Differential risk factors for prenatal and postpartum depression in South Korea
Introduction Incidence for depression increases during the perinatal period. Risk factors for depression may differentially affect each time period. Objectives To assess demographic, psychological and obstetric risk factors that differentially affect prenatal and postpartum depression Methods...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2021-04-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933821015996/type/journal_article |
| _version_ | 1797616307179356160 |
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| author | S.H. Park K. Chung H.Y. Cho Y.R. Kim K. Jhung |
| author_facet | S.H. Park K. Chung H.Y. Cho Y.R. Kim K. Jhung |
| author_sort | S.H. Park |
| collection | DOAJ |
| description |
Introduction
Incidence for depression increases during the perinatal period. Risk factors for depression may differentially affect each time period.
Objectives
To assess demographic, psychological and obstetric risk factors that differentially affect prenatal and postpartum depression
Methods
A total of 169 subjects participated. Assessment was conducted during the first trimester, second trimester, third trimester, within a month after childbirth, and a month after childbirth. Demographic and obstetric measures, as well as psychological measures, including the Edinburgh Postnatal Depression Scale were conducted. Multiple regression and the Mann-Whitney U test were performed to examine the association between variables and depression scores.
Results
Depression score was higher during the postpartum period than the prenatal period. Younger age was associated with depression during the first trimester. In the second trimester, less education, a history of depression and having stress within a year significantly affected depression scores. Smoking, artificial abortion and lack of support from family and parents correlated with depression during the third trimester. Within a month after childbirth, psychiatric and depression history, smoking, stress level within a year and lack of family support were associated with depression. At a month after childbirth, those who were primiparous and not breastfeeding had significantly higher depression scores.
Conclusions
This study identifies various risk factors for each gestational and postpartum period and suggests differential interventions for different perinatal periods.
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| first_indexed | 2024-03-11T07:39:17Z |
| format | Article |
| id | doaj.art-a9f759d99e8244748b0d0cad101417e1 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:39:17Z |
| publishDate | 2021-04-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-a9f759d99e8244748b0d0cad101417e12023-11-17T05:09:01ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S599S59910.1192/j.eurpsy.2021.1599Differential risk factors for prenatal and postpartum depression in South KoreaS.H. Park0K. Chung1H.Y. Cho2Y.R. Kim3K. Jhung4#405 Biomedical Research Institute, Catholic Kwandong University International St. Mary’s Hospital, INCHEON METROPOLITAN CITY, Korea, Republic ofDepartment Of Psychiatry And Institute Of Behavioral Science In Medicine, Yonsei University College of Medicine, Yonsei University Health System, Yongin, Korea, Republic ofDepartment Of Obstetrics And Gynecology, CHA Gangnam Medical Center, CHA University, Seoul, Korea, Republic ofDepartment Of Obstetrics And Gynecology, CHA bundang Medical center, CHA University, Seongnam-si, Korea, Republic ofDepartment Of Psychiatry & Behavioral Neuroscience, Catholic Kwandong University International St. Mary’s HospitalCatholic Kwandong University International St. Mary’s Hospital, INCHEON Metropolitan city, Korea, Republic of Introduction Incidence for depression increases during the perinatal period. Risk factors for depression may differentially affect each time period. Objectives To assess demographic, psychological and obstetric risk factors that differentially affect prenatal and postpartum depression Methods A total of 169 subjects participated. Assessment was conducted during the first trimester, second trimester, third trimester, within a month after childbirth, and a month after childbirth. Demographic and obstetric measures, as well as psychological measures, including the Edinburgh Postnatal Depression Scale were conducted. Multiple regression and the Mann-Whitney U test were performed to examine the association between variables and depression scores. Results Depression score was higher during the postpartum period than the prenatal period. Younger age was associated with depression during the first trimester. In the second trimester, less education, a history of depression and having stress within a year significantly affected depression scores. Smoking, artificial abortion and lack of support from family and parents correlated with depression during the third trimester. Within a month after childbirth, psychiatric and depression history, smoking, stress level within a year and lack of family support were associated with depression. At a month after childbirth, those who were primiparous and not breastfeeding had significantly higher depression scores. Conclusions This study identifies various risk factors for each gestational and postpartum period and suggests differential interventions for different perinatal periods. https://www.cambridge.org/core/product/identifier/S0924933821015996/type/journal_articlePerinatal depressionpostpartum periodRisk factorsgestation period |
| spellingShingle | S.H. Park K. Chung H.Y. Cho Y.R. Kim K. Jhung Differential risk factors for prenatal and postpartum depression in South Korea European Psychiatry Perinatal depression postpartum period Risk factors gestation period |
| title | Differential risk factors for prenatal and postpartum depression in South Korea |
| title_full | Differential risk factors for prenatal and postpartum depression in South Korea |
| title_fullStr | Differential risk factors for prenatal and postpartum depression in South Korea |
| title_full_unstemmed | Differential risk factors for prenatal and postpartum depression in South Korea |
| title_short | Differential risk factors for prenatal and postpartum depression in South Korea |
| title_sort | differential risk factors for prenatal and postpartum depression in south korea |
| topic | Perinatal depression postpartum period Risk factors gestation period |
| url | https://www.cambridge.org/core/product/identifier/S0924933821015996/type/journal_article |
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