Postpartum blues: a predictor of postpartum depression, from the IGEDEPP Cohort.

Autor:	Landman A; Department of Psychiatry, Louis-Mourier Hospital, AP-HP, Colombes, France., Ngameni EG; Department of Psychiatry, Louis-Mourier Hospital, AP-HP, Colombes, France., Dubreucq M; Centre Referent de Rehabilitation Psychosociale, GCSMS REHACOOR 42, Saint-Étienne, France.; INSERM U1290 (Research on Healthcare Performance (RESHAPE)), University Lyon 1, Lyon, France., Dubreucq J; Department of Child and Adolescent Psychiatry, University Hospital of Saint-Étienne, Saint-Priest-en-Jarez, France.; CNRS 5229 (Institute of Cognitive Neuroscience), University Lyon 1, Lyon, France., Tebeka S; Department of Psychiatry, Louis-Mourier Hospital, AP-HP, Colombes, France.; Institute of Psychiatry and Neuroscience of Paris (IPNP), Université Paris Cité, INSERM U1266, Team 1, Paris75014, France., Dubertret C; Department of Psychiatry, Louis-Mourier Hospital, AP-HP, Colombes, France.; Institute of Psychiatry and Neuroscience of Paris (IPNP), Université Paris Cité, INSERM U1266, Team 1, Paris75014, France.
Jazyk:	angličtina
Zdroj:	European psychiatry : the journal of the Association of European Psychiatrists [Eur Psychiatry] 2024 Apr 01; Vol. 67 (1), pp. e30. Date of Electronic Publication: 2024 Apr 01.
DOI:	10.1192/j.eurpsy.2024.1741
Abstrakt:	Background: To identify the different factors associated with postpartum blues and its association with postpartum depression, from a large French cohort. Methods: We conducted an analysis of the Interaction Gene Environment in Postpartum Depression cohort, which is a prospective, multicenter cohort including 3310 women. Their personal (according to the Diagnostic and Statistical Manual, fifth edition [DSM-5]) and family psychiatric history, stressful life events during childhood, pregnancy, and delivery were collected. Likewise, the French version of the Maternity Blues Scale questionnaire was administered at the maternity department. Finally, these women were assessed at 8 weeks and 1 year postpartum by a clinician for postpartum depression according to DSM-5 criteria. Results: The prevalence of postpartum blues in this population was 33%, and significant factors associated with postpartum blues were found as personal (aOR = 1.2) and family psychiatric history (aOR = 1.2), childhood trauma (aOR = 1.3), obstetrical factors, or events related to the newborn, as well as an experience of stressful life events during pregnancy (aOR = 1.5). These factors had a cumulative effect, with each additional factor increasing the risk of postpartum blues by 31%. Furthermore, adjustment for sociodemographic measures and history of major depressive episode revealed a significant association between postpartum blues and postpartum depression, mainly at early onset, within 8 weeks after delivery (aOR = 2.1; 95% CI = 1.6-2.7), but also at late onset (aOR = 1.4; 95% CI = 1.1-1.9), and mainly if the postpartum blues is severe. Conclusion: These results justify raising awareness among women with postpartum blues, including reassurance and information about postpartum depression, its symptomatology, and the need for management in case of worsening or prolongation of postpartum blues.
Databáze:	MEDLINE
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