Characterization of Depressive Symptom Trajectories in Women between Childbirth and Diagnosis
The inhomogeneity of postpartum mood and mother–child attachment was estimated from immediately after childbirth to 12 weeks postpartum in a cohort of 598 young mothers. At 3-week intervals, depressed mood and mother–child attachment were assessed using the EPDS and the MPAS, respectively. The diagn...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-03-01
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| Series: | Journal of Personalized Medicine |
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| Online Access: | https://www.mdpi.com/2075-4426/12/4/538 |
| _version_ | 1797434516573257728 |
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| author | Natalia Chechko Susanne Stickel Elena Losse Aliaksandra Shymanskaya Ute Habel |
| author_facet | Natalia Chechko Susanne Stickel Elena Losse Aliaksandra Shymanskaya Ute Habel |
| author_sort | Natalia Chechko |
| collection | DOAJ |
| description | The inhomogeneity of postpartum mood and mother–child attachment was estimated from immediately after childbirth to 12 weeks postpartum in a cohort of 598 young mothers. At 3-week intervals, depressed mood and mother–child attachment were assessed using the EPDS and the MPAS, respectively. The diagnosis was based on clinical interviews at the end of the 12-week follow-up. The latent class mixed model estimated multiple distinct patterns in depressed mood and mother–child attachment. The baseline EPDS cluster contained 72% of the study population and showed low EPDS values during the follow-up period, while the five remaining clusters showed either deterioration or improvement of the EPDS levels. The majority of women with postpartum depression showed deteriorating, and the majority of adjustment disorder cases improving, behavior. While the cases with more pronounced EPDS values were found to constitute more homogeneous clusters in terms of diagnosis, subclinical or only temporarily increased EPDS levels represented less homogeneous clusters. Higher EPDS levels correlated with the higher risk factor profiles. The four MPAS/EPDS clusters demonstrated that higher EPDS lead to lower mother–child attachment, and vice versa. |
| first_indexed | 2024-03-09T10:33:24Z |
| format | Article |
| id | doaj.art-b9061c732e8f4064a40d38451149bd4b |
| institution | Directory Open Access Journal |
| issn | 2075-4426 |
| language | English |
| last_indexed | 2024-03-09T10:33:24Z |
| publishDate | 2022-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Personalized Medicine |
| spelling | doaj.art-b9061c732e8f4064a40d38451149bd4b2023-12-01T21:08:38ZengMDPI AGJournal of Personalized Medicine2075-44262022-03-0112453810.3390/jpm12040538Characterization of Depressive Symptom Trajectories in Women between Childbirth and DiagnosisNatalia Chechko0Susanne Stickel1Elena Losse2Aliaksandra Shymanskaya3Ute Habel4Department of Psychiatry, Psychotherapy and Psychosomatics, Faculty of Medicine, RWTH Aachen University, 52074 Aachen, GermanyDepartment of Psychiatry, Psychotherapy and Psychosomatics, Faculty of Medicine, RWTH Aachen University, 52074 Aachen, GermanyDepartment of Psychiatry, Psychotherapy and Psychosomatics, Faculty of Medicine, RWTH Aachen University, 52074 Aachen, GermanyDepartment of Psychiatry, Psychotherapy and Psychosomatics, Faculty of Medicine, RWTH Aachen University, 52074 Aachen, GermanyDepartment of Psychiatry, Psychotherapy and Psychosomatics, Faculty of Medicine, RWTH Aachen University, 52074 Aachen, GermanyThe inhomogeneity of postpartum mood and mother–child attachment was estimated from immediately after childbirth to 12 weeks postpartum in a cohort of 598 young mothers. At 3-week intervals, depressed mood and mother–child attachment were assessed using the EPDS and the MPAS, respectively. The diagnosis was based on clinical interviews at the end of the 12-week follow-up. The latent class mixed model estimated multiple distinct patterns in depressed mood and mother–child attachment. The baseline EPDS cluster contained 72% of the study population and showed low EPDS values during the follow-up period, while the five remaining clusters showed either deterioration or improvement of the EPDS levels. The majority of women with postpartum depression showed deteriorating, and the majority of adjustment disorder cases improving, behavior. While the cases with more pronounced EPDS values were found to constitute more homogeneous clusters in terms of diagnosis, subclinical or only temporarily increased EPDS levels represented less homogeneous clusters. Higher EPDS levels correlated with the higher risk factor profiles. The four MPAS/EPDS clusters demonstrated that higher EPDS lead to lower mother–child attachment, and vice versa.https://www.mdpi.com/2075-4426/12/4/538postpartum depressionadjustment disordertemporal developmentdepressed mood: maternal attachment |
| spellingShingle | Natalia Chechko Susanne Stickel Elena Losse Aliaksandra Shymanskaya Ute Habel Characterization of Depressive Symptom Trajectories in Women between Childbirth and Diagnosis Journal of Personalized Medicine postpartum depression adjustment disorder temporal development depressed mood: maternal attachment |
| title | Characterization of Depressive Symptom Trajectories in Women between Childbirth and Diagnosis |
| title_full | Characterization of Depressive Symptom Trajectories in Women between Childbirth and Diagnosis |
| title_fullStr | Characterization of Depressive Symptom Trajectories in Women between Childbirth and Diagnosis |
| title_full_unstemmed | Characterization of Depressive Symptom Trajectories in Women between Childbirth and Diagnosis |
| title_short | Characterization of Depressive Symptom Trajectories in Women between Childbirth and Diagnosis |
| title_sort | characterization of depressive symptom trajectories in women between childbirth and diagnosis |
| topic | postpartum depression adjustment disorder temporal development depressed mood: maternal attachment |
| url | https://www.mdpi.com/2075-4426/12/4/538 |
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