Altered stress patterns and increased risk for postpartum depression among low-income pregnant women
Postpartum depression (PPD) has been associated with a number of negative maternal and infant health outcomes. Despite these adverse health effects, few studies have prospectively examined patterns of pre- and postnatal stress that may increase a woman’s risk for PPD. The current study examined whet...
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Veröffentlicht in: | Archives of women's mental health 2016-04, Vol.19 (2), p.317-328 |
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description | Postpartum depression (PPD) has been associated with a number of negative maternal and infant health outcomes. Despite these adverse health effects, few studies have prospectively examined patterns of pre- and postnatal stress that may increase a woman’s risk for PPD. The current study examined whether the timing of altered salivary cortisol patterns and perceived stress levels during pregnancy and at 3 months postpartum was associated with PPD symptoms among 100 low-income mothers. Higher levels of PPD were found among women with a lower cortisol awakening response (first and second trimester), lower average daily cortisol (second trimester), a flatter diurnal cortisol pattern (second and third trimester and at 3 months postpartum), and a less abrupt drop in both cortisol and perceived stress from the third trimester to 3 months postpartum. These results support the need for early screening and regulation of stress levels to promote depression prevention efforts in at-risk populations. |
doi_str_mv | 10.1007/s00737-015-0563-7 |
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Despite these adverse health effects, few studies have prospectively examined patterns of pre- and postnatal stress that may increase a woman’s risk for PPD. The current study examined whether the timing of altered salivary cortisol patterns and perceived stress levels during pregnancy and at 3 months postpartum was associated with PPD symptoms among 100 low-income mothers. Higher levels of PPD were found among women with a lower cortisol awakening response (first and second trimester), lower average daily cortisol (second trimester), a flatter diurnal cortisol pattern (second and third trimester and at 3 months postpartum), and a less abrupt drop in both cortisol and perceived stress from the third trimester to 3 months postpartum. These results support the need for early screening and regulation of stress levels to promote depression prevention efforts in at-risk populations.</description><identifier>ISSN: 1434-1816</identifier><identifier>EISSN: 1435-1102</identifier><identifier>DOI: 10.1007/s00737-015-0563-7</identifier><identifier>PMID: 26275372</identifier><language>eng</language><publisher>Vienna: Springer Vienna</publisher><subject>Adult ; California ; Care and treatment ; Depression - metabolism ; Depression - psychology ; Depression, Postpartum - psychology ; Female ; Glucocorticoids ; Health aspects ; Hormones ; Humans ; Hydrocortisone - metabolism ; Infant ; Low income groups ; Medicine ; Medicine & Public Health ; Original Article ; Postpartum depression ; Poverty ; Pregnancy ; Pregnancy Trimester, Second ; Pregnancy Trimester, Third ; Pregnant women ; Pregnant Women - psychology ; Psychiatry ; Psychological aspects ; Psychotherapy ; Regression Analysis ; Risk factors ; Saliva - chemistry ; Saliva - metabolism ; Stress ; Stress, Psychological - metabolism ; Stress, Psychological - psychology ; Surveys and Questionnaires ; Young Adult</subject><ispartof>Archives of women's mental health, 2016-04, Vol.19 (2), p.317-328</ispartof><rights>Springer-Verlag Wien 2015</rights><rights>COPYRIGHT 2016 Springer</rights><rights>Springer-Verlag Wien 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c602t-1e96b57a5801d17d73a39053bf8401a361c91f8682d679bd191596d196f62ae3</citedby><cites>FETCH-LOGICAL-c602t-1e96b57a5801d17d73a39053bf8401a361c91f8682d679bd191596d196f62ae3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00737-015-0563-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00737-015-0563-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26275372$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Scheyer, Kathryn</creatorcontrib><creatorcontrib>Urizar, Guido G.</creatorcontrib><title>Altered stress patterns and increased risk for postpartum depression among low-income pregnant women</title><title>Archives of women's mental health</title><addtitle>Arch Womens Ment Health</addtitle><addtitle>Arch Womens Ment Health</addtitle><description>Postpartum depression (PPD) has been associated with a number of negative maternal and infant health outcomes. Despite these adverse health effects, few studies have prospectively examined patterns of pre- and postnatal stress that may increase a woman’s risk for PPD. The current study examined whether the timing of altered salivary cortisol patterns and perceived stress levels during pregnancy and at 3 months postpartum was associated with PPD symptoms among 100 low-income mothers. Higher levels of PPD were found among women with a lower cortisol awakening response (first and second trimester), lower average daily cortisol (second trimester), a flatter diurnal cortisol pattern (second and third trimester and at 3 months postpartum), and a less abrupt drop in both cortisol and perceived stress from the third trimester to 3 months postpartum. These results support the need for early screening and regulation of stress levels to promote depression prevention efforts in at-risk populations.</description><subject>Adult</subject><subject>California</subject><subject>Care and treatment</subject><subject>Depression - metabolism</subject><subject>Depression - psychology</subject><subject>Depression, Postpartum - psychology</subject><subject>Female</subject><subject>Glucocorticoids</subject><subject>Health aspects</subject><subject>Hormones</subject><subject>Humans</subject><subject>Hydrocortisone - metabolism</subject><subject>Infant</subject><subject>Low income groups</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Postpartum depression</subject><subject>Poverty</subject><subject>Pregnancy</subject><subject>Pregnancy Trimester, Second</subject><subject>Pregnancy Trimester, Third</subject><subject>Pregnant women</subject><subject>Pregnant Women - psychology</subject><subject>Psychiatry</subject><subject>Psychological aspects</subject><subject>Psychotherapy</subject><subject>Regression Analysis</subject><subject>Risk factors</subject><subject>Saliva - chemistry</subject><subject>Saliva - metabolism</subject><subject>Stress</subject><subject>Stress, Psychological - metabolism</subject><subject>Stress, Psychological - psychology</subject><subject>Surveys and Questionnaires</subject><subject>Young Adult</subject><issn>1434-1816</issn><issn>1435-1102</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><sourceid>QXPDG</sourceid><recordid>eNp1ktFr1TAUxosobk7_AF8kIMh86Mxpm6R9ES5j6mAg6N5Dbnva29kmNUmd_veeeue8FSXQ5PT8vq_05EuS58DPgHP1JtAjVykHkXIh81Q9SI6hyEUKwLOHv85FCiXIo-RJCDecc1FVxePkKJOZErnKjpNmM0T02LAQPYbAJhOptoEZ27De1h5NoK7vwxfWOs8mF-JkfJxH1uC0SHpnmRmd7djgblOSuBEZdTprbGS3VNmnyaPWDAGf3e0nyfW7i-vzD-nVx_eX55urtJY8iylgJbdCGVFyaEA1Kjd5xUW-bcuCg8kl1BW0pSyzRqpq20AFopK0yVZmBvOT5O3edpq3IzY12ujNoCffj8b_0M70et2x_U537psulChAcTI4vTPw7uuMIeqxDzUOg7Ho5qBBKQGq5FlG6Mu_0Bs3e0t_t1BFTm5Q_aE6M6Dubevou_ViqjdFIUvFCwVEnf2DotXg2NfOYtvT-5Xg9UpATMTvsTNzCPry86c1--qA3aEZ4i64YY50b2ENwh6svQvBY3s_OOB6iZvex01T3PQSN61I8-Jw4veK3_kiINsDgVq2Q38wpv-6_gQed93V</recordid><startdate>20160401</startdate><enddate>20160401</enddate><creator>Scheyer, Kathryn</creator><creator>Urizar, Guido G.</creator><general>Springer Vienna</general><general>Springer</general><general>Springer Nature B.V</general><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>ISR</scope><scope>3V.</scope><scope>7R6</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>888</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K6X</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQGEN</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>QXPDG</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20160401</creationdate><title>Altered stress patterns and increased risk for postpartum depression among low-income pregnant women</title><author>Scheyer, Kathryn ; Urizar, Guido G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c602t-1e96b57a5801d17d73a39053bf8401a361c91f8682d679bd191596d196f62ae3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>California</topic><topic>Care and treatment</topic><topic>Depression - metabolism</topic><topic>Depression - psychology</topic><topic>Depression, Postpartum - psychology</topic><topic>Female</topic><topic>Glucocorticoids</topic><topic>Health aspects</topic><topic>Hormones</topic><topic>Humans</topic><topic>Hydrocortisone - metabolism</topic><topic>Infant</topic><topic>Low income groups</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Postpartum depression</topic><topic>Poverty</topic><topic>Pregnancy</topic><topic>Pregnancy Trimester, Second</topic><topic>Pregnancy Trimester, Third</topic><topic>Pregnant women</topic><topic>Pregnant Women - psychology</topic><topic>Psychiatry</topic><topic>Psychological aspects</topic><topic>Psychotherapy</topic><topic>Regression Analysis</topic><topic>Risk factors</topic><topic>Saliva - chemistry</topic><topic>Saliva - metabolism</topic><topic>Stress</topic><topic>Stress, Psychological - metabolism</topic><topic>Stress, Psychological - psychology</topic><topic>Surveys and Questionnaires</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Scheyer, Kathryn</creatorcontrib><creatorcontrib>Urizar, Guido G.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>GenderWatch</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>GenderWatch (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest Women's & Gender Studies</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>Diversity Collection</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Archives of women's mental health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Scheyer, Kathryn</au><au>Urizar, Guido G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Altered stress patterns and increased risk for postpartum depression among low-income pregnant women</atitle><jtitle>Archives of women's mental health</jtitle><stitle>Arch Womens Ment Health</stitle><addtitle>Arch Womens Ment Health</addtitle><date>2016-04-01</date><risdate>2016</risdate><volume>19</volume><issue>2</issue><spage>317</spage><epage>328</epage><pages>317-328</pages><issn>1434-1816</issn><eissn>1435-1102</eissn><abstract>Postpartum depression (PPD) has been associated with a number of negative maternal and infant health outcomes. Despite these adverse health effects, few studies have prospectively examined patterns of pre- and postnatal stress that may increase a woman’s risk for PPD. The current study examined whether the timing of altered salivary cortisol patterns and perceived stress levels during pregnancy and at 3 months postpartum was associated with PPD symptoms among 100 low-income mothers. Higher levels of PPD were found among women with a lower cortisol awakening response (first and second trimester), lower average daily cortisol (second trimester), a flatter diurnal cortisol pattern (second and third trimester and at 3 months postpartum), and a less abrupt drop in both cortisol and perceived stress from the third trimester to 3 months postpartum. These results support the need for early screening and regulation of stress levels to promote depression prevention efforts in at-risk populations.</abstract><cop>Vienna</cop><pub>Springer Vienna</pub><pmid>26275372</pmid><doi>10.1007/s00737-015-0563-7</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult California Care and treatment Depression - metabolism Depression - psychology Depression, Postpartum - psychology Female Glucocorticoids Health aspects Hormones Humans Hydrocortisone - metabolism Infant Low income groups Medicine Medicine & Public Health Original Article Postpartum depression Poverty Pregnancy Pregnancy Trimester, Second Pregnancy Trimester, Third Pregnant women Pregnant Women - psychology Psychiatry Psychological aspects Psychotherapy Regression Analysis Risk factors Saliva - chemistry Saliva - metabolism Stress Stress, Psychological - metabolism Stress, Psychological - psychology Surveys and Questionnaires Young Adult |
title | Altered stress patterns and increased risk for postpartum depression among low-income pregnant women |
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