Maternal post-natal depressive symptoms at 2 months: Effects of French antenatal preventive measures in the E.L.F.E. cohort
| Autor: | S. Barandon, M. Balès, E. Pambrun, M. Melchior, N.M. C-Glangeaud-Freudenthal, J. Van der Waerden, H. Verdoux, A.-L. Sutter-Dallay |
|---|---|
| Přispěvatelé: | Bordeaux population health (BPH), Université de Bordeaux (UB)-Institut de Santé Publique, d'Épidémiologie et de Développement (ISPED)-Institut National de la Santé et de la Recherche Médicale (INSERM) |
| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty Population Mothers Antenatal classes Logistic regression Cohort Studies Depression Postpartum 03 medical and health sciences 0302 clinical medicine Pregnancy Risk Factors Early adulthood medicine Humans 030212 general & internal medicine Child education reproductive and urinary physiology Depressive symptoms education.field_of_study 030219 obstetrics & reproductive medicine Depression Obstetrics business.industry Maternal depression 3. Good health Psychiatry and Mental health Clinical Psychology Maternal postpartum depressive symptoms Early prenatal interview Edinburgh Postnatal Depression Scale Cohort Female [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie High incidence business |
| Zdroj: | Journal of Affective Disorders Journal of Affective Disorders, Elsevier, 2021, 293, pp.238-244. ⟨10.1016/j.jad.2021.06.055⟩ |
| ISSN: | 0165-0327 |
| Popis: | Background Given the high incidence of perinatal maternal depression, implementation of preventive actions is crucial. In France, two prenatal preventive measures are available to the general population: early prenatal interview (EPI) and antenatal classes (ANC). Objective To explore the independent associations between EPI and / or ANC and maternal depressive symptoms at 2 months postpartum. Method We used data from the Etude Longitudinale Francaise depuis l'Enfance (ELFE), a French national representative cohort of children and their parents, followed-up from birth to early adulthood. Data concerning characteristics were collected from the mothers during the maternity stay and between 6/8 weeks’ post-partum. The level of depressive symptoms was scored by the French version of the Edinburgh Postnatal Depression Scale (EPDS) between 6/8 weeks’ post-partum. We considered EPDS score ≥10 indicative of postnatal psychological distress (PPD) and EPDS ≥12 for postnatal depressive symptoms (PNDS). After data imputation, multivariate logistic regression analysis was performed. Results Among the 16,411 mothers included in our sample, 26% benefited both from EPI and ANC, 31.1 % of ANC, 7.7% of an EPI and 35% of neither; 20,1% presented PPD and 12,1% PNDS. The likelihood of presenting PPD was significantly higher in mothers who had neither had EPI nor ANC (OR = 1.15 (95% CI : 1.01–1.30). There was no association between receiving or not an EPI and/or ANC and presenting PNDS. Conclusions Antenatal preventive measures may be helpful to prevent PPD at 2 months’ post- partum, while PNDS do not seem to be influenced by these actions. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect