Toward early screening for early management of postnatal depression? Relationships between clinical signs present in the infant and underlying maternal postnatal depression
ObjectiveThe objective was to screen for maternal postnatal depression (MPD) by administering the Edinburgh Postnatal Depression Scale (EPDS) during the first “peak” of incidence of MPD (i. e., between the 6th and the 10th week of the infant's life) and to therefore explore the relationship bet...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-09-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.986796/full |
| _version_ | 1818479453667328000 |
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| author | Sabrina Julien-Sweerts Sandie Rousselin Florence Raffeneau Charlotte Xavier-David Violette Changeur Gisèle Apter Lucia Romo Lucia Romo Ludovic Gicquel |
| author_facet | Sabrina Julien-Sweerts Sandie Rousselin Florence Raffeneau Charlotte Xavier-David Violette Changeur Gisèle Apter Lucia Romo Lucia Romo Ludovic Gicquel |
| author_sort | Sabrina Julien-Sweerts |
| collection | DOAJ |
| description | ObjectiveThe objective was to screen for maternal postnatal depression (MPD) by administering the Edinburgh Postnatal Depression Scale (EPDS) during the first “peak” of incidence of MPD (i. e., between the 6th and the 10th week of the infant's life) and to therefore explore the relationship between mothers' EPDS scores and early clinical signs in the infant. We wanted to evaluate the relevance of a diagnostic tool that combines the EPDS with questions focused on clinical signs displayed by the infant.ParticipantsSeven hundred and sixty seven mothers aged 18–46 (M = 30.5, SD = 4.9) participated in the study, representing 49.2% of all women who delivered in the study area during the research inclusion period. Main outcome measures: Sociodemographic data were collected. MPD was measured by EPDS (score ≥ 12). The presence of clinical signs in the infant was investigated by closed (i.e., yes or no) questions inquiring into whether the infant has or has had difficulty sleeping, feeding difficulties, crying difficult to calm, or other difficulties.ResultsThe prevalence of MPD in our sample was 22.16%. The relationships between MPD and early clinical signs present in the infant, i.e., sleep difficulties, feeding problems, crying difficult to calm (p < 0.001), and other problems (p = 0.004), were very significant, as confirmed by a chi-square test of independence. In particular, sleep difficulties (OR = 2.05, CI 1.41–2.99) and feeding difficulties (OR = 1.59, CI 1.10–2.30) seemed to predict MPD.ConclusionsEarly clinical signs in the infant can alert the medical team to potential psychological suffering on the part of the mother, at which time the EPDS can be proposed. The use of this method has the potential to improve screening for, and therefore early management of, MPD. |
| first_indexed | 2024-12-10T11:10:47Z |
| format | Article |
| id | doaj.art-85729d3c94a74f7c8df27b951c661a7a |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-12-10T11:10:47Z |
| publishDate | 2022-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-85729d3c94a74f7c8df27b951c661a7a2022-12-22T01:51:25ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-09-011310.3389/fpsyt.2022.986796986796Toward early screening for early management of postnatal depression? Relationships between clinical signs present in the infant and underlying maternal postnatal depressionSabrina Julien-Sweerts0Sandie Rousselin1Florence Raffeneau2Charlotte Xavier-David3Violette Changeur4Gisèle Apter5Lucia Romo6Lucia Romo7Ludovic Gicquel8Université de Reims Champagne Ardenne, C2S EA 6291, Reims, FranceChild and Adolescent Psychiatry Department, Laborit Hospital, Poitiers, FranceChild and Adolescent Psychiatry Department, Laborit Hospital, Poitiers, FranceChild and Adolescent Psychiatry Department, Laborit Hospital, Poitiers, FranceChild and Adolescent Psychiatry Department, Laborit Hospital, Poitiers, FranceService Universitaire de Pédopsychiatrie du Groupe Hospitalier du Havre, Université Rouen Normandie, Mont-Saint-Aignan, FranceEA 4430 Clipsyd, Paris Nanterre University, Nanterre, FranceHôpital Universitaire Raymond Poincaré, CESP, U1018 INSERM UPS UVSQ, Garches, FranceChild and Adolescent Psychiatry Department, Laborit Hospital, Poitiers, FranceObjectiveThe objective was to screen for maternal postnatal depression (MPD) by administering the Edinburgh Postnatal Depression Scale (EPDS) during the first “peak” of incidence of MPD (i. e., between the 6th and the 10th week of the infant's life) and to therefore explore the relationship between mothers' EPDS scores and early clinical signs in the infant. We wanted to evaluate the relevance of a diagnostic tool that combines the EPDS with questions focused on clinical signs displayed by the infant.ParticipantsSeven hundred and sixty seven mothers aged 18–46 (M = 30.5, SD = 4.9) participated in the study, representing 49.2% of all women who delivered in the study area during the research inclusion period. Main outcome measures: Sociodemographic data were collected. MPD was measured by EPDS (score ≥ 12). The presence of clinical signs in the infant was investigated by closed (i.e., yes or no) questions inquiring into whether the infant has or has had difficulty sleeping, feeding difficulties, crying difficult to calm, or other difficulties.ResultsThe prevalence of MPD in our sample was 22.16%. The relationships between MPD and early clinical signs present in the infant, i.e., sleep difficulties, feeding problems, crying difficult to calm (p < 0.001), and other problems (p = 0.004), were very significant, as confirmed by a chi-square test of independence. In particular, sleep difficulties (OR = 2.05, CI 1.41–2.99) and feeding difficulties (OR = 1.59, CI 1.10–2.30) seemed to predict MPD.ConclusionsEarly clinical signs in the infant can alert the medical team to potential psychological suffering on the part of the mother, at which time the EPDS can be proposed. The use of this method has the potential to improve screening for, and therefore early management of, MPD.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.986796/fullscreeningmaternal postnatal depressionpsychopathologyearly clinical signsmanagement |
| spellingShingle | Sabrina Julien-Sweerts Sandie Rousselin Florence Raffeneau Charlotte Xavier-David Violette Changeur Gisèle Apter Lucia Romo Lucia Romo Ludovic Gicquel Toward early screening for early management of postnatal depression? Relationships between clinical signs present in the infant and underlying maternal postnatal depression Frontiers in Psychiatry screening maternal postnatal depression psychopathology early clinical signs management |
| title | Toward early screening for early management of postnatal depression? Relationships between clinical signs present in the infant and underlying maternal postnatal depression |
| title_full | Toward early screening for early management of postnatal depression? Relationships between clinical signs present in the infant and underlying maternal postnatal depression |
| title_fullStr | Toward early screening for early management of postnatal depression? Relationships between clinical signs present in the infant and underlying maternal postnatal depression |
| title_full_unstemmed | Toward early screening for early management of postnatal depression? Relationships between clinical signs present in the infant and underlying maternal postnatal depression |
| title_short | Toward early screening for early management of postnatal depression? Relationships between clinical signs present in the infant and underlying maternal postnatal depression |
| title_sort | toward early screening for early management of postnatal depression relationships between clinical signs present in the infant and underlying maternal postnatal depression |
| topic | screening maternal postnatal depression psychopathology early clinical signs management |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.986796/full |
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