Jennifer L Barkin1, Katherine L Wisner2, Joyce T Bromberger3, Scott R Beach4, Stephen R Wisniewski5. 1. 1 Department of Community Medicine, Mercer University School of Medicine , Macon, Georgia . 2. 2 Department of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, Asher Center for the Study and Treatment of Depressive Disorders, Northwestern University , Chicago, Illinois. 3. 3 Departments of Epidemiology and Psychiatry, University of Pittsburgh , Pittsburgh, Pennsylvania. 4. 4 University Center for Social and Urban Research, University of Pittsburgh , Pittsburgh, Pennsylvania. 5. 5 Graduate School of Public Health, Epidemiology Data Center, University of Pittsburgh , Pittsburgh, Pennsylvania.
Abstract
BACKGROUND: Functional assessment may represent a valuable addition to postpartum depression screening, providing a more thorough characterization of the mother's health and quality of life. To the authors' knowledge, this analysis represents the first examination of postpartum maternal functioning, as measured by a patient-centered validated tool aimed at ascertainment of functional status explicitly, and its clinical and sociodemographic correlates. MATERIALS AND METHODS: A total of 189 women recruited from a large, urban women's hospital in the northeastern United States who both (1) screened positive for depression between 4 and 6 weeks postpartum and (2) completed a subsequent home (baseline) visit between October 1, 2008, and September 4, 2009, were included in this analysis. Multiple linear regression was conducted to ascertain which clinical and sociodemographic variables were independently associated with maternal functioning. RESULTS: The multivariate analysis revealed independent associations between bipolar status, atypical depression, depression score (17-item Hamilton Rating Scale for Depression), and insurance type with postpartum maternal functioning. The beta coefficient for bipolar status indicates that on average we would expect those with bipolar disorder to have maternal functioning scores that are 5.6 points less than those without bipolar disorder. CONCLUSIONS: Healthcare providers treating postpartum women with complicating mental health conditions should be cognizant of the potential ramifications on maternal functioning. Impaired functioning in the maternal role is likely to impact child development, although the precise nature of this relationship is yet to be elucidated.
BACKGROUND: Functional assessment may represent a valuable addition to postpartum depression screening, providing a more thorough characterization of the mother's health and quality of life. To the authors' knowledge, this analysis represents the first examination of postpartum maternal functioning, as measured by a patient-centered validated tool aimed at ascertainment of functional status explicitly, and its clinical and sociodemographic correlates. MATERIALS AND METHODS: A total of 189 women recruited from a large, urban women's hospital in the northeastern United States who both (1) screened positive for depression between 4 and 6 weeks postpartum and (2) completed a subsequent home (baseline) visit between October 1, 2008, and September 4, 2009, were included in this analysis. Multiple linear regression was conducted to ascertain which clinical and sociodemographic variables were independently associated with maternal functioning. RESULTS: The multivariate analysis revealed independent associations between bipolar status, atypical depression, depression score (17-item Hamilton Rating Scale for Depression), and insurance type with postpartum maternal functioning. The beta coefficient for bipolar status indicates that on average we would expect those with bipolar disorder to have maternal functioning scores that are 5.6 points less than those without bipolar disorder. CONCLUSIONS: Healthcare providers treating postpartum women with complicating mental health conditions should be cognizant of the potential ramifications on maternal functioning. Impaired functioning in the maternal role is likely to impact child development, although the precise nature of this relationship is yet to be elucidated.
Authors: Jennifer L Barkin; Katherine L Wisner; Joyce T Bromberger; Scott R Beach; Stephen R Wisniewski Journal: J Womens Health (Larchmt) Date: 2010-08 Impact factor: 2.681
Authors: Jennifer L Barkin; Katherine L Wisner; Joyce T Bromberger; Scott R Beach; Martha A Terry; Stephen R Wisniewski Journal: J Womens Health (Larchmt) Date: 2010-11-05 Impact factor: 2.681
Authors: Jennifer L Barkin; Gordon B Willis; Kristina C Hawkins; Tiffany Stanfill-Thomas; Laura Beals; Joan R Bloch Journal: Perspect Psychiatr Care Date: 2015-09-21 Impact factor: 2.186
Authors: Ernest Moya; Leila M Larson; Robert C Stewart; Jane Fisher; Martin N Mwangi; Kamija S Phiri Journal: BMC Psychiatry Date: 2022-05-24 Impact factor: 4.144
Authors: Kristen G Williams; Kayla T Patel; Julie M Stausmire; Christy Bridges; Mary W Mathis; Jennifer L Barkin Journal: Int J Environ Res Public Health Date: 2018-01-03 Impact factor: 3.390
Authors: Fatemeh Karami Chamgurdani; Jennifer L Barkin; Carolann L Curry; Mojgan Mirghafourvand Journal: Int J Environ Res Public Health Date: 2020-05-12 Impact factor: 3.390