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Published in: Archives of Women's Mental Health 5/2016

01-10-2016 | Original Article

Prenatal predictors of postpartum depression and postpartum depressive symptoms in Mexican mothers: a longitudinal study

Authors: María Asunción Lara, Laura Navarrete, Lourdes Nieto

Published in: Archives of Women's Mental Health | Issue 5/2016

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Abstract

Prospective studies on the predictors of postpartum depression (PPD) in Latin America are scarce, which is a matter of importance, since the significance of PPD risk factors may vary according to the level of development of a country, the types of measurement and the time periods assessed. This study identifies the prenatal predictors for PPD (diagnostic interview) and postpartum depressive symptoms (PPDS) (self-report scale) in Mexican mothers at 6 weeks and 6 months postpartum. Two hundred and ten women were interviewed using the Structured Clinical Interview (SCID-I), Patient Health Questionnaire (PHQ-9) and various risk factor scales. Univariate logistic regressions showed that social support, marital satisfaction, life events, a history of psychopathology, anxiety symptoms, depressive symptoms, the traditional female role, previous miscarriages/termination of pregnancy and unplanned/unwanted pregnancy were significant predictors for both PPD and PPDS at both assessment times in the postpartum. Education, age, marital status, income, occupation, parity, C-section and resilience were significant for only one of the measurements and/or at just one assessment time. General findings replicate a high- and low-income country observed psychosocial risk profile and confirm a sociodemographic and obstetric profile of vulnerability that is more prevalent in resource-constrained countries. PPD constitutes a high burden for new mothers, particularly for those living in low-middle-income countries who face social disadvantages (such as low educational attainment and income).
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Metadata
Title
Prenatal predictors of postpartum depression and postpartum depressive symptoms in Mexican mothers: a longitudinal study
Authors
María Asunción Lara
Laura Navarrete
Lourdes Nieto
Publication date
01-10-2016
Publisher
Springer Vienna
Published in
Archives of Women's Mental Health / Issue 5/2016
Print ISSN: 1434-1816
Electronic ISSN: 1435-1102
DOI
https://doi.org/10.1007/s00737-016-0623-7

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