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Open Access 01-11-2016

The Effect of Stressful Life Events on Postpartum Depression: Findings from the 2009–2011 Mississippi Pregnancy Risk Assessment Monitoring System

Authors: Mina Qobadi, Charlene Collier, Lei Zhang

Published in: Maternal and Child Health Journal | Special Issue 1/2016

Abstract

Objectives To determine the prevalence of postpartum depression (PPD) among new mothers in Mississippi during 2009–2011 and evaluate the effects of different stressful life events in the year before delivery on the likelihood of PPD. Methods We used Mississippi Pregnancy Risk Assessment Monitoring System (PRAMS) 2009–2011 data (n = 3695) to evaluate the effects of different stressful life events on PPD. We categorized 13 stressors into 4 groups: financial, relational, trauma-related, and emotional. A composite score of the mothers’ responses (≥10) to the three items: “I felt down, depressed, or sad”, “I felt hopeless”, and “I felt slowed down” was used to measure PPD. The items were rated on a Likert scale from (1) never to 5 (always). Descriptive statistics, Chi square tests, t tests, and logistic regression analyses were conducted using SAS 9.3 Proc Survey procedure (SAS Institute, Cary, NC, USA). Results The overall prevalence of self-reported PPD was 14.8 %. Mothers who experienced high relational with low financial and high trauma related stresses had the highest likelihood of PPD diagnosis after adjusting for confounders (OR = 8.6; 95 % CI, 3.5–21.3), followed by those who reported high relational stress with low financial and low trauma stresses (OR = 5.9; 95 % CI, 3.5–10.2). Those with high financial, low relational, and low trauma had the least likelihood of PPD (OR = 2.2; 95 % CI, 1.6–3.0) compared to women with low stress in all three categories. Conclusion Our findings showed that the likelihood of PPD was higher among women who had high relational stress, indicating that efforts to effectively prevent PPD need to focus on healthy relationships between partners during pregnancy.

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Ahluwalia, I., Merritt, R., Beck, L., & Rogers, M. (2001). Multiple lifestyle and psychosocial risks and delivery of small for gestational age infants. Obstetrics and Gynecology, 97, 649–656.PubMed

Banker, J. E. (2010). Understanding postpartum depression from a structural family theory perspective: Examining risk and protective factors. Retrieved from http://scholar.lib.vt.edu/theses/available/etd-08272010-151832/unrestricted/Banker__JB__D__2010.pdf

Banker, J. E., & LaCoursiere, D. Y. (2014). Postpartum depression: risks, protective factors, and the couple’s relationship. Issues in Mental Health Nursing, 35(7), 503–508. doi:10.3109/01612840.2014.888603 CrossRefPubMed

Boyce, P., & Hickey, A. (2005). Psychosocial risk factors to major depression after childbirth. Social Psychiatry and Psychiatric Epidemiology, 2005(40), 605–612.CrossRef

Brummelte, S., & Galea, L. A. (2016). Postpartum depression: Etiology, treatment and consequences for maternal care. Hormones and Behavior, 77, 153–166. doi:10.1016/j.yhbeh.2015.08.008 CrossRefPubMed

Burns, E. R., Farr, S. L., & Howards, P. P. (2015). Stressful life events experienced by women in the year before their infants’ births—United States, 2000–2010. MMWR, 64(09), 247–251.PubMed

Chojenta, C., Loxton, D., & Lucke, J. (2012). How do previous mental health, social support, and stressful life events contribute to postnatal depression in a representative sample of Australian women? Journal of Midwifery & Women’s Health, 57(2), 145–150. doi:10.1111/j.1542-2011.2011.00140.x CrossRef

Copen, C. E., Daniels, K., Vespa, J. & Mosher, W. D. (2012). First marriages in the United States: Data from the 2006–2010 National Survey of Family Growth. In National health statistics reports; no 49. Hyattsville, MD: National Center for Health Statistics. 2012.

Demirchyan, A., Petrosyan, D., & Armenian, H. K. (2014). Rate and predictors of postpartum depression in a 22-year follow-up of a cohort of earthquake survivors in Armenia. Archives of Women’s Mental Health, 17(3), 229–237. doi:10.1007/s00737-013-0404-5 CrossRefPubMed

10.

Dennis, C., & Ross, L. (2006). Women’s perceptions of partner support and conflict in the development of postpartum depressive symptoms. Journal of Advanced Nursing, 56(6), 588–599.CrossRefPubMed

11.

Field, T. (2010). Postpartum depression effects on early interactions, parenting, and safety practices: A review. Infant Behavior & Development, 33(1), 1–6. doi:10.1016/j.infbeh.2009.10.005 CrossRef

12.

Gaynes, B. N., Gavin, N., Meltzer-Brody, S., Lohr, K. N., Swinson, T., Gartlehner, G., et al. (2005). Perinatal depression: prevalence, screening accuracy, and screening outcomes. Evidence Report Technology Assessment (Summ), 119, 1–8.

13.

Hannaford, P. C., & Owen-Smith, V. (1998). Using epidemiological data to guide clinical practice: Review of studies on cardiovascular disease and use of combined oral contraceptives. BMJ, 316, 984–987.CrossRefPubMedPubMedCentral

14.

Hobel, C. J., Goldstein, A., & Barrett, E. S. (2008). Pyschosocial stress and pregnancy outcome. Clinical Obstetrics and Gynecology, 51(2), 333–348. doi:10.1097/GRF.0b013e31816f2709 CrossRefPubMed

15.

Horenstein, J., & Cohen, S. (2008). Social support. In R. E. Ingram (Ed.), The international encyclopedia of depression (pp. 514–517). New York: Springer Publishing Company.

16.

Lederberg-Stone, S., Diop, H., Declercq, E., Cabral, H. J., & Wise, L. A. (2015). Stressful events during pregnancy and postpartum depressive symptoms. Journal of Women’s Health (Larchmt), 24(5), 384–393. doi:10.1089/jwh.2014.4857 CrossRef

17.

Lerman, R. I., & Ooms, T. J. (2009). Young unwed fathers: Changing roles and emerging policies. Philadelphia: Temple University Press.

18.

Lincoln, A., Feverharm, R., Damron, P., DeVault, M., Lorenz, D., & Dooley, S. (2008). Maternal depression after delivery in Oklahoma. Journal of Oklahoma State Medical Association, 101, 307–311.

19.

Liu, C. H., & Tronick, E. (2013). Re-conceptualising prenatal life stressors in predicting post-partum depression: Cumulative-, specific-, and domain-specific approaches to calculating risk. Paediatric and Perinatal Epidemiology, 27, 481–490. doi:10.1111/ppe.12072 CrossRefPubMed

20.

Lobel, M., Cannella, D. L., Graham, J. E., DeVincent, C., Schneider, J., & Meyer, B. A. (2008). Pregnancy-specific stress, prenatal health behaviors, and birth outcomes. Health Psychology, 27(5), 604–615. doi:10.1037/a0013242 CrossRefPubMed

21.

Meltzer-Brody, S. (2011). New insigths into perinatal depression: Pathogenesis and treatment during pregnancy and postpartum. Dialogues in Clinical Neuroscience, 13, 89–100.PubMedPubMedCentral

22.

Mollborn, S., & Lovegrove, P. J. (2011). How teenage fathers matter for children: Evidence from the ECLS-B. Journal of Family Issues, 32(1), 3–30.CrossRefPubMedPubMedCentral

23.

Montgomery, P., Bailey, P., Purdon, S. J., Snelling, S. J., & Kauppi, C. (2009). Women with postpartum depression: “my husband” stories. BMC Nursing, 8, 8.CrossRefPubMedPubMedCentral

24.

Nkansah-Amankra, S., Luchok, K. J., Hussey, J. R., Watkins, K., & Liu, X. (2010). Effects of maternal stress on low birth weight and preterm birth outcomes across neighborhoods of South Carolina, 2000–2003. Maternal and Child Health Journal, 14(2), 215–226. doi:10.1007/s10995-009-0447-4 CrossRefPubMed

25.

O’Connor, A. M. (2013). Interpretation of odds and risk ratios. Journal of Veterinary Internal Medicine, 27, 600–603.CrossRefPubMed

26.

O’Hara, M. W., & McCabe, J. E. (2013). Postpartum depression: Current status and future directions. Annual Review of Clinical Psychology, 9, 379–407. doi:10.1146/annurev-clinpsy-050212-185612 CrossRefPubMed

27.

Rogers, C. E., Kidokoro, H., Wallendorf, M., & Inder, T. E. (2013). Identifying mothers of very preterm infants at-risk for postpartum depression and anxiety before discharge. Journal of Perinatology, 33, 171–176. doi:10.1038/jp.2012.75 CrossRefPubMed

28.

Rubertsson, C., Wickberg, B., Gustavsson, P., & Rådestad, I. (2005). Depressive symptoms in early pregnancy, two months and one year postpartum-prevalence and psychosocial risk factors in a national Swedish sample. Archives of Women’s Mental Health, 8, 97–104.CrossRefPubMed

29.

Seng, J. S., Sperlich, M., Low, L. K., Ronis, D. L., Muzik, M., & Liberzon, I. (2013). Childhood abuse history, posttraumatic stress disorder, postpartum mental health, and bonding: A prospective cohort study. Journal of Midwifery Women’s Health, 58(1), 57–68. doi:10.1111/j.1542-2011.2012.00237.x CrossRefPubMedPubMedCentral

30.

Stuart, S. (2012). Interpersonal psychotherapy for postpartum depression. Clinical Psychology Psychotherapy, 19(2), 134–140. doi:10.1002/cpp.1778 CrossRefPubMedPubMedCentral

31.

Sweet, E., Nandi, A., Adam, E., & McDade, T. (2013). The high price of debt: Household financial debt and its impact on mental and physical health. Social Science & Medicine, 91, 94–100.CrossRef

32.

Yim, I. S., Stapleton, L. R. T., Guardino, C. M., Hahn-Holbrook, J., & Schetter, C. D. (2015). Biological and psychosocial predictors of postpartum depression: Systematic review and call for integration. Annual Review of Clinical Psychology, 11, 99–137. doi:10.1146/annurev-clinpsy-101414-020426 CrossRefPubMed

33.

Zeidner, M. & Endler, N. S. (1995). Handbook of coping: Theory, research, applications. John Wiley & Sons, Inc. ISBN: 978-0-471-59946-3

Title: The Effect of Stressful Life Events on Postpartum Depression: Findings from the 2009–2011 Mississippi Pregnancy Risk Assessment Monitoring System
Authors: Mina Qobadi
Charlene Collier
Lei Zhang
Publication date: 01-11-2016
Publisher: Springer US
Published in: Maternal and Child Health Journal / Issue Special Issue 1/2016
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI: https://doi.org/10.1007/s10995-016-2028-7

At a glance: The STEP trials

Springer Medicine

The Effect of Stressful Life Events on Postpartum Depression: Findings from the 2009–2011 Mississippi Pregnancy Risk Assessment Monitoring System

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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