Postpartum depression and timing of spousal military deployment relative to pregnancy and delivery
| Autor: | Carter J. Sevick, Krista M. Mehlhaff, Anna T. Bukowinski, Jordan A. Levine, Ava Marie S Conlin |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Postpartum depression
Adult Male medicine.medical_specialty Anxiety California Cohort Studies Depression Postpartum Pregnancy Risk Factors parasitic diseases medicine Odds Ratio Prevalence Humans Psychiatry Spouses Depression (differential diagnoses) Retrospective Studies Depressive Disorder business.industry Obstetrics and Gynecology Infant social sciences General Medicine medicine.disease Delivery Obstetric Mental health Anxiety Disorders Military personnel Logistic Models Military Personnel Software deployment behavior and behavior mechanisms Female business Military deployment Cohort study |
| Zdroj: | Archives of gynecology and obstetrics. 292(3) |
| ISSN: | 1432-0711 |
| Popis: | This study aimed to determine the relationship between spousal deployment and postpartum depression diagnosis among U.S. military wives, accounting for the timing of deployment with respect to pregnancy and delivery.A retrospective cohort study was conducted to evaluate the association between spousal deployment and postpartum depression among pregnant wives of active-duty service members. Electronic medical records for 161,454 births occurring between 2004 and 2009 were used to define postpartum depression. Three non-mutually exclusive exposure variables were created to categorize deployments as occurring before, during, or after the infant's delivery. A multivariable logistic regression model mutually adjusted for these exposure variables was fitted, producing an odds ratio for each of the three timing categories.A modest significant association was detected only in those whose husbands deployed in pregnancy and returned after delivery (i.e., deployed during delivery) [odds ratio (OR) 1.10, 95 % confidence interval (CI) 1.04-1.15]. An interactive effect between preexisting depression or anxiety and deployment during delivery was also detected in the data (OR 1.13, 95 % CI 1.07-1.20 for those without a preexisting diagnosis; OR 0.87, 95 % CI 0.80-0.95 for those with a preexisting diagnosis).Health care providers should continue to be aware of spousal deployment as a military-unique stressor in this population and rigorously screen for potential symptoms of postpartum depression, especially among those whose husbands are absent at delivery. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink