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Psychiatria Danubina, Vol. 26 No. suppl 3, 2014.

Original scientific paper

MULTIVARIATE ANALYSIS OF PREDICTORS OF DEPRESSION SYMPTOMATOLOGY AFTER CHILDBIRTH

Azijada Srkalović Imširagić ; Neuropsychiatric Hospital “Dr Ivan Barbot”, Popovača, Croatia
Dražen Begić ; Department of Psychiatry, School of Medicine University of Zagreb, University Hospital Centre Zagreb, Croatia
Iris Sarajlić Vuković ; Andrija Stampar Teaching Institute of Public Health, Zagreb, Croatia
Livija Šimićević ; Tanja Javorina3Department of Laboratory Diagnostics, University Hospital Center Zagreb, Croatia
Tanja Javorina ; Andrija Stampar Teaching Institute of Public Health, Zagreb, Croatia

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Abstract

Background: Risk factors of postpartum depression, although relatively well investigated, remain largely unclear.
The aim of this study was to identify the most relevant predictors of postpartum depressive symptomatology that are of clinical
importance using the Edinburgh Postnatal Depression Scale (EPDS) 3-5 days and 6 to 9 weeks after childbirth.
Subject and methods: In order to explore predictors of depression, 3-5 days after childbirth, 372 participants fulfilled several
questionnaires: Edinburgh Postnatal Depression Scale (EPDS), Impact of Events Scale Revised (IES-R), Big Five Inventory, and
questions regarding breastfeeding practice as well as social and demographic factors. Six to nine weeks after childbirth, the same
participants fulfilled the following questionnaires: IES-R, EPDS and breastfeeding practice questions.
Results: On a multivariate level of analysis, the predictors that increased the odds for postnatal depression symptomatology at
the first study point were: unsuccessful breast feeding initiation (odds ratio (OR) 2.58; confidence interval (CI) 1.35-4.91) and
personality traits neuroticism (OR 1.16; CI 1.07-1.25.). The predictors that increased the odds for depression symptomatology at the
second study phase were: fear for labor outcome (OR 2.44; C1.03-5.80) and the baseline EPDS score (OR 3.32; CI 1.31-8.40). The
predictor that decreased the odds at the second study phase was the personality trait Openness (OR 0.9; CI 0.86-0.99).
Conclusions: Immediately after childbirth biological and psychological factors seem to be predictive for postpartum
symptomatology while later only psychological factors are of greater importance.

Keywords

delivery; postpartum; depression; predictors

Hrčak ID:

265266

URI

https://hrcak.srce.hr/265266

Publication date:

23.12.2014.

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