Volume 23, Issue 1 (January- February 2024)
Payesh 2024, 23(1): 69-79 |
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Ethics code: IR.MODARES.REC.1400.142
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Karbalaei S, Lamyian M, Eslami M, Sahebi L, Ansari S. Prevalence and factors affecting symptoms of postpartum depression 6 months before and 6 months after the COVID-19 pandemic: A comparative study. Payesh 2024; 23 (1) :69-79
URL: http://payeshjournal.ir/article-1-2170-en.html
URL: http://payeshjournal.ir/article-1-2170-en.html
1- Department of Reproductive Health and Midwifery, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
2- Ministry of Health, Treatment and Medical Education, Tehran, Iran
3- Maternal, Fetal and Neonatal Research Center, Family Health Research Institute, Tehran University of Medical Sciences, Tehran, Iran
4- Psychosomatic Medicine Research Center, Imam Khomeini Hospital, Tehran University of Medical Sciences, Iran
2- Ministry of Health, Treatment and Medical Education, Tehran, Iran
3- Maternal, Fetal and Neonatal Research Center, Family Health Research Institute, Tehran University of Medical Sciences, Tehran, Iran
4- Psychosomatic Medicine Research Center, Imam Khomeini Hospital, Tehran University of Medical Sciences, Iran
Abstract: (1689 Views)
Objective(s): Postpartum depression is common in women. The present study was conducted with the aim of investigating and comparing the prevalence and factors affecting symptoms of postpartum depression in 6 months before and after the beginning of the covid-19 pandemic.
Methods: This cross-sectional study compared symptoms of postpartum depression in 39724 women who gave birth 6 months before the COVID-19 pandemic and 6100 women who gave birth after the COVID-19 pandemic. The information related to the symptoms of postpartum depression was extracted from mental health screening records that are commonly used in health centers covered by the Ministry of Health. General information was obtained from the National Integrated Health System of the Ministry of Health and the data were analyzed in SPSS 22 software.
Results: The prevalence of postpartum depressive symptoms 6 months before and 6 months after the COVID-19 pandemic was 1.9% and 2.6%, respectively. Symptoms of Postpartum depression 6 months before the COVID-19 pandemic significantly was associated with age, body mass index, history of infant death, unwanted pregnancy, the number of births (P<0.05), while symptoms of postpartum depression 6 months after the COVID-19 significantly was associated with education, unwanted pregnancy, the number of births (P<0.05). Based on multiple logistic regression analysis, the COVID-19 pandemic increased symptoms of postpartum depression [(OR=1.49, 95% CI: (1.12– 1.83)].
Conclusion: The COVID-19 pandemic influenced postpartum depression. The findings from the current study might be helpful in postpartum depressive symptoms management in the future crises.
Methods: This cross-sectional study compared symptoms of postpartum depression in 39724 women who gave birth 6 months before the COVID-19 pandemic and 6100 women who gave birth after the COVID-19 pandemic. The information related to the symptoms of postpartum depression was extracted from mental health screening records that are commonly used in health centers covered by the Ministry of Health. General information was obtained from the National Integrated Health System of the Ministry of Health and the data were analyzed in SPSS 22 software.
Results: The prevalence of postpartum depressive symptoms 6 months before and 6 months after the COVID-19 pandemic was 1.9% and 2.6%, respectively. Symptoms of Postpartum depression 6 months before the COVID-19 pandemic significantly was associated with age, body mass index, history of infant death, unwanted pregnancy, the number of births (P<0.05), while symptoms of postpartum depression 6 months after the COVID-19 significantly was associated with education, unwanted pregnancy, the number of births (P<0.05). Based on multiple logistic regression analysis, the COVID-19 pandemic increased symptoms of postpartum depression [(OR=1.49, 95% CI: (1.12– 1.83)].
Conclusion: The COVID-19 pandemic influenced postpartum depression. The findings from the current study might be helpful in postpartum depressive symptoms management in the future crises.
Keywords: postpartum depression, symptoms, prevalence of depression symptoms, related factors, COVID-19 pandemic
type of study: Descriptive |
Subject:
Health Psychologhy
Received: 2023/06/8 | Accepted: 2023/10/21 | ePublished ahead of print: 2023/11/20 | Published: 2023/12/27
Received: 2023/06/8 | Accepted: 2023/10/21 | ePublished ahead of print: 2023/11/20 | Published: 2023/12/27
References
1. Iwata H, Mori E, Sakajo A, Aoki K, Maehara K, Tamakoshi K. Prevalence of Postpartum Depressive Symptoms During the First 6 Months Postpartum: Association with Maternal Age and Parity. Journal of Affective Disorders 2016;203:227-232 [DOI:10.1016/j.jad.2016.06.002]
2. Evagorou O, Arvaniti A, Samakouri M. Cross-cultural Approach of Postpartum Depression: Manifestation, Practices Applied, Risk factors and Therapeutic Interventions. Psychiatric Quarterly 2016;87:129-54 [DOI:10.1007/s11126-015-9367-1]
3. Garfield L, Holditch-Davis D, Carter CS, McFarlin BL, Schwertz D, Seng JS, et al. Risk factors for Postpartum Depressive Symptoms in low-income Women with Very Low birth weight Infants. Advances in Neonatal Care: Official journal of the National Association of Neonatal Nurses 2015;15:E3-E8 [DOI:10.1097/ANC.0000000000000131]
4. Ko JY, Rockhill KM, Tong VT, Morrow B, Farr SL. Trends in Postpartum Depressive Symptoms - 27 States, 2004, 2008, and 2012. MMWR Morbidity and Mortality Weekly Report 2017;66:153-158 [DOI:10.15585/mmwr.mm6606a1]
5. Mahdavy M, Kheirabadi G. The Prevalence of Postpartum Depression and Its Related Factors among Women in Natanz City in 2018 (Iran). Qom University of Medical Sciences Journal 2020;14:78-85 ]Persian[ [DOI:10.29252/qums.14.2.78]
6. Mughal S, Azhar Y, Siddiqui W. Postpartum Depression. StatPearls. Treasure Island (FL), 1st Edition, StatPearls Publishing LLC: Islan, 2022
7. Verreault N, Da Costa D, Marchand A, Ireland K, Dritsa M, Khalife S. Rates and Risk factors Associated with Depressive Symptoms during Pregnancy and with Postpartum Onset. Journal of Psychosomatic Obstetrics & Gynecology 2014;35:84-91 [DOI:10.3109/0167482X.2014.947953]
8. Suarez-Rico BV, Estrada-Gutierrez G, Sanchez-Martinez M, Perichart-Perera O, Rodriguez-Hernandez C, Gonzalez-Leyva C, et al. Prevalence of Depression, Anxiety, and Perceived Stress in Postpartum Mexican Women during the COVID-19 lockdown. International Journal of Environmental Research and Public Health 2021;18:1-9 [DOI:10.3390/ijerph18094627]
9. Shakeel N, Sletner L, Falk RS, Slinning K, Martinsen EW, Jenum AK, et al. Prevalence of Postpartum Depressive Symptoms in a Multiethnic Population and The role of Ethnicity and Integration. Journal of Affective Disorders 2018;241:49-58 [DOI:10.1016/j.jad.2018.07.056]
10. Alfayumi‐Zeadna S, Kaufman‐Shriqui V, Zeadna A, Lauden A, Shoham‐Vardi I. The Association between Sociodemographic Characteristics and Postpartum Depression Symptoms among Arab‐Bedouin women in Southern Israel. Depression and Anxiety 2015;32:120-128 [DOI:10.1002/da.22290]
11. Correa H, Castro e Couto T, Santos W, Romano-Silva MA, Santos LMP. Postpartum Depression Symptoms Among Amazonian and Northeast Brazilian Women. Journal of Affective Disorders 2016;204:214-218 [DOI:10.1016/j.jad.2016.06.026]
12. Bauman BL, Ko JY, Cox S, D'Angelo DV, Warner L, Folger S, et al. Vital Signs: Postpartum Depressive Symptoms and Provider Discussions about Perinatal Depression-United States, 2018. Morbidity and Mortality Weekly Report. 2020;69:575-581 [DOI:10.15585/mmwr.mm6919a2]
13. Coca KP, Chien L-Y, Lee EY, Souza ACdP, Hong SA, Chang Y-S. Factors Associated with Postpartum Depression Symptoms among Postpartum Women in Five Countries During the COVID-19 Pandemic: AN Online Cross-sectional Study. BMC Psychiatry 2023;23:1-10 [DOI:10.1186/s12888-023-04607-0]
14. Bradshaw H, Riddle JN, Salimgaraev R, Zhaunova L, Payne JL. Risk factors Associated with Postpartum Depressive Symptoms: A Multinational Study. Journal of Affective Disorders 2022; 301:345-351 [DOI:10.1016/j.jad.2021.12.121]
15. Cunningham SD, Mokshagundam S, Chai H, Lewis JB, Levine J, Tobin JN, et al. Postpartum Depressive Symptoms: Gestational weight Gain as a Risk factor for Adolescents who are Overweight or Obese. Journal of Midwifery & Women's Health 2018;63:178-84 [DOI:10.1111/jmwh.12686]
16. Ertel KA, Huang T, Rifas-Shiman SL, Kleinman K, Rich-Edwards J, Oken E, et al. Perinatal Weight and Risk of Prenatal and Postpartum Depressive Symptoms. Annals of Epidemiology 2017;27:695-700 [DOI:10.1016/j.annepidem.2017.10.007]
17. Papamarkou M, Sarafis P, Kaite CP, Malliarou M, Tsounis A, Niakas D. Investigation of the Association Between Quality of life and Depressive Symptoms during Postpartum Period: A Correlational Study. BMC Women's Health. 2017;17:1-9 [DOI:10.1186/s12905-017-0473-0]
18. Surkan PJ, Sakyi K, Strobino DM, Mehra S, Labrique A, Ali H, et al. Depressive Symptoms in Mothers After Perinatal and Early Infant loss in Rural Bangladesh: A Population-based Study. Annals of Epidemiology 2016;26:467-473 [DOI:10.1016/j.annepidem.2016.06.001]
19. Lara MA, Navarrete L, Nieto L. Prenatal Predictors of Postpartum Depression and Postpartum Depressive Symptoms in Mexican Mothers: A longitudinal Study. Archives of Women's Mental Health 2016;19:825-834 [DOI:10.1007/s00737-016-0623-7]
20. Filha MMT, Ayers S, da Gama SGN, do Carmo Leal M. Factors Associated with Postpartum Depressive Symptomatology in Brazil: The Birth in Brazil National Research Study, 2011/2012. Journal of Affective Disorders 2016;194:159-167 [DOI:10.1016/j.jad.2016.01.020]
21. Dennis C-L, Heaman M, Vigod S. Epidemiology of Postpartum Depressive Symptoms Among Canadian Women: Regional and National results from A Cross-sectional Survey. The Canadian Journal of Psychiatry 2012;57:537-546 [DOI:10.1177/070674371205700904]
22. Galletta MAK, Oliveira AMdSS, Albertini JGL, Benute GG, Peres SV, de Lourdes Brizot M, et al. Postpartum Depressive Symptoms of Brazilian Women During the COVID-19 Pandemic Measured by the Edinburgh Postnatal Depression Scale. Journal of Affective Disorders 2022;296:577-586 [DOI:10.1016/j.jad.2021.09.091]
23. Zanardo V, Manghina V, Giliberti L, Vettore M, Severino L, Straface G. Psychological Impact of COVID‐19 Quarantine Measures in Northeastern Italy on Mothers in the Immediate Postpartum Period. International Journal of Gynecology & Obstetrics 2020;150:184-188 [DOI:10.1002/ijgo.13249]
24. Marino‐Narvaez C, Puertas‐Gonzalez JA, Romero‐Gonzalez B, Peralta‐Ramirez MI. Giving birth During the COVID‐19 Pandemic: The Impact on Birth Satisfaction and Postpartum Depression. International Journal of Gynecology & Obstetrics 2021;153:83-88 [DOI:10.1002/ijgo.13565]
25. Vatcheva T, Mostaert A, Van Ingelgem V, Henrion E, Legros L. Impact of COVID-19 Pandemic on Postpartum Depression Among Mothers of Extreme and Early Preterm Infants. International Journal of Gynaecology and Obstetrics: The Official Organ of The International Federation of Gynaecology and Obstetrics 2021;155:490-495 [DOI:10.1002/ijgo.13859]
26. Spinola O, Liotti M, Speranza AM, Tambelli R. Effects of COVID-19 Epidemic Lockdown on Postpartum Depressive Symptoms in A Sample of Italian Mothers. Frontiers in Psychiatry 2020;11:1-10 [DOI:10.3389/fpsyt.2020.589916]
27. Mathisen SE, Glavin K, Lien L, Lagerlov P. Prevalence and Risk Factors for Postpartum Depressive Symptoms in Argentina: A cross-sectional Study. International Journal of Women's Health 2013;5:787-793 [DOI:10.2147/IJWH.S51436]
28. Anato A, Baye K, Stoecker B. Determinants of Depressive Symptoms Among Postpartum Mothers: A cross-Sectional Study in Ethiopia. BMJ Open 2022;12:1-7 [DOI:10.1136/bmjopen-2021-058633]
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