Relationship of postnatal depressive symptoms to infant temperament, maternal expectations, social support and other potential risk factors: findings from a large Australian cross-sectional studyReport as inadecuate




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BMC Pregnancy and Childbirth

, 12:148

Maternal health and pregnancy

Abstract

BackgroundFrom 2000 a routine survey of mothers with newborn infants was commenced in South Western Sydney. The survey included the Edinburgh Postnatal Depression Scale EPDS. The aim of the study was to determine the prevalence and risk factors for postnatal depressive symptoms in women living in metropolitan Sydney, Australia.

MethodsMothers n=15,389 delivering in 2002 and 2003 were assessed at 2–3 weeks after delivery for risk factors for depressive symptoms. The binary outcome variables were EPDS >9 and >12. Logistic regression was used for the multivariate analysis.

ResultsThe prevalence of EPDS >9 was 16.93 per 100 95% CI: 16.34 to 17.52 and EPDS >12 was 7.73 per 100 95% CI: 6.96 to 7.78. The final parsimonious logistic regression models included measures of infant behaviour, financial stress, mother’s expectation of motherhood, emotional support, sole parenthood, social support and mother’s country of birth.

ConclusionsInfant temperament and unmet maternal expectations have a strong association with depressive symptoms with implications for the design of both preventative and treatment strategies. The findings also support the proposition that social exclusion and social isolation are important determinants of maternal depression.

KeywordsPostnatal depression Temperament Maternal expectations Social support Social isolation Migrant AbbreviationEPDSEdinburgh Postnatal Depression Scale

IBISIngleburn Baby Information System

NSWNew South Wales

DAGsDirected acyclic graphs

SWSAHSSouth Western Sydney Area Health Service.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2393-12-148 contains supplementary material, which is available to authorized users.

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Author: John G Eastwood - Bin B Jalaludin - Lynn A Kemp - Hai N Phung - Bryane EW Barnett

Source: https://link.springer.com/







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