Relationship trajectories of pregnant women with their parents and postpartum depression: A hospital-based prospective cohort study in Japan
BackgroundsA history of childhood abuse and subsequent poor relationship with parents in adulthood among pregnant women is a known risk factor for postpartum depression (PPD). Although parent-daughter relationship can change during pregnancy, little is known whether the trajectories have an impact o...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-11-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.961707/full |
| _version_ | 1811331971368878080 |
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| author | Shuhei Terada Satomi Doi Satomi Doi Yukako Tani Yuto Maeda Aya Isumi Aya Isumi Junichi Sugawara Kazuhisa Maeda Shoji Satoh Nobuaki Mitsuda Takeo Fujiwara |
| author_facet | Shuhei Terada Satomi Doi Satomi Doi Yukako Tani Yuto Maeda Aya Isumi Aya Isumi Junichi Sugawara Kazuhisa Maeda Shoji Satoh Nobuaki Mitsuda Takeo Fujiwara |
| author_sort | Shuhei Terada |
| collection | DOAJ |
| description | BackgroundsA history of childhood abuse and subsequent poor relationship with parents in adulthood among pregnant women is a known risk factor for postpartum depression (PPD). Although parent-daughter relationship can change during pregnancy, little is known whether the trajectories have an impact on PPD. The aim of this study is to examine whether trajectories of parent-daughter relationship during pregnancy are associated with PPD in Japanese mothers.MethodsIn a hospital-based prospective cohort study conducted in Japan, 4,772 women were followed from their first visit to their 1-month postpartum check-up (follow-up rate: 77.4%). Parent-daughter relationship was assessed whether participants were satisfied with their parents at first visit and after delivery. We defined four parent-daughter relationship trajectory categories: consistently satisfied, improving, deteriorating, and consistently unsatisfied. PPD was assessed by the Edinburgh Postnatal Depression Scale. Logistic regression model was applied to adjust covariates.ResultsThere were 129 (2.7%), 122 (2.6%), and 181 (3.8%) cases of improving, deteriorating, and consistently unsatisfied relationship, respectively. Compared to the group that was consistently satisfied, pregnant women of the deteriorating and consistently unsatisfied group showed 2.81 (95% CI: 1.73–4.55) and 2.39 (95% CI: 1.58–3.62) times, respectively, more likely to show PPD after adjustment for confounders.ConclusionWomen who felt that their relationship with parents “deteriorated” or was “consistently unsatisfactory” during pregnancy showed significant risk of PPD. Paying attention to the pregnant women's feelings about the relationship with their parents and promoting positive change may help predict and prevent PPD. |
| first_indexed | 2024-04-13T16:28:55Z |
| format | Article |
| id | doaj.art-aea11f6b518a42e78bfa59d6676b0b40 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-04-13T16:28:55Z |
| publishDate | 2022-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-aea11f6b518a42e78bfa59d6676b0b402022-12-22T02:39:39ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-11-011310.3389/fpsyt.2022.961707961707Relationship trajectories of pregnant women with their parents and postpartum depression: A hospital-based prospective cohort study in JapanShuhei Terada0Satomi Doi1Satomi Doi2Yukako Tani3Yuto Maeda4Aya Isumi5Aya Isumi6Junichi Sugawara7Kazuhisa Maeda8Shoji Satoh9Nobuaki Mitsuda10Takeo Fujiwara11Department of Global Health Promotion, Tokyo Medical and Dental University, Bunkyo, JapanDepartment of Global Health Promotion, Tokyo Medical and Dental University, Bunkyo, JapanJapan Society for the Promotion of Science (JSPS), Tokyo, JapanDepartment of Global Health Promotion, Tokyo Medical and Dental University, Bunkyo, JapanDepartment of Global Health Promotion, Tokyo Medical and Dental University, Bunkyo, JapanDepartment of Global Health Promotion, Tokyo Medical and Dental University, Bunkyo, JapanJapan Society for the Promotion of Science (JSPS), Tokyo, JapanDivision of Feto-Maternal Medical Science, Department of Community Medical Support, Tohoku Medical Megabank Organization, Tohoku University, Sendai, JapanDepartment of Obstetrics and Gynecology, Shikoku Medical Center for Children and Adults, Zentsuji, JapanMaternal and Perinatal Care Center, Oita Prefectural Hospital, Oita, JapanDepartment of Maternal Fetal Medicine, Osaka Women's and Children's Hospital, Izumi, JapanDepartment of Global Health Promotion, Tokyo Medical and Dental University, Bunkyo, JapanBackgroundsA history of childhood abuse and subsequent poor relationship with parents in adulthood among pregnant women is a known risk factor for postpartum depression (PPD). Although parent-daughter relationship can change during pregnancy, little is known whether the trajectories have an impact on PPD. The aim of this study is to examine whether trajectories of parent-daughter relationship during pregnancy are associated with PPD in Japanese mothers.MethodsIn a hospital-based prospective cohort study conducted in Japan, 4,772 women were followed from their first visit to their 1-month postpartum check-up (follow-up rate: 77.4%). Parent-daughter relationship was assessed whether participants were satisfied with their parents at first visit and after delivery. We defined four parent-daughter relationship trajectory categories: consistently satisfied, improving, deteriorating, and consistently unsatisfied. PPD was assessed by the Edinburgh Postnatal Depression Scale. Logistic regression model was applied to adjust covariates.ResultsThere were 129 (2.7%), 122 (2.6%), and 181 (3.8%) cases of improving, deteriorating, and consistently unsatisfied relationship, respectively. Compared to the group that was consistently satisfied, pregnant women of the deteriorating and consistently unsatisfied group showed 2.81 (95% CI: 1.73–4.55) and 2.39 (95% CI: 1.58–3.62) times, respectively, more likely to show PPD after adjustment for confounders.ConclusionWomen who felt that their relationship with parents “deteriorated” or was “consistently unsatisfactory” during pregnancy showed significant risk of PPD. Paying attention to the pregnant women's feelings about the relationship with their parents and promoting positive change may help predict and prevent PPD.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.961707/fullparent-daughter relationshippostpartum depressionpregnancysocial supporttrajectory |
| spellingShingle | Shuhei Terada Satomi Doi Satomi Doi Yukako Tani Yuto Maeda Aya Isumi Aya Isumi Junichi Sugawara Kazuhisa Maeda Shoji Satoh Nobuaki Mitsuda Takeo Fujiwara Relationship trajectories of pregnant women with their parents and postpartum depression: A hospital-based prospective cohort study in Japan Frontiers in Psychiatry parent-daughter relationship postpartum depression pregnancy social support trajectory |
| title | Relationship trajectories of pregnant women with their parents and postpartum depression: A hospital-based prospective cohort study in Japan |
| title_full | Relationship trajectories of pregnant women with their parents and postpartum depression: A hospital-based prospective cohort study in Japan |
| title_fullStr | Relationship trajectories of pregnant women with their parents and postpartum depression: A hospital-based prospective cohort study in Japan |
| title_full_unstemmed | Relationship trajectories of pregnant women with their parents and postpartum depression: A hospital-based prospective cohort study in Japan |
| title_short | Relationship trajectories of pregnant women with their parents and postpartum depression: A hospital-based prospective cohort study in Japan |
| title_sort | relationship trajectories of pregnant women with their parents and postpartum depression a hospital based prospective cohort study in japan |
| topic | parent-daughter relationship postpartum depression pregnancy social support trajectory |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.961707/full |
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