Nadine Helle1, Claus Barkmann2, Jutta Bartz-Seel3, Thilo Diehl4, Stephan Ehrhardt5, Astrid Hendel6, Yvonne Nestoriuc7, Michael Schulte-Markwort2, Axel von der Wense3, Carola Bindt2. 1. Department of Child and Adolescent Psychiatry, University Medical Center Hamburg-Eppendorf, Germany. Electronic address: n.helle@uke.de. 2. Department of Child and Adolescent Psychiatry, University Medical Center Hamburg-Eppendorf, Germany. 3. Department of Neonatology and Paediatric Critical Care, Neonatal Intensive Care Unit, Altona Children׳s Hospital, Hamburg, Germany. 4. Department of Paediatrics, Neonatal Intensive Care Unit, University Medical Center Hamburg-Eppendorf, Germany. 5. Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. 6. Department of Neonatology, Neonatal Intensive Care Unit, Asklepios Medical Center Barmbek, Hamburg, Germany. 7. Institute of Psychology, Clinical Psychology and Psychotherapy, Hamburg University, Hamburg, Germany.
Abstract
BACKGROUND: Preterm birth and survival rates of very low birth-weight (VLBW: <1.500g) infants have increased. Although new parents are frequently affected by depressive symptoms, little is known about prevalence, risk, and predictors of parental postpartum depression (PPD) following VLBW birth. Furthermore, most studies assessing PPD in parents of preterm children relied on self-report only. METHODS: As part of the HaFEn cohort-study, data from the index groups of parents with VLBW infants and the control group of parents with term infants were cross-sectionally analysed. Families were recruited at the three largest centres of perinatal medical care in Hamburg, Germany. PPD was evaluated one month postpartum using standardized questionnaires and clinical interviews. Socioeconomic status, social support, risks during pregnancy, and psychiatric lifetime diagnoses were also assessed. A multiple random coefficient model was used to examine predictors of PPD in both parents simultaneously. RESULTS: 230 mothers and 173 fathers were included. Depending on the measure, the risk of being postnatally depressed was 4 to 18 times higher in mothers and 3 to 9 times higher in fathers from the index group. The most relevant risk factor for PPD was the birth of a VLBW infant, followed by female sex, lifetime psychiatric disorder, and low social support. LIMITATIONS: Results presented here, are based on cross sectional data. Therefore no temporal relationships can be established. CONCLUSIONS: Our findings highlight the importance of early screening for PPD in both parents of VLBW infants. Factors contributing to developing depression should also be considered in neonatal care.
BACKGROUND: Preterm birth and survival rates of very low birth-weight (VLBW: <1.500g) infants have increased. Although new parents are frequently affected by depressive symptoms, little is known about prevalence, risk, and predictors of parental postpartum depression (PPD) following VLBW birth. Furthermore, most studies assessing PPD in parents of preterm children relied on self-report only. METHODS: As part of the HaFEn cohort-study, data from the index groups of parents with VLBW infants and the control group of parents with term infants were cross-sectionally analysed. Families were recruited at the three largest centres of perinatal medical care in Hamburg, Germany. PPD was evaluated one month postpartum using standardized questionnaires and clinical interviews. Socioeconomic status, social support, risks during pregnancy, and psychiatric lifetime diagnoses were also assessed. A multiple random coefficient model was used to examine predictors of PPD in both parents simultaneously. RESULTS: 230 mothers and 173 fathers were included. Depending on the measure, the risk of being postnatally depressed was 4 to 18 times higher in mothers and 3 to 9 times higher in fathers from the index group. The most relevant risk factor for PPD was the birth of a VLBW infant, followed by female sex, lifetime psychiatric disorder, and low social support. LIMITATIONS: Results presented here, are based on cross sectional data. Therefore no temporal relationships can be established. CONCLUSIONS: Our findings highlight the importance of early screening for PPD in both parents of VLBW infants. Factors contributing to developing depression should also be considered in neonatal care.
Authors: Juliana Arantes Figueiredo de Paula Eduardo; Felipe Pinheiro Figueiredo; Marcos Gonçalves de Rezende; Daiane Leite da Roza; Stella Felippe de Freitas; Rosangela Fernandes Lucena Batista; Antônio Augusto Moura da Silva; Marco Antônio Barbieri; Ricardo Carvalho Cavalli; Heloisa Bettiol; Alexandre Archanjo Ferraro; Cristina Marta Del-Ben Journal: Arch Womens Ment Health Date: 2022-07-18 Impact factor: 4.405
Authors: Brett D Thombs; Brooke Levis; Anita Lyubenova; Dipika Neupane; Zelalem Negeri; Yin Wu; Ying Sun; Chen He; Ankur Krishnan; Simone N Vigod; Parash Mani Bhandari; Mahrukh Imran; Danielle B Rice; Marleine Azar; Matthew J Chiovitti; Nazanin Saadat; Kira E Riehm; Jill T Boruff; Pim Cuijpers; Simon Gilbody; John P A Ioannidis; Lorie A Kloda; Scott B Patten; Ian Shrier; Roy C Ziegelstein; Liane Comeau; Nicholas D Mitchell; Marcello Tonelli; Jacqueline Barnes; Cheryl Tatano Beck; Carola Bindt; Barbara Figueiredo; Nadine Helle; Louise M Howard; Jane Kohlhoff; Zoltán Kozinszky; Angeliki A Leonardou; Sandra Nakić Radoš; Chantal Quispel; Tamsen J Rochat; Alan Stein; Robert C Stewart; Meri Tadinac; S Darius Tandon; Iva Tendais; Annamária Töreki; Thach D Tran; Kylee Trevillion; Katherine Turner; Johann M Vega-Dienstmaier; Andrea Benedetti Journal: Can J Psychiatry Date: 2020-10-26 Impact factor: 4.356