2024-03-29T11:27:13Z
https://nagoya.repo.nii.ac.jp/oai
oai:nagoya.repo.nii.ac.jp:02005317
2023-04-03T05:09:18Z
1680497421380:1680497567489:1680497617729
Early risk factors for postpartum depression: A longitudinal Japanese population-based study
Nakano, Mami
Sourander, Andre
Luntamo, Terhi
Chudal, Roshan
Skokauskas, Norbert
Kaneko, Hitoshi
Postpartum depression
Population based longitudinal study
Unwanted pregnancy
Unplanned pregnancy
Mixed feeding
Risk factor
Background: Postpartum depression (PPD) negatively impacts maternal health, parenting and development of children. Most previous studies on PPD risk factors are based on Western populations. Additionally, little is known about the association between psychosocial factors during early pregnancy period and PPD. We aimed to identify early risk factors for PPD until three months after delivery using a longitudinal population-based sample from Japan. Methods: The data was collected from 1050 mothers at four time points: first trimester, after the birth, and one and three months post-delivery. Mothers who had a Japanese Edinburgh Postnatal Depression Scale (EPDS) cutoff score above 9 at one or 3 months after delivery were recognized as having PPD (n = 91/8.7%). Results: Negative feelings about pregnancy, combined breast and bottle feeding, first-time motherhood, motherhood 24 or less years old, perceived maternal mental illness before pregnancy, and lack of social support were all significantly associated with PPD at three months after delivery. Limitations: The data was collected from one city in Japan, which limits the generalization of the findings. Additionally, PPD was assessed by an EPDS questionnaire, and not by a clinical interview. Conclusions: Even after controlling for the perceived mental illness before pregnancy, several risk factors as early as in the first trimester were associated with PPD. These risk factors should be identified and the mothers should be offered a suitable intervention, in order to prevent the development of PPD.
journal article
Elsevier
2020-05-15
application/pdf
Journal of Affective Disorders
269
148
153
01650327
https://nagoya.repo.nii.ac.jp/record/2005317/files/JAD_2019_2734_Revision 2_V0.pdf
eng
https://doi.org/10.1016/j.jad.2020.03.026
© 2020. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/