Predicting postpartum post-traumatic stress and depressive symptoms in low-risk women from distal and proximal factors: a biopsychosocial prospective study using structural equation modeling.
Delivery, Obstetric
/ psychology
Depression
/ epidemiology
Depression, Postpartum
/ diagnosis
Female
Humans
Latent Class Analysis
Models, Biopsychosocial
Parturition
/ psychology
Postpartum Period
/ psychology
Pregnancy
Prospective Studies
Risk Factors
Stress Disorders, Post-Traumatic
/ diagnosis
Young Adult
Biopsychosocial
Postpartum depressive symptoms
Postpartum posttraumatic stress symptoms
Structural equation modeling
Journal
Archives of gynecology and obstetrics
ISSN: 1432-0711
Titre abrégé: Arch Gynecol Obstet
Pays: Germany
ID NLM: 8710213
Informations de publication
Date de publication:
06 2021
06 2021
Historique:
received:
21
04
2020
accepted:
21
10
2020
pubmed:
8
11
2020
medline:
5
10
2021
entrez:
7
11
2020
Statut:
ppublish
Résumé
Posttraumatic stress (PTSD) and depression (PPD) are common mental disorders in the postpartum that constitute a threat both to the mother and the baby. It is unclear whether both disorders share similar antecedents, which is important to plan efficient interventions. The goal of this study was to examine the contribution of set of biopsychosocial predictors on both PTSD and PPD. The study design was prospective. The study was conducted at Hospital Universitario de Fuenlabrada, a public university hospital located in the south of Madrid (Spain). The sample was composed of 116 pregnant women with low pregnancy risk. STROBE reporting guidelines were followed. The multivariate results show that psychopathology severity assessed during the first trimester (ß = 0.50, p < .001) and the Apgar score 5 min after delivery (ß = - 0.19, p = .030) were the two variables to significantly contribute to postpartum depressive symptoms. Conversely, only satisfaction with home care after delivery was independently associated with postpartum posttraumatic stress (ß = - 0.26, p = .016). The proposed model explained 21.8% of the variance of postpartum depressive symptoms (p = .041) and 27.1% of the variance of posttraumatic stress symptoms (p = .014). Special attention should be given to shared and unique predictive factors of PDD and PTSD to develop effective prevention programs in perinatal care.
Identifiants
pubmed: 33159548
doi: 10.1007/s00404-020-05857-z
pii: 10.1007/s00404-020-05857-z
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1415-1423Références
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