P-989 - Psychosocial risk factors for postpartum depression: a descriptive sample of pregnants

Autor: Stefania Chiappini, F. Di Nardo, Luisa D'Oria, Giancarlo Oliva, E. Righino, R. Testa, Angelo Bruschi, Luigi Janiri
Rok vydání: 2012
Předmět:
Zdroj: European Psychiatry. 27:1
ISSN: 0924-9338
DOI: 10.1016/s0924-9338(12)75156-8
Popis: Introduction PostPartum Depression (PPD) is a common problem connected to pregnancy. Related previous data show a prevalence of depressive symptoms between 8% and 51% and a prevalence of Major Depressive Disorder between 10% and 17%. Objectives Find a correlation between Psychosocial Risk Factors and the develop of Mood Disorders during pregnancy and post-delivery. Aims Develop strategies of prevention and treatment of PPD. Methods A population of pregnants has been analyzed proposing an anamnestic questionnaire, the Edinburgh Postnatal Depression Scale (EPDS) and the Hypomania checklist Symptoms (HCL), in two times: between the 35th and the 37th week of pregnancy and 2–3 days after the delivery. Results We found that at the first survey were depressed (EPDS score >9) 21 women of 149 (14.1%) and hyperthymic (HCL score >14) 59 women of 149 (39.9%).We noticed that risk factors for depression were a complicated pregnancy (p = 0.004), a conflicting relationship with the partner (p = 0.009) and a permanence in Italy At the second survey, data were confirmed: the incidence of depression was 17,4% (12/69 women) and that of hyperthymia was 44% (30/69 women). Conclusions Our data confirm previous evidences about the incidence of PPD and the contribution of risk factors of the pregnancy in its pathogenesis; moreover, high scores at HCL can express an hyperthymic dimension peculiar of pregnancy, rather than a mood disorder, considering HCL as a dimensional assessment.
Databáze: OpenAIRE