Mood changes during pregnancy and the postpartum period: development of a biopsychosocial model

Objective:  Women are vulnerable to mood changes during pregnancy and the postpartum period. We set out to empirically test the hypothesis that biological and psychosocial variables interact to result in this vulnerability. Method:  Using structural equation modeling techniques, we developed an inte...

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Veröffentlicht in:Acta psychiatrica Scandinavica 2004-06, Vol.109 (6), p.457-466
Hauptverfasser: Ross, L. E., Sellers, E. M., Gilbert Evans, S. E., Romach, M. K.
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container_end_page 466
container_issue 6
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container_title Acta psychiatrica Scandinavica
container_volume 109
creator Ross, L. E.
Sellers, E. M.
Gilbert Evans, S. E.
Romach, M. K.
description Objective:  Women are vulnerable to mood changes during pregnancy and the postpartum period. We set out to empirically test the hypothesis that biological and psychosocial variables interact to result in this vulnerability. Method:  Using structural equation modeling techniques, we developed an integrative model of perinatal mood changes from clinical, psychosocial, hormone and mood data collected from 150 women in late pregnancy and at 6‐weeks postpartum. Results:  In the prenatal model, biological variables had no direct effect on depressive symptoms. However, they did act indirectly through their significant effects on psychosocial stressors and symptoms of anxiety. The same model did not fit the postpartum data, suggesting that different causal variables may be implicated in postpartum mood. Conclusion:  This model demonstrates the importance of considering both biological and psychosocial variables in complex health conditions such as perinatal mood disorders.
doi_str_mv 10.1111/j.1600-0047.2004.00296.x
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adult
Adult and adolescent clinical studies
Biological and medical sciences
Depression
Depression, Postpartum - diagnosis
Depression, Postpartum - epidemiology
Depression, Postpartum - psychology
Female
Humans
Medical sciences
Mood disorders
Mood Disorders - diagnosis
Mood Disorders - epidemiology
Mood Disorders - psychology
postpartum
Pregnancy - psychology
Psychology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Social Support
statistical
women
title Mood changes during pregnancy and the postpartum period: development of a biopsychosocial model
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