Hair cortisol levels, psychological stress and psychopathological symptoms as predictors of postpartum depression

Autor: Borja Romero-Gonzalez, Rafael A. Caparros-Gonzalez, Helen Strivens-Vilchez, Raquel Gonzalez-Perez, María Isabel Peralta-Ramírez, Olga Martínez-Augustin
Rok vydání: 2017
Předmět:
Postpartum depression
Hydrocortisone
Maternal Health
Emotions
lcsh:Medicine
Pituitary-Adrenal System
Social Sciences
Anxiety
Miscarriage
Biochemistry
0302 clinical medicine
Pregnancy
Medicine and Health Sciences
Psychology
Lipid Hormones
lcsh:Science
Depression (differential diagnoses)
Multidisciplinary
Depression
Obstetrics
Postpartum Period
Obstetrics and Gynecology
Female
Anatomy
Integumentary System
medicine.symptom
Research Article
Psychopathology
Adult
Hypothalamo-Hypophyseal System
medicine.medical_specialty
Psychological Stress
Depression
Postpartum

03 medical and health sciences
Internal medicine
Mental Health and Psychiatry
medicine
Humans
Steroid Hormones
Mood Disorders
business.industry
lcsh:R
Biology and Life Sciences
medicine.disease
Hormones
030227 psychiatry
Pregnancy Complications
Endocrinology
Women's Health
lcsh:Q
Pregnant Women
business
Somatization
Stress
Psychological

030217 neurology & neurosurgery
Postpartum period
Hair
Zdroj: PLoS ONE
PLoS ONE, Vol 12, Iss 8, p e0182817 (2017)
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0182817
Popis: Postpartum depression affects a huge number of women and has detrimental consequences. Knowing the factors associated with postpartum depression during pregnancy can help its prevention. Although there is evidence surrounding behavioral or psychological predictors of postpartum depression, there is a lack of evidence of biological forecasters. The aim of this study was to analyze the sociodemographic, obstetric, and psychological variables along with hair cortisol levels during the first, second, and third trimesters of pregnancy that could predict postpartum depression symptoms. A sample of 44 pregnant women was assessed during 3 trimesters of pregnancy and the postpartum period using psychological questionnaires and hair cortisol levels. Participants were divided into 2 groups: a group with postpartum depression symptoms and a group with no postpartum depression symptoms. Results showed significant positive differences between groups in the first trimester regarding the Somatization subscale of the SCL-90-R (p < .05). In the second trimester, significant differences were found in the Somatization, Depression, Anxiety, and GSI subscales (p < .05). In the third trimester significant differences between both groups were found regarding pregnancy-specific stress. We found significant positive differences between groups regarding hair cortisol levels in the first and the third trimester. Hair cortisol levels could predict 21.7% of the variance of postpartum depression symptoms. In conclusion, our study provided evidence that psychopathological symptoms, pregnancy-specific stress, and hair cortisol levels can predict postpartum depression symptoms at different time-points during pregnancy. These findings can be applied in future studies and improve maternal care in clinical settings.
Databáze: OpenAIRE