Relationship of postnatal depressive symptoms to infant temperament, maternal expectations, social support and other potential risk factors: findings from a large Australian cross-sectional study

BMC Pregnancy and Childbirth

Research Article

Bryane EW Barnett¹  Bin B Jalaludin²  Lynn A Kemp²  Hai N Phung²  John G Eastwood³ 

[1] School of Psychiatry, The University of New South Wales, 2052, Sydney, NSW, Australia;School of Public Health and Community Medicine, The University of New South Wales, 2052, Sydney, NSW, Australia;School of Public Health and Community Medicine, The University of New South Wales, 2052, Sydney, NSW, Australia;School of Women’s and Children’s Health, The University of New South Wales, 2052, Sydney, NSW, Australia;Community Paediatrics, South Western Sydney Local Health Network, Hugh Jardine Building, Eastern Campus, Locked Mail Bag 7017, 1871, Liverpool, BC NSW, Australia;

关键词: Postnatal depression;    Temperament;    Maternal expectations;    Social support;    Social isolation;    Migrant;   

DOI  :  10.1186/1471-2393-12-148

 received in 2012-05-23, accepted in 2012-12-03,  发布年份 2012

来源: Springer

【 摘 要 】

BackgroundFrom 2000 a routine survey of mothers with newborn infants was commenced in South Western Sydney. The survey included the Edinburgh Postnatal Depression Scale (EPDS). The aim of the study was to determine the prevalence and risk factors for postnatal depressive symptoms in women living in metropolitan Sydney, Australia.MethodsMothers (n=15,389) delivering in 2002 and 2003 were assessed at 2–3 weeks after delivery for risk factors for depressive symptoms. The binary outcome variables were EPDS >9 and >12. Logistic regression was used for the multivariate analysis.ResultsThe prevalence of EPDS >9 was 16.93 per 100 (95% CI: 16.34 to 17.52) and EPDS >12 was 7.73 per 100 (95% CI: 6.96 to 7.78). The final parsimonious logistic regression models included measures of infant behaviour, financial stress, mother’s expectation of motherhood, emotional support, sole parenthood, social support and mother’s country of birth.ConclusionsInfant temperament and unmet maternal expectations have a strong association with depressive symptoms with implications for the design of both preventative and treatment strategies. The findings also support the proposition that social exclusion and social isolation are important determinants of maternal depression.

【 授权许可】

CC BY   
© Eastwood et al.; licensee BioMed Central Ltd. 2012