Prospective study of postpartum depression in eastern Turkey prevalence, socio-demographic and obstetric correlates, prenatal anxiety and early awareness
Aims and objectives. The study was undertaken to provide an estimate of the prevalence of postpartum depression and its correlates. Further, we sought to evaluate the predictive power of the Edinburgh Postnatal Depression Scale when administered at postpartum week one for symptoms of depression at...
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description | Aims and objectives. The study was undertaken to provide an estimate of the prevalence of postpartum depression and its correlates. Further, we sought to evaluate the predictive power of the Edinburgh Postnatal Depression Scale when administered at postpartum week one for symptoms of depression at postpartum week six.
Background. Postpartum depression is a major health issue for women worldwide with well‐documented negative health consequences for the mother and family. It is therefore important to evaluate prenatal detection of women at risk for developing postpartum depression.
Design. A prospective study.
Methods. The study involved 479 pregnant women in Erzurum, Turkey who were evaluated during the third trimester of pregnancy and at one and six weeks postpartum by community midwives. Questionnaires were used for data collection. Anxiety/social support scales were used for baseline evaluation, and the Edinburgh Postpartum Depression Scale was administered at one and six weeks postpartum.
Results. The prevalence of depressive symptoms according to the Edinburgh Postpartum Depression Scale was 17·7% at first week and 14% at sixth week postpartum. The factors that were most predictive of postpartum depression were psychiatric history during pregnancy; prenatal anxiety; poor marital relationship in the first postpartum weeks; lack of health insurance and lack of contraceptive use. The correlation between symptoms of depression at one and six weeks in the postpartum period was significant.
Conclusions. The prevalence of postpartum depression and its correlates were similar to the results of Western studies. Early identification of potential risk factors may aid in recognition of and treatment for postpartum depression. The Edinburgh scale is a simple yet useful tool to use during the early postpartum period for evaluation of depressive symptoms.
Relevance to clinical practice. This study highlights the utility of screening for risk of postpartum depression during pregnancy and also during the early postpartum period. |
doi_str_mv | 10.1111/j.1365-2702.2009.03046.x |
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Background. Postpartum depression is a major health issue for women worldwide with well‐documented negative health consequences for the mother and family. It is therefore important to evaluate prenatal detection of women at risk for developing postpartum depression.
Design. A prospective study.
Methods. The study involved 479 pregnant women in Erzurum, Turkey who were evaluated during the third trimester of pregnancy and at one and six weeks postpartum by community midwives. Questionnaires were used for data collection. Anxiety/social support scales were used for baseline evaluation, and the Edinburgh Postpartum Depression Scale was administered at one and six weeks postpartum.
Results. The prevalence of depressive symptoms according to the Edinburgh Postpartum Depression Scale was 17·7% at first week and 14% at sixth week postpartum. The factors that were most predictive of postpartum depression were psychiatric history during pregnancy; prenatal anxiety; poor marital relationship in the first postpartum weeks; lack of health insurance and lack of contraceptive use. The correlation between symptoms of depression at one and six weeks in the postpartum period was significant.
Conclusions. The prevalence of postpartum depression and its correlates were similar to the results of Western studies. Early identification of potential risk factors may aid in recognition of and treatment for postpartum depression. The Edinburgh scale is a simple yet useful tool to use during the early postpartum period for evaluation of depressive symptoms.
Relevance to clinical practice. This study highlights the utility of screening for risk of postpartum depression during pregnancy and also during the early postpartum period.</description><identifier>ISSN: 0962-1067</identifier><identifier>EISSN: 1365-2702</identifier><identifier>DOI: 10.1111/j.1365-2702.2009.03046.x</identifier><identifier>PMID: 20500282</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adult ; Anxiety ; Anxiety - psychology ; Awareness ; Demographics ; Demography ; Depression, Postpartum - epidemiology ; Female ; Humans ; Middle Aged ; Midwifery ; nurses ; Nursing ; Obstetrics ; postpartum depression ; Postpartum period ; Pregnancy ; Pregnancy Trimester, Third ; prenatal anxiety ; Prevalence ; Prospective Studies ; Questionnaires ; Risk Factors ; Social support ; Socioeconomic Factors ; Turkey - epidemiology ; Womens health ; Young Adult</subject><ispartof>Journal of clinical nursing, 2010-02, Vol.19 (3-4), p.422-431</ispartof><rights>2010 Blackwell Publishing Ltd</rights><rights>Copyright Blackwell Publishing Ltd. Feb 2010</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5166-c3cb9b61e3d80581be4acbffbf188023fa94b53480151800a71a5ad93b4756e73</citedby><cites>FETCH-LOGICAL-c5166-c3cb9b61e3d80581be4acbffbf188023fa94b53480151800a71a5ad93b4756e73</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.1365-2702.2009.03046.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1365-2702.2009.03046.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20500282$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kirpinar, Ismet</creatorcontrib><creatorcontrib>Gözüm, Sebahat</creatorcontrib><creatorcontrib>Pasinlioglu, Türkan</creatorcontrib><title>Prospective study of postpartum depression in eastern Turkey prevalence, socio-demographic and obstetric correlates, prenatal anxiety and early awareness</title><title>Journal of clinical nursing</title><addtitle>J Clin Nurs</addtitle><description>Aims and objectives. The study was undertaken to provide an estimate of the prevalence of postpartum depression and its correlates. Further, we sought to evaluate the predictive power of the Edinburgh Postnatal Depression Scale when administered at postpartum week one for symptoms of depression at postpartum week six.
Background. Postpartum depression is a major health issue for women worldwide with well‐documented negative health consequences for the mother and family. It is therefore important to evaluate prenatal detection of women at risk for developing postpartum depression.
Design. A prospective study.
Methods. The study involved 479 pregnant women in Erzurum, Turkey who were evaluated during the third trimester of pregnancy and at one and six weeks postpartum by community midwives. Questionnaires were used for data collection. Anxiety/social support scales were used for baseline evaluation, and the Edinburgh Postpartum Depression Scale was administered at one and six weeks postpartum.
Results. The prevalence of depressive symptoms according to the Edinburgh Postpartum Depression Scale was 17·7% at first week and 14% at sixth week postpartum. The factors that were most predictive of postpartum depression were psychiatric history during pregnancy; prenatal anxiety; poor marital relationship in the first postpartum weeks; lack of health insurance and lack of contraceptive use. The correlation between symptoms of depression at one and six weeks in the postpartum period was significant.
Conclusions. The prevalence of postpartum depression and its correlates were similar to the results of Western studies. Early identification of potential risk factors may aid in recognition of and treatment for postpartum depression. The Edinburgh scale is a simple yet useful tool to use during the early postpartum period for evaluation of depressive symptoms.
Relevance to clinical practice. This study highlights the utility of screening for risk of postpartum depression during pregnancy and also during the early postpartum period.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Anxiety</subject><subject>Anxiety - psychology</subject><subject>Awareness</subject><subject>Demographics</subject><subject>Demography</subject><subject>Depression, Postpartum - epidemiology</subject><subject>Female</subject><subject>Humans</subject><subject>Middle Aged</subject><subject>Midwifery</subject><subject>nurses</subject><subject>Nursing</subject><subject>Obstetrics</subject><subject>postpartum depression</subject><subject>Postpartum period</subject><subject>Pregnancy</subject><subject>Pregnancy Trimester, Third</subject><subject>prenatal anxiety</subject><subject>Prevalence</subject><subject>Prospective Studies</subject><subject>Questionnaires</subject><subject>Risk Factors</subject><subject>Social support</subject><subject>Socioeconomic Factors</subject><subject>Turkey - epidemiology</subject><subject>Womens health</subject><subject>Young Adult</subject><issn>0962-1067</issn><issn>1365-2702</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkcFu1DAQhiMEokvhFZDFhUsTxnbsJBcktKKlqNrSahFHy3EmkG02Tu2k3TwKb1unW_bABXzxWPPNb9lfFBEKCQ3rwyahXIqYZcASBlAkwCGVye5ZtDg0nkcLKCSLKcjsKHrl_QaAcsb4y-iIgQBgOVtEv78563s0Q3OHxA9jNRFbk976odduGLekwt6h943tSNMR1H5A15H16G5wIqF1p1vsDJ4Qb01j4wq39qfT_a_GEN1VxJZhYHDhZKxz2OoB_ck81-lBtwHZNThMjyhq14bqXodmuPF19KLWrcc3T_tx9P3083r5Jb64PDtffrqIjaBSxoabsiglRV7lIHJaYqpNWddlTfMcGK91kZaCpzlQQXMAnVEtdFXwMs2ExIwfR-_3ub2ztyP6QW0bb7BtdYd29CqTaQqCSflvknMKmQARyHd_kRs7ui48QzEevl4WtAhQvodMUOAd1qp3zVa7SVFQs2a1UbNNNdtUs2b1qFntwujbp_yx3GJ1GPzjNQAf98B90-L038Hq6-VyNZchIN4HNMHf7hCg3Y2SGc-E-rE6U3C9Xl1dwbU65Q_at8h_</recordid><startdate>201002</startdate><enddate>201002</enddate><creator>Kirpinar, Ismet</creator><creator>Gözüm, Sebahat</creator><creator>Pasinlioglu, Türkan</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</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>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201002</creationdate><title>Prospective study of postpartum depression in eastern Turkey prevalence, socio-demographic and obstetric correlates, prenatal anxiety and early awareness</title><author>Kirpinar, Ismet ; Gözüm, Sebahat ; Pasinlioglu, Türkan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5166-c3cb9b61e3d80581be4acbffbf188023fa94b53480151800a71a5ad93b4756e73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Anxiety</topic><topic>Anxiety - psychology</topic><topic>Awareness</topic><topic>Demographics</topic><topic>Demography</topic><topic>Depression, Postpartum - epidemiology</topic><topic>Female</topic><topic>Humans</topic><topic>Middle Aged</topic><topic>Midwifery</topic><topic>nurses</topic><topic>Nursing</topic><topic>Obstetrics</topic><topic>postpartum depression</topic><topic>Postpartum period</topic><topic>Pregnancy</topic><topic>Pregnancy Trimester, Third</topic><topic>prenatal anxiety</topic><topic>Prevalence</topic><topic>Prospective Studies</topic><topic>Questionnaires</topic><topic>Risk Factors</topic><topic>Social support</topic><topic>Socioeconomic Factors</topic><topic>Turkey - epidemiology</topic><topic>Womens health</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kirpinar, Ismet</creatorcontrib><creatorcontrib>Gözüm, Sebahat</creatorcontrib><creatorcontrib>Pasinlioglu, Türkan</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kirpinar, Ismet</au><au>Gözüm, Sebahat</au><au>Pasinlioglu, Türkan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prospective study of postpartum depression in eastern Turkey prevalence, socio-demographic and obstetric correlates, prenatal anxiety and early awareness</atitle><jtitle>Journal of clinical nursing</jtitle><addtitle>J Clin Nurs</addtitle><date>2010-02</date><risdate>2010</risdate><volume>19</volume><issue>3-4</issue><spage>422</spage><epage>431</epage><pages>422-431</pages><issn>0962-1067</issn><eissn>1365-2702</eissn><abstract>Aims and objectives. The study was undertaken to provide an estimate of the prevalence of postpartum depression and its correlates. Further, we sought to evaluate the predictive power of the Edinburgh Postnatal Depression Scale when administered at postpartum week one for symptoms of depression at postpartum week six.
Background. Postpartum depression is a major health issue for women worldwide with well‐documented negative health consequences for the mother and family. It is therefore important to evaluate prenatal detection of women at risk for developing postpartum depression.
Design. A prospective study.
Methods. The study involved 479 pregnant women in Erzurum, Turkey who were evaluated during the third trimester of pregnancy and at one and six weeks postpartum by community midwives. Questionnaires were used for data collection. Anxiety/social support scales were used for baseline evaluation, and the Edinburgh Postpartum Depression Scale was administered at one and six weeks postpartum.
Results. The prevalence of depressive symptoms according to the Edinburgh Postpartum Depression Scale was 17·7% at first week and 14% at sixth week postpartum. The factors that were most predictive of postpartum depression were psychiatric history during pregnancy; prenatal anxiety; poor marital relationship in the first postpartum weeks; lack of health insurance and lack of contraceptive use. The correlation between symptoms of depression at one and six weeks in the postpartum period was significant.
Conclusions. The prevalence of postpartum depression and its correlates were similar to the results of Western studies. Early identification of potential risk factors may aid in recognition of and treatment for postpartum depression. The Edinburgh scale is a simple yet useful tool to use during the early postpartum period for evaluation of depressive symptoms.
Relevance to clinical practice. This study highlights the utility of screening for risk of postpartum depression during pregnancy and also during the early postpartum period.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>20500282</pmid><doi>10.1111/j.1365-2702.2009.03046.x</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Adult Anxiety Anxiety - psychology Awareness Demographics Demography Depression, Postpartum - epidemiology Female Humans Middle Aged Midwifery nurses Nursing Obstetrics postpartum depression Postpartum period Pregnancy Pregnancy Trimester, Third prenatal anxiety Prevalence Prospective Studies Questionnaires Risk Factors Social support Socioeconomic Factors Turkey - epidemiology Womens health Young Adult |
title | Prospective study of postpartum depression in eastern Turkey prevalence, socio-demographic and obstetric correlates, prenatal anxiety and early awareness |
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