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Prediction of incidence and bio-psycho-socio-cultural risk factors of post-partum depression immediately after birth in an Iranian population

Introduction: Post-partum depression (PPD) is the most prevalent mental problem associated with childbirth. The purpose of the present study was to determine the incidence of early PPD and possible relevant risk factors among women attending primary health centers in Mazandaran province, Iran for th...

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Main Authors: Abdollahi, Fatemeh, Zarghami, Mehran, Shariff Ghazali, Sazlina, Md Zain, Azhar, Mohammad, Asghari Jafarabadi, Lye, Munn Sann
Format: Article
Language:English
Published: Termedia Publishing 2016
Online Access:http://psasir.upm.edu.my/id/eprint/53634/1/Prediction%20of%20incidence.pdf
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spelling oai:psasir.upm.edu.my:53634 http://psasir.upm.edu.my/id/eprint/53634/ Prediction of incidence and bio-psycho-socio-cultural risk factors of post-partum depression immediately after birth in an Iranian population Abdollahi, Fatemeh Zarghami, Mehran Shariff Ghazali, Sazlina Md Zain, Azhar Mohammad, Asghari Jafarabadi Lye, Munn Sann Introduction: Post-partum depression (PPD) is the most prevalent mental problem associated with childbirth. The purpose of the present study was to determine the incidence of early PPD and possible relevant risk factors among women attending primary health centers in Mazandaran province, Iran for the first time. Material and methods: A longitudinal cohort study was conducted among 2279 eligible women during weeks 32–42 of pregnancy to determine bio-psycho-socio-cultural risk factors of depression at two weeks post-partum using the Iranian version of the Edinburgh Postnatal Depression Scale (EPDS). Univariate and hierarchical multiple logistic regression models were used for data analysis. Results: Among 1,739 mothers whose EPDS scores were ≤ 12 during weeks 32–42 of gestation and at the follow-up study, the cumulative incidence rate of depression was 6.9% (120/1,739) at 2 weeks post-partum. In the multivariate model the factor that predicted depression symptomatology at 2 weeks post-partum was having psychiatric distress in pregnancy based on the General Health Questionnaire (GHQ) (OR = 1.06, (95% CI: 1.04–1.09) p = 0.001). The risk of PPD also lower in those with sufficient parenting skills (OR = 0.78 (95% CI: 0.69–0.88) p = 0.001), increased marital satisfaction (OR = 0.94 (95% CI: 0.9–0.99) p = 0.03), increased frequency of practicing rituals (OR = 0.94 (95% CI: 0.89–0.99) p = 0.004) and in those whose husbands had better education (OR = 0.03 (95% CI: 0.88–0.99) p = 0.04). Conclusions: The findings indicated that a combination of demographic, sociological, psychological and cultural risk factors can make mothers vulnerable to PPD. Termedia Publishing 2016-10 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/53634/1/Prediction%20of%20incidence.pdf Abdollahi, Fatemeh and Zarghami, Mehran and Shariff Ghazali, Sazlina and Md Zain, Azhar and Mohammad, Asghari Jafarabadi and Lye, Munn Sann (2016) Prediction of incidence and bio-psycho-socio-cultural risk factors of post-partum depression immediately after birth in an Iranian population. Archives of Medical Sciences, 12 (5). pp. 1043-1051. ISSN 1734-1922; ESSN: 1896-9151 https://www.termedia.pl/Prediction-of-incidence-and-bio-psycho-socio-cultural-risk-factors-of-post-partum-depression-immediately-after-birth-in-an-Iranian-population,19,27142,0,1.html 10.5114/aoms.2016.58642
institution UPM IR
collection UPM IR
language English
description Introduction: Post-partum depression (PPD) is the most prevalent mental problem associated with childbirth. The purpose of the present study was to determine the incidence of early PPD and possible relevant risk factors among women attending primary health centers in Mazandaran province, Iran for the first time. Material and methods: A longitudinal cohort study was conducted among 2279 eligible women during weeks 32–42 of pregnancy to determine bio-psycho-socio-cultural risk factors of depression at two weeks post-partum using the Iranian version of the Edinburgh Postnatal Depression Scale (EPDS). Univariate and hierarchical multiple logistic regression models were used for data analysis. Results: Among 1,739 mothers whose EPDS scores were ≤ 12 during weeks 32–42 of gestation and at the follow-up study, the cumulative incidence rate of depression was 6.9% (120/1,739) at 2 weeks post-partum. In the multivariate model the factor that predicted depression symptomatology at 2 weeks post-partum was having psychiatric distress in pregnancy based on the General Health Questionnaire (GHQ) (OR = 1.06, (95% CI: 1.04–1.09) p = 0.001). The risk of PPD also lower in those with sufficient parenting skills (OR = 0.78 (95% CI: 0.69–0.88) p = 0.001), increased marital satisfaction (OR = 0.94 (95% CI: 0.9–0.99) p = 0.03), increased frequency of practicing rituals (OR = 0.94 (95% CI: 0.89–0.99) p = 0.004) and in those whose husbands had better education (OR = 0.03 (95% CI: 0.88–0.99) p = 0.04). Conclusions: The findings indicated that a combination of demographic, sociological, psychological and cultural risk factors can make mothers vulnerable to PPD.
format Article
author Abdollahi, Fatemeh
Zarghami, Mehran
Shariff Ghazali, Sazlina
Md Zain, Azhar
Mohammad, Asghari Jafarabadi
Lye, Munn Sann
spellingShingle Abdollahi, Fatemeh
Zarghami, Mehran
Shariff Ghazali, Sazlina
Md Zain, Azhar
Mohammad, Asghari Jafarabadi
Lye, Munn Sann
Prediction of incidence and bio-psycho-socio-cultural risk factors of post-partum depression immediately after birth in an Iranian population
author_facet Abdollahi, Fatemeh
Zarghami, Mehran
Shariff Ghazali, Sazlina
Md Zain, Azhar
Mohammad, Asghari Jafarabadi
Lye, Munn Sann
author_sort Abdollahi, Fatemeh
title Prediction of incidence and bio-psycho-socio-cultural risk factors of post-partum depression immediately after birth in an Iranian population
title_short Prediction of incidence and bio-psycho-socio-cultural risk factors of post-partum depression immediately after birth in an Iranian population
title_full Prediction of incidence and bio-psycho-socio-cultural risk factors of post-partum depression immediately after birth in an Iranian population
title_fullStr Prediction of incidence and bio-psycho-socio-cultural risk factors of post-partum depression immediately after birth in an Iranian population
title_full_unstemmed Prediction of incidence and bio-psycho-socio-cultural risk factors of post-partum depression immediately after birth in an Iranian population
title_sort prediction of incidence and bio-psycho-socio-cultural risk factors of post-partum depression immediately after birth in an iranian population
publisher Termedia Publishing
publishDate 2016
url http://psasir.upm.edu.my/id/eprint/53634/1/Prediction%20of%20incidence.pdf
_version_ 1782723182704197632
score 12.933938

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