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PERINATAL DEPRESSION: A STUDY OF PREVALENCE AND OF RISK AND PROTECTIVE FACTORS

Sandro Elisei ; Division of Psychiatry, Clinical Psychology and Rehabilitation, Department of Clinical and Experimental Medicine, University of Perugia, Santa Maria della Misericordia Hospital, Perugia, Italy
Emanuela Lucarini ; MD, Perugia, Italy
Nicola Murgia ; Division of Occupational Medicine, Respiratory Medicine and Toxicology and Environmental Professionals, Department of Clinical and Experimental Medicine, University of Perugia, Santa Maria della Misecordia Hospital, Perugia, Italy
Laura Ferranti ; Division of Psychiatry, Clinical Psychology and Rehabilitation, Department of Clinical and Experimental Medicine, University of Perugia, Santa Maria della Misericordia Hospital, Perugia, Italy
Luigi Attademo ; School of Specialization in Psychiatry, University of Perugia, Perugia, Italy


Puni tekst: engleski pdf 218 Kb

str. 258-262

preuzimanja: 337

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Sažetak

Background: International literature has shown that Postpartum Depression (PPD) has a significant social and relational
impact on mothers and their partners, on the interaction between mother and child, as well as on the cognitive and emotional
development of the child. The goal of this study is to increase the epidemiological knowledge of PPD and to evaluate both risk and
protective factors.
Subjects and methods: Our study is based on the administration of three tests, Paykel’s Life Events Scale, EPDS and MMPI-2, at
three distinct time point (during the third trimester, 72 hours after delivery, and three months after delivery, respectively) to a sample
of women recruited in the Prenatal Medicine Clinic at the Hospital of Perugia. The data collected was statistically analyzed.
Results: The prevalence of PPD 72 hours after delivery was 11%, while the prevalence of PPD three months after delivery was
16.7%. Antepartum Depression (APD), measured using EPDS cut-offs scores of 9 and 14, was found to be a statistically significant
risk factor for the development of PPD, while desired life-events during pregnancy can represent a protective factor.
Conclusions: The prevalence of PPD that we measured, in agreement with that found in the literature, demonstrates that despite
the fact that the diagnostic criteria of the DSM-IV refer to PPD only if it develops within 4 weeks after delivery, PPD can also
develop after this period. Furthermore, it appears that monitoring APD and encouraging a psycho-socially serene pregnancy are
important for prevention of PPD. In the case of APD it was shown that monitoring women with even light depressive symptoms is
important, because these women are more likely to then develop PPD.

Ključne riječi

postpartum depression; risks factors; protective factors; antepartum depression

Hrčak ID:

266621

URI

https://hrcak.srce.hr/266621

Datum izdavanja:

26.8.2013.

Posjeta: 488 *