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
Hauptverfasser: Scheyer, Kathryn, Urizar, Guido G.
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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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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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