The Effect of Socioeconomic Factors on Maternal Perinatal Depressive Symptoms and the Contribution of Group Prenatal Support as a Preventive Measure.
economic crisis
life stress events
maternal depression
maternity blues
postpartum period
pregnant women
psychoprophylaxis
Journal
Women's health reports (New Rochelle, N.Y.)
ISSN: 2688-4844
Titre abrégé: Womens Health Rep (New Rochelle)
Pays: United States
ID NLM: 101768931
Informations de publication
Date de publication:
2023
2023
Historique:
accepted:
22
12
2022
entrez:
2
2
2023
pubmed:
3
2
2023
medline:
3
2
2023
Statut:
epublish
Résumé
The European and Greek financial turmoil that began in 2007 has had adverse health consequences. Stillbirth, low birth weight, infant mortality, and maternal suicide have all increased. The purpose of this study was to evaluate whether socioeconomic factors contribute to postpartum blues, and whether psychoprophylaxis with group prenatal education and support may have a beneficial effect. The sample study comprised 414 pregnant women equally divided into psychoprophylaxis or standard care. There were six psychoprophylaxis sessions, with two each week lasting 2 hours each in groups of five people at the urban health center of Larissa, Greece. A questionnaire was used for data collection, including (1) closed-type questions about sociodemographic characteristics, and medical and obstetric history; (2) the Hamilton Depression Scale; (3) a Blues Questionnaire; (4) the Holmes and Rahe stressful life events scale; and (5) a scale of effects of the economic crisis. Differences between the two groups and within the groups at different time points were assessed by two-way repeated measures ANOVA tests. Maternity blues scores, depression scores at all time points, life stress event score, and financial difficulty score were all significantly related to each other in both groups at all time points ( Although financial status as well as depression continued to play a role, the deterrent contribution of psychoprophylaxis was the most important parameter in the final maternity blues prognostic model. The results of our study show a potential for prevention and suggest interesting hypotheses for future interventions.
Sections du résumé
Background
UNASSIGNED
The European and Greek financial turmoil that began in 2007 has had adverse health consequences. Stillbirth, low birth weight, infant mortality, and maternal suicide have all increased. The purpose of this study was to evaluate whether socioeconomic factors contribute to postpartum blues, and whether psychoprophylaxis with group prenatal education and support may have a beneficial effect.
Materials and Methods
UNASSIGNED
The sample study comprised 414 pregnant women equally divided into psychoprophylaxis or standard care. There were six psychoprophylaxis sessions, with two each week lasting 2 hours each in groups of five people at the urban health center of Larissa, Greece. A questionnaire was used for data collection, including (1) closed-type questions about sociodemographic characteristics, and medical and obstetric history; (2) the Hamilton Depression Scale; (3) a Blues Questionnaire; (4) the Holmes and Rahe stressful life events scale; and (5) a scale of effects of the economic crisis. Differences between the two groups and within the groups at different time points were assessed by two-way repeated measures ANOVA tests.
Results
UNASSIGNED
Maternity blues scores, depression scores at all time points, life stress event score, and financial difficulty score were all significantly related to each other in both groups at all time points (
Conclusion
UNASSIGNED
Although financial status as well as depression continued to play a role, the deterrent contribution of psychoprophylaxis was the most important parameter in the final maternity blues prognostic model. The results of our study show a potential for prevention and suggest interesting hypotheses for future interventions.
Identifiants
pubmed: 36727096
doi: 10.1089/whr.2022.0042
pii: 10.1089/whr.2022.0042
pmc: PMC9883668
doi:
Types de publication
Journal Article
Langues
eng
Pagination
31-38Informations de copyright
© Konstantina Natsiou et al., 2023; Published by Mary Ann Liebert, Inc.
Déclaration de conflit d'intérêts
No competing financial interests exist.
Références
J Matern Fetal Neonatal Med. 2007 Mar;20(3):189-209
pubmed: 17437220
Br J Psychiatry. 1989 Sep;155:356-62
pubmed: 2611547
J Psychosom Res. 2000 Sep;49(3):207-16
pubmed: 11110992
BMC Psychol. 2018 Jun 18;6(1):28
pubmed: 29914574
BJOG. 2009 Aug;116(9):1167-76
pubmed: 19538406
BMC Pregnancy Childbirth. 2014 Jan 15;14:22
pubmed: 24422605
J Midwifery Womens Health. 2004 Nov-Dec;49(6):489-504
pubmed: 15544978
J Psychosom Obstet Gynaecol. 2008 Sep;29(3):206-12
pubmed: 18608817
Acta Inform Med. 2021 Mar;29(1):38-44
pubmed: 34012212
N Engl J Med. 1976 May 27;294(22):1205-7
pubmed: 772428
Psychol Med. 2000 Nov;30(6):1273-81
pubmed: 11097068
J Psychosom Res. 1967 Aug;11(2):213-8
pubmed: 6059863
Psychosom Med. 1979 May;41(3):243-58
pubmed: 382225
Best Pract Res Clin Obstet Gynaecol. 2014 Jan;28(1):3-12
pubmed: 24140480
Br J Soc Clin Psychol. 1967 Dec;6(4):278-96
pubmed: 6080235
J Perinat Educ. 2000 Winter;9(1):15-21
pubmed: 17273188
J Affect Disord. 2008 Jan;105(1-3):35-44
pubmed: 17490753
Int J Nurs Stud. 2010 Oct;47(10):1208-16
pubmed: 20362992
Eur J Public Health. 2012 Feb;22(1):4-5
pubmed: 22199160
J Affect Disord. 2007 Apr;99(1-3):107-15
pubmed: 17011042
Eur J Public Health. 2014 Jun;24(3):399-403
pubmed: 24709510