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Published in: BMC Pregnancy and Childbirth 1/2021

Open Access 01-12-2021 | Mood Disorders | Research article

Analysis of determinants of postpartum emotional disorders

Authors: Grażyna Iwanowicz-Palus, Agnieszka Marcewicz, Agnieszka Bień

Published in: BMC Pregnancy and Childbirth | Issue 1/2021

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Abstract

Background

The birth of a child entails major changes in a woman’s life. In the perinatal period, the woman is particularly susceptible to emotional problems. The objective of the present paper was to investigate the relationship between global orientation to life and its components on the one hand, and socio-demographic factors on the other, with regard to early postpartum emotional disorders.

Methods

The study included 643 patients hospitalized in obstetric departments in Lublin, Poland, who had had a spontaneous vaginal delivery. Research instruments included: the Edinburgh Postnatal Depression Scale (EPDS), the Orientation to Life Questionnaire (SOC-29), and the authors’ own survey questionnaire to record participants’ characteristics.

Results

The study findings indicate an association between lower levels of postpartum blues and higher levels of global sense of coherence, as well as a stronger sense of meaningfulness, manageability, and comprehensibility. More severe emotional disorders were found in patients who were single. Postpartum blues symptoms were more intense in less educated respondents.

Conclusions

Postpartum emotional disorders are associated with a global sense of coherence and its components. Higher levels of SOC reduce the risk of postpartum blues.
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Literature
1.
go back to reference Underwood L, Waldie K, D’Souza S, Peterson ER, Morton S. A review of longitudinal studies on antenatal and postnatal depression. Arch Womens Ment Health. 2016;19(5):711–20. Underwood L, Waldie K, D’Souza S, Peterson ER, Morton S. A review of longitudinal studies on antenatal and postnatal depression. Arch Womens Ment Health. 2016;19(5):711–20.
2.
go back to reference Janik I, Maciejewska M, Fabian-Danielewska A, Korabiusz K, Wawryków A. Emotional disorders in the perinatal period. J Educ Health Sport. 2018;8(9):983–9. Janik I, Maciejewska M, Fabian-Danielewska A, Korabiusz K, Wawryków A. Emotional disorders in the perinatal period. J Educ Health Sport. 2018;8(9):983–9.
3.
go back to reference Norhayati M, Hazlina N, Asrenee A, Emilin W. Magnitude and risk factors for postpartum symptoms: a literature review. J Affect Disord. 2015;175:34–52.CrossRef Norhayati M, Hazlina N, Asrenee A, Emilin W. Magnitude and risk factors for postpartum symptoms: a literature review. J Affect Disord. 2015;175:34–52.CrossRef
4.
go back to reference RaiPathakSharma SAI. Postpartum psychiatric disorders. Early diagnosis and management. Indian J Psych. 2015;57(6):216–21.CrossRef RaiPathakSharma SAI. Postpartum psychiatric disorders. Early diagnosis and management. Indian J Psych. 2015;57(6):216–21.CrossRef
6.
go back to reference Samochowiec J, Rybakowski J, Gałecki P, Szulc A, Rymaszewska J, Cubała WJ, et al. Recommendations of the Polish Psychiatric Association for treatment of affective disorders in women of childbearing age: part I: treatment of depression. Psychiatr Pol. 2019;53(2):245–62.CrossRef Samochowiec J, Rybakowski J, Gałecki P, Szulc A, Rymaszewska J, Cubała WJ, et al. Recommendations of the Polish Psychiatric Association for treatment of affective disorders in women of childbearing age: part I: treatment of depression. Psychiatr Pol. 2019;53(2):245–62.CrossRef
7.
go back to reference Kaźmierczak M, Michałek-Kwiecień J, Kiełbratowska B, Karasiewicz K. Parents’ personality and maternal experiencesin childcare as predictors of postpartum depressionin couples in transition to parenthood. Psychiatr Pol. 2018;104:1–15. Kaźmierczak M, Michałek-Kwiecień J, Kiełbratowska B, Karasiewicz K. Parents’ personality and maternal experiencesin childcare as predictors of postpartum depressionin couples in transition to parenthood. Psychiatr Pol. 2018;104:1–15.
8.
go back to reference Regulation of the Minister of Health of August 16, 2018 on the organizational standard of perinatal care. (Journal of Laws 2018 item 1756). Regulation of the Minister of Health of August 16, 2018 on the organizational standard of perinatal care. (Journal of Laws 2018 item 1756).
9.
go back to reference Yim IS, Stapleton LR, Guardino CM, Hahn-Holbrook J, Dunkel SC. Biological and psychosocial predictors of postpartum depression: systematic review and call for integration. Annu Rev Clin Psychol. 2015;11:99–137.CrossRef Yim IS, Stapleton LR, Guardino CM, Hahn-Holbrook J, Dunkel SC. Biological and psychosocial predictors of postpartum depression: systematic review and call for integration. Annu Rev Clin Psychol. 2015;11:99–137.CrossRef
10.
go back to reference Antonovsky A. The structure and properties of the sense of coherence scale. Soc Sci Med. 1993;36(6):725–33.CrossRef Antonovsky A. The structure and properties of the sense of coherence scale. Soc Sci Med. 1993;36(6):725–33.CrossRef
11.
go back to reference Ferguson S, Davis D. ‘I’m having a baby not a labour’: sense of coherence and women’s attitudes towards labour and birth. Midwifery. 2019;79:102529.CrossRef Ferguson S, Davis D. ‘I’m having a baby not a labour’: sense of coherence and women’s attitudes towards labour and birth. Midwifery. 2019;79:102529.CrossRef
12.
go back to reference Ingvild A, Unn D, Gorill H. Sense of coherence among healthy Norwegian women in postnatal care: dimensionality reliability and construct validity of the Orientation to Life Questionnaire. Sex Reprod Healthc. 2016;8:6–12.CrossRef Ingvild A, Unn D, Gorill H. Sense of coherence among healthy Norwegian women in postnatal care: dimensionality reliability and construct validity of the Orientation to Life Questionnaire. Sex Reprod Healthc. 2016;8:6–12.CrossRef
13.
go back to reference Kossakowska K. Edinburgh Postnatal Depression Scale- psychometric properties and characteristics. Folia Psychol. 2013;17:39–50. Kossakowska K. Edinburgh Postnatal Depression Scale- psychometric properties and characteristics. Folia Psychol. 2013;17:39–50.
14.
go back to reference Eriksson M, Lindstrom B. Validity of Antonovsky’s sense of coherence scale: a systematic review. J Epidemiol Commun Health. 2005;59:460–6.CrossRef Eriksson M, Lindstrom B. Validity of Antonovsky’s sense of coherence scale: a systematic review. J Epidemiol Commun Health. 2005;59:460–6.CrossRef
15.
go back to reference Koniarek J, Dudek B, Makowska Z. Kwestionariusz Orientacji Życiowej. Adaptacja the Sense of Coherence Questionnaire (SOC) A. Antonovsky’ego. Przegl Psychol. 1993;36:491–502. Koniarek J, Dudek B, Makowska Z. Kwestionariusz Orientacji Życiowej. Adaptacja the Sense of Coherence Questionnaire (SOC) A. Antonovsky’ego. Przegl Psychol. 1993;36:491–502.
16.
go back to reference Kowalska J, Olszowa D, Markowska D, Teplik M, Rymaszewska J. Physical activity and childbirth school during pregnancy and the level of perceived stress and depressive symptoms in women after childbirth. Psychiatr Pol. 2014;48(5):889–900.CrossRef Kowalska J, Olszowa D, Markowska D, Teplik M, Rymaszewska J. Physical activity and childbirth school during pregnancy and the level of perceived stress and depressive symptoms in women after childbirth. Psychiatr Pol. 2014;48(5):889–900.CrossRef
17.
go back to reference Niyonsenga J, Mutabaruka J. Factors of postpartum depression among teen mothers in Rwanda: a cross- sectional study. J Psychosom Obstet Gynaecol. 2020;212418364:1–5. Niyonsenga J, Mutabaruka J. Factors of postpartum depression among teen mothers in Rwanda: a cross- sectional study. J Psychosom Obstet Gynaecol. 2020;212418364:1–5.
18.
go back to reference Tambag H, Turan Z, Tolun S, Can R. Perceived social support and depression levels of women in the postpartum period in Hatay, Turkey. Niger J Clin Pract. 2018;21(11):1525–30.PubMed Tambag H, Turan Z, Tolun S, Can R. Perceived social support and depression levels of women in the postpartum period in Hatay, Turkey. Niger J Clin Pract. 2018;21(11):1525–30.PubMed
19.
go back to reference Edhborg M. Comparisons of different instruments to measure blues and to predict depressive symptoms 2 months postpartum: a study of new mothers and fathers. Scand J Caring Sci. 2008;22(2):186–95.CrossRef Edhborg M. Comparisons of different instruments to measure blues and to predict depressive symptoms 2 months postpartum: a study of new mothers and fathers. Scand J Caring Sci. 2008;22(2):186–95.CrossRef
20.
go back to reference Sekizuka N, Nakamura H, Shimada K, Tabuchi N, Kameda Y, Sakai A. Relationship between sense of coherence in final stage of pregnancy and postpartum stress reactions. Environ Health Prev Med. 2006;11(4):199–205.CrossRef Sekizuka N, Nakamura H, Shimada K, Tabuchi N, Kameda Y, Sakai A. Relationship between sense of coherence in final stage of pregnancy and postpartum stress reactions. Environ Health Prev Med. 2006;11(4):199–205.CrossRef
21.
go back to reference Ogawa Y, Nakamura H, Nagase H, Ogino K, Ooshita Y, Tsukahara S. Structural analysis for psychosocial factors including health locus of control (HLC) and sense of coherence (SOC) associated with lifestyle-related diseases. Jpn J Hyg. 2001;55(4):597–606.CrossRef Ogawa Y, Nakamura H, Nagase H, Ogino K, Ooshita Y, Tsukahara S. Structural analysis for psychosocial factors including health locus of control (HLC) and sense of coherence (SOC) associated with lifestyle-related diseases. Jpn J Hyg. 2001;55(4):597–606.CrossRef
22.
go back to reference Ferguson S, Browne J, Taylor J, Davis D. Sense of coherence and women’s birthing outcomes: a longitudinal survey. Midwifery. 2016;34:158–65.CrossRef Ferguson S, Browne J, Taylor J, Davis D. Sense of coherence and women’s birthing outcomes: a longitudinal survey. Midwifery. 2016;34:158–65.CrossRef
23.
go back to reference Rados SN, Tadinac M, Herman R. Anxiety during pregnancy and postpartum: course, predictors and comorbidity with postpartum depression. Acta Clin Croat. 2018;57(1):39–51.CrossRef Rados SN, Tadinac M, Herman R. Anxiety during pregnancy and postpartum: course, predictors and comorbidity with postpartum depression. Acta Clin Croat. 2018;57(1):39–51.CrossRef
24.
go back to reference Kurowska K, Jończyk B. Sense of coherence (SOC) and mothers’ knowledge about baby care. Now Lek. 2009;78(2):123–8. Kurowska K, Jończyk B. Sense of coherence (SOC) and mothers’ knowledge about baby care. Now Lek. 2009;78(2):123–8.
25.
go back to reference Ngai FW, Ngu SF. Predictors of family and marital functioning at early postpartum. J Adv Nurs. 2014;70(11):2588–97.CrossRef Ngai FW, Ngu SF. Predictors of family and marital functioning at early postpartum. J Adv Nurs. 2014;70(11):2588–97.CrossRef
26.
go back to reference El-Hachem C, Rohayem J, Khalil BR, Richa S, Kesrouani A, Gemayel R, et al. Early identification of women at risk of postpartum depression using the Edinburgh Postnatal Depression Scale (EPDS) in a sample of Lebanese women. BMC Psychiatry. 2014;14:242.CrossRef El-Hachem C, Rohayem J, Khalil BR, Richa S, Kesrouani A, Gemayel R, et al. Early identification of women at risk of postpartum depression using the Edinburgh Postnatal Depression Scale (EPDS) in a sample of Lebanese women. BMC Psychiatry. 2014;14:242.CrossRef
27.
go back to reference Małus A, Szyluk J, Galińska-Skok B, Konarzewska B. Incidence of postpartum depression and couple relationship quality. Psychiatr Pol. 2016;50(6):1135–46.CrossRef Małus A, Szyluk J, Galińska-Skok B, Konarzewska B. Incidence of postpartum depression and couple relationship quality. Psychiatr Pol. 2016;50(6):1135–46.CrossRef
28.
go back to reference Umuziga M, Adejumo O, Hynie M. A cross-sectional study of the prevalence and factors associated with symptoms of perinatal depression and anxiety in Rwanda. BMC Pregnancy Childbirth. 2020;20:68.CrossRef Umuziga M, Adejumo O, Hynie M. A cross-sectional study of the prevalence and factors associated with symptoms of perinatal depression and anxiety in Rwanda. BMC Pregnancy Childbirth. 2020;20:68.CrossRef
29.
go back to reference Brockington I. Postpartum psychiatric disorders. Lancet. 2004;363(9405):303–10.CrossRef Brockington I. Postpartum psychiatric disorders. Lancet. 2004;363(9405):303–10.CrossRef
30.
go back to reference Davis S, Cross J, Lind BK. Exploring the postpartum adjustment questionnaire as a predictor of postpartum depression. J Obstet Gynecol Neonatal Nurs. 2008;37(6):622–30.CrossRef Davis S, Cross J, Lind BK. Exploring the postpartum adjustment questionnaire as a predictor of postpartum depression. J Obstet Gynecol Neonatal Nurs. 2008;37(6):622–30.CrossRef
31.
go back to reference Vaezi A, Soojoodi F, Banihashemi AT, Nojomi M. The association between social support and postpartum depression in women: a cross sectional study. Women Birth. 2019;32(2):238–42.CrossRef Vaezi A, Soojoodi F, Banihashemi AT, Nojomi M. The association between social support and postpartum depression in women: a cross sectional study. Women Birth. 2019;32(2):238–42.CrossRef
32.
go back to reference Maliszewska K, Świątkowska-Freund M, Bidzan M, Preis K. Relationship, social support, and personality as psychosocial determinants of the risk for postpartum blues. Ginekol Pol. 2016;87(6):442–7.CrossRef Maliszewska K, Świątkowska-Freund M, Bidzan M, Preis K. Relationship, social support, and personality as psychosocial determinants of the risk for postpartum blues. Ginekol Pol. 2016;87(6):442–7.CrossRef
Metadata
Title
Analysis of determinants of postpartum emotional disorders
Authors
Grażyna Iwanowicz-Palus
Agnieszka Marcewicz
Agnieszka Bień
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2021
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-021-03983-3

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