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 |
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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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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.</description><identifier>ISSN: 0001-690X</identifier><identifier>EISSN: 1600-0447</identifier><identifier>DOI: 10.1111/j.1600-0047.2004.00296.x</identifier><identifier>PMID: 15117291</identifier><identifier>CODEN: APYSA9</identifier><language>eng</language><publisher>Oxford, UK: Munksgaard International Publishers</publisher><subject>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</subject><ispartof>Acta psychiatrica Scandinavica, 2004-06, Vol.109 (6), p.457-466</ispartof><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4336-d280b9c3669fae104521db4141a9aa83b5d028b3eb5b2bb12f877f6bdf46bdc03</citedby><cites>FETCH-LOGICAL-c4336-d280b9c3669fae104521db4141a9aa83b5d028b3eb5b2bb12f877f6bdf46bdc03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1600-0047.2004.00296.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1600-0047.2004.00296.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15762199$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15117291$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ross, L. E.</creatorcontrib><creatorcontrib>Sellers, E. M.</creatorcontrib><creatorcontrib>Gilbert Evans, S. E.</creatorcontrib><creatorcontrib>Romach, M. K.</creatorcontrib><title>Mood changes during pregnancy and the postpartum period: development of a biopsychosocial model</title><title>Acta psychiatrica Scandinavica</title><addtitle>Acta Psychiatr Scand</addtitle><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.</description><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Biological and medical sciences</subject><subject>Depression</subject><subject>Depression, Postpartum - diagnosis</subject><subject>Depression, Postpartum - epidemiology</subject><subject>Depression, Postpartum - psychology</subject><subject>Female</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Mood disorders</subject><subject>Mood Disorders - diagnosis</subject><subject>Mood Disorders - epidemiology</subject><subject>Mood Disorders - psychology</subject><subject>postpartum</subject><subject>Pregnancy - psychology</subject><subject>Psychology</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Social Support</subject><subject>statistical</subject><subject>women</subject><issn>0001-690X</issn><issn>1600-0447</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkEtv1DAURi0EokPhLyBvYJfgR2LHSCyqEbRILSABKurG8iszHpI4tROY-fd4yAhY4sW1LZ_P9-oAADEqcV6vdiVmCBUIVbwkuZYIEcHK_QOwWh6qij8EK4QQLphA387Ak5R2-Vpj1DwGZ7jGmBOBV0DehGCh2aph4xK0c_TDBo7RbQY1mANUg4XT1sExpGlUcZp7OLrog30NrfvhujD2bphgaKGC2ocxHcw2pGC86mAfrOuegket6pJ7dtrPwdd3b7-sr4rrj5fv1xfXhakoZYUlDdLCUMZEqxxGVU2w1RWusBJKNVTXFpFGU6drTbTGpG04b5m2bZWLQfQcvFz-HWO4n12aZO-TcV2nBhfmJDlueCVYk8FmAU0MKUXXyjH6XsWDxEge5cqdPDqUR7nyKFf-liv3Ofr81GPWvbN_gyebGXhxAlQyqmtjdujTPxxnBAuRuTcL99N37vDfA8iL9afP-ZTzxZL3aXL7P3kVv0vGKa_l7YdLSdjd1R2-ofKW_gI4R6WC</recordid><startdate>200406</startdate><enddate>200406</enddate><creator>Ross, L. E.</creator><creator>Sellers, E. M.</creator><creator>Gilbert Evans, S. E.</creator><creator>Romach, M. K.</creator><general>Munksgaard International Publishers</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200406</creationdate><title>Mood changes during pregnancy and the postpartum period: development of a biopsychosocial model</title><author>Ross, L. E. ; Sellers, E. M. ; Gilbert Evans, S. E. ; Romach, M. K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4336-d280b9c3669fae104521db4141a9aa83b5d028b3eb5b2bb12f877f6bdf46bdc03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Biological and medical sciences</topic><topic>Depression</topic><topic>Depression, Postpartum - diagnosis</topic><topic>Depression, Postpartum - epidemiology</topic><topic>Depression, Postpartum - psychology</topic><topic>Female</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Mood disorders</topic><topic>Mood Disorders - diagnosis</topic><topic>Mood Disorders - epidemiology</topic><topic>Mood Disorders - psychology</topic><topic>postpartum</topic><topic>Pregnancy - psychology</topic><topic>Psychology</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Social Support</topic><topic>statistical</topic><topic>women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ross, L. E.</creatorcontrib><creatorcontrib>Sellers, E. M.</creatorcontrib><creatorcontrib>Gilbert Evans, S. E.</creatorcontrib><creatorcontrib>Romach, M. K.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Acta psychiatrica Scandinavica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ross, L. E.</au><au>Sellers, E. M.</au><au>Gilbert Evans, S. E.</au><au>Romach, M. K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mood changes during pregnancy and the postpartum period: development of a biopsychosocial model</atitle><jtitle>Acta psychiatrica Scandinavica</jtitle><addtitle>Acta Psychiatr Scand</addtitle><date>2004-06</date><risdate>2004</risdate><volume>109</volume><issue>6</issue><spage>457</spage><epage>466</epage><pages>457-466</pages><issn>0001-690X</issn><eissn>1600-0447</eissn><coden>APYSA9</coden><abstract>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.</abstract><cop>Oxford, UK</cop><pub>Munksgaard International Publishers</pub><pmid>15117291</pmid><doi>10.1111/j.1600-0047.2004.00296.x</doi><tpages>10</tpages></addata></record> |
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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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