postpartum depression in a sample of 3233 mothers from the Czech ELSPAC study

FIALA, Adam, Jan ŠVANCARA, Jana KLÁNOVÁ and Tomáš KAŠPÁREK

Basic information

Original name

Sociodemographic and delivery risk factors for developing postpartum depression in a sample of 3233 mothers from the Czech ELSPAC study

Authors

FIALA, Adam (203 Czech Republic, belonging to the institution), Jan ŠVANCARA (203 Czech Republic, belonging to the institution), Jana KLÁNOVÁ (203 Czech Republic, belonging to the institution) and Tomáš KAŠPÁREK (203 Czech Republic, belonging to the institution)

Edition

BMC Psychiatry, London, BioMed Central, 2017, 1471-244X

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30215 Psychiatry

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 2.419

RIV identification code

RIV/00216224:14110/17:00096498

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1186/s12888-017-1261-y

UT WoS

000398423200001

Keywords in English

Postpartum depression; PPD; Risk factors; ELSPAC; EPDS; Postpartum blues; Mood disorders

Abstract

V originále

Background: In the postpartum period, certain groups of women are at a higher risk for developing depressive episodes. Several studies have described risk factors for developing postpartum depression (PPD). However, these studies have used limited numbers of participants, and therefore the estimated prevalence of PPD varies greatly. Methods: The objective of this study is to identify the main risk factors for developing PPD by using data collected via the Czech version of the European Longitudinal Study of Pregnancy and Childhood (ELSPAC). This database provides a representative sample (n = 7589) observed prospectively and a large amount of data on depressive symptoms and on biological, socioeconomic, and environmental factors. The Edinburgh Postnatal Depression Scale (EPDS) was used to screen for incidence of PPD. The affective pathology was examined at three time points: before delivery, 6 weeks after delivery, and 6 months after delivery. Results: The prevalence of depressive symptoms before delivery was 12.8%, 6 weeks after delivery 11.8%, and 6 months after delivery 10.1%. The prevalence rates are based on women who completed questionnaires at all three time-points (N = 3233). At all three time points, the main risk factors for developing PPD identified as significant by both univariate and multivariate analysis were personal history of depressive episodes and mothers experiencing psychosocial stressors. Other risk factors occurring in both types of analysis were: family history of depression from expectant mother's paternal side (prenatal), mothers living without partners (6 weeks postpartum) and feelings of unhappiness about being pregnant (6 months postpartum). Several protective factors were also observed: male child gender (prenatal), primiparous mothers (6 months postpartum), and secondary education (prenatal, only by multivariate analysis). Significant risk factors found solely by univariate analysis were family history of depression in both parents of the expectant mother (prenatal and 6 weeks postpartum), family history of depression from subject's maternal side (6 months postpartum), unintentional pregnancy (prenatal and 6 weeks postpartum), feelings of unhappiness about being pregnant (prenatal and 6 weeks postpartum), primary education (prenatal and 6 weeks postpartum), mothers who opted not to breastfeed (6 months postpartum) and mothers living without partners (prenatal and 6 months postpartum). Family savings were identified as protective factor (prenatal and 6 months postpartum). Conclusions: We identified significant predictors of PPD. These predictors can be easily detected in clinical practice, and systematic screening can lead to identifying potentially at risk mothers. Since the risk is linked with experience of psychosocial stressors it seems that they might benefit from increased psychosocial support to prevent affective pathology.

Links

EF15_003/0000469, research and development project

Name: Cetocoen Plus

LM2011028, research and development project

Name: RECETOX ? Národní infrastruktura pro výzkum toxických látek v prostředí

Investor: Ministry of Education, Youth and Sports of the CR

MUNI/M/1075/2013, interní kód MU

Name: CELSPAC: Central European Longitudinal Study of Pregnacy and Childhood (Acronym: CELSPAC)

Investor: Masaryk University, INTERDISCIPLINARY - Interdisciplinary research projects

Citovat

FIALA, Adam, Jan ŠVANCARA, Jana KLÁNOVÁ and Tomáš KAŠPÁREK. Sociodemographic and delivery risk factors for developing postpartum depression in a sample of 3233 mothers from the Czech ELSPAC study. BMC Psychiatry. London: BioMed Central, 2017, vol. 17, No 104, p. 1-10. ISSN 1471-244X. Available from: https://dx.doi.org/10.1186/s12888-017-1261-y.

@article{1378658,
   author = {Fiala, Adam and Švancara, Jan and Klánová, Jana and Kašpárek, Tomáš},
   article_location = {London},
   article_number = {104},
   doi = {http://dx.doi.org/10.1186/s12888-017-1261-y},
   keywords = {Postpartum depression; PPD; Risk factors; ELSPAC; EPDS; Postpartum blues; Mood disorders},
   language = {eng},
   issn = {1471-244X},
   journal = {BMC Psychiatry},
   title = {Sociodemographic and delivery risk factors for developing postpartum depression in a sample of 3233 mothers from the Czech ELSPAC study},
   url = {https://slovakedu.com/_files/200003895-205bd21553/Vyzvy2017_Book%20of_Abstracts-2.pdf},
   volume = {17},
   year = {2017}
}

TY  - JOUR
ID  - 1378658
AU  - Fiala, Adam - Švancara, Jan - Klánová, Jana - Kašpárek, Tomáš
PY  - 2017
TI  - Sociodemographic and delivery risk factors for developing postpartum depression in a sample of 3233 mothers from the Czech ELSPAC study
JF  - BMC Psychiatry
VL  - 17
IS  - 104
SP  - 1-10
EP  - 1-10
PB  - BioMed Central
SN  - 1471244X
KW  - Postpartum depression
KW  - PPD
KW  - Risk factors
KW  - ELSPAC
KW  - EPDS
KW  - Postpartum blues
KW  - Mood disorders
UR  - https://slovakedu.com/_files/200003895-205bd21553/Vyzvy2017_Book%20of_Abstracts-2.pdf
N2  - Background: In the postpartum period, certain groups of women are at a higher risk for developing depressive episodes. Several studies have described risk factors for developing postpartum depression (PPD). However, these studies have used limited numbers of participants, and therefore the estimated prevalence of PPD varies greatly. Methods: The objective of this study is to identify the main risk factors for developing PPD by using data collected via the Czech version of the European Longitudinal Study of Pregnancy and Childhood (ELSPAC). This database provides a representative sample (n = 7589) observed prospectively and a large amount of data on depressive symptoms and on biological, socioeconomic, and environmental factors. The Edinburgh Postnatal Depression Scale (EPDS) was used to screen for incidence of PPD. The affective pathology was examined at three time points: before delivery, 6 weeks after delivery, and 6 months after delivery. Results: The prevalence of depressive symptoms before delivery was 12.8%, 6 weeks after delivery 11.8%, and 6 months after delivery 10.1%. The prevalence rates are based on women who completed questionnaires at all three time-points (N = 3233). At all three time points, the main risk factors for developing PPD identified as significant by both univariate and multivariate analysis were personal history of depressive episodes and mothers experiencing psychosocial stressors. Other risk factors occurring in both types of analysis were: family history of depression from expectant mother's paternal side (prenatal), mothers living without partners (6 weeks postpartum) and feelings of unhappiness about being pregnant (6 months postpartum). Several protective factors were also observed: male child gender (prenatal), primiparous mothers (6 months postpartum), and secondary education (prenatal, only by multivariate analysis). Significant risk factors found solely by univariate analysis were family history of depression in both parents of the expectant mother (prenatal and 6 weeks postpartum), family history of depression from subject's maternal side (6 months postpartum), unintentional pregnancy (prenatal and 6 weeks postpartum), feelings of unhappiness about being pregnant (prenatal and 6 weeks postpartum), primary education (prenatal and 6 weeks postpartum), mothers who opted not to breastfeed (6 months postpartum) and mothers living without partners (prenatal and 6 months postpartum). Family savings were identified as protective factor (prenatal and 6 months postpartum). Conclusions: We identified significant predictors of PPD. These predictors can be easily detected in clinical practice, and systematic screening can lead to identifying potentially at risk mothers. Since the risk is linked with experience of psychosocial stressors it seems that they might benefit from increased psychosocial support to prevent affective pathology.
ER  -

FIALA, Adam, Jan ŠVANCARA, Jana KLÁNOVÁ and Tomáš KAŠPÁREK. Sociodemographic and delivery risk factors for developing postpartum depression in a sample of 3233 mothers from the Czech ELSPAC study. \textit{BMC Psychiatry}. London: BioMed Central, 2017, vol.~17, No~104, p.~1-10. ISSN~1471-244X. Available from: https://dx.doi.org/10.1186/s12888-017-1261-y.

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