Modelling of psychosocial and lifestyle predictors of peripartum depressive symptoms associated with distinct risk trajectories: a prospective cohort study
| العنوان: | Modelling of psychosocial and lifestyle predictors of peripartum depressive symptoms associated with distinct risk trajectories: a prospective cohort study |
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| المؤلفون: | Dimitris K. Grammatopoulos, Lorenz Wernisch, Olanrewaju Sorinola, Amber Steele, Alison Williams, Jayne Blacklay, Sarah English |
| المصدر: | Scientific Reports Scientific Reports, Vol 8, Iss 1, Pp 1-11 (2018) |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Postpartum depression, Risk, medicine.medical_specialty, Science, Article, 03 medical and health sciences, 0302 clinical medicine, Predictive Value of Tests, Risk Factors, History of depression, medicine, Peripartum Period, Humans, 030212 general & internal medicine, Prospective Studies, Family history, Life Style, Depression (differential diagnoses), Multidisciplinary, Obstetrics, business.industry, Depression, medicine.disease, 030227 psychiatry, Logistic Models, ROC Curve, Edinburgh Postnatal Depression Scale, Medicine, Female, RG, business, Psychosocial, Perinatal Depression, Postpartum period |
| الوصف: | Perinatal depression involves interplay between individual chronic and acute disease burdens, biological and psychosocial environmental and behavioural factors. Here we explored the predictive potential of specific psycho-socio-demographic characteristics for antenatal and postpartum depression symptoms and contribution to severity scores on the Edinburgh Postnatal Depression Scale (EPDS) screening tool. We determined depression risk trajectories in 480 women that prospectively completed the EPDS during pregnancy (TP1) and postpartum (TP2). Multinomial logistic and penalised linear regression investigated covariates associated with increased antenatal and postpartum EPDS scores contributing to the average or the difference of paired scores across time points. History of anxiety was identified as the strongest contribution to antenatal EPDS scores followed by the social status, whereas a history of depression, postpartum depression (PPD) and family history of PPD exhibited the strongest association with postpartum EPDS. These covariates were the strongest differentiating factors that increased the spread between antenatal and postpartum EPDS scores. Available covariates appeared better suited to predict EPDS scores antenatally than postpartum. As women move from the antenatal to the postpartum period, socio-demographic and lifestyle risk factors appear to play a smaller role in risk, and a personal and family history of depression and PPD become increasingly important. |
| وصف الملف: | application/pdf |
| تدمد: | 2045-2322 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::0321728f9056740760449d7f53549ae1Test https://pubmed.ncbi.nlm.nih.gov/30143660Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....0321728f9056740760449d7f53549ae1 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20452322 |
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