Patricia Catala1, Carlos Suso-Ribera2, Dolores Marin3,4, Cecilia Peñacoba5. 1. Department of Psychology, Rey Juan Carlos University, Avda. de Atenas s/n, Madrid, 28922, Alcorcón, Spain. 2. Department of Basic and Clinical Psychology and Psychobiology, Jaume I University, Castellón, Spain. 3. Department of Nursing and Stomatology. Rey Juan Carlos University, Avda. Atenas s/n, Alcorcón, Spain. 4. Obstetrics Department, Hospital Universitario de Fuenlabrada, Madrid, Fuenlabrada, Spain. 5. Department of Psychology, Rey Juan Carlos University, Avda. de Atenas s/n, Madrid, 28922, Alcorcón, Spain. cecilia.penacoba@urjc.es.
Abstract
PURPOSE: Posttraumatic stress (PTSD) and depression (PPD) are common mental disorders in the postpartum that constitute a threat both to the mother and the baby. It is unclear whether both disorders share similar antecedents, which is important to plan efficient interventions. The goal of this study was to examine the contribution of set of biopsychosocial predictors on both PTSD and PPD. METHODS: The study design was prospective. The study was conducted at Hospital Universitario de Fuenlabrada, a public university hospital located in the south of Madrid (Spain). The sample was composed of 116 pregnant women with low pregnancy risk. STROBE reporting guidelines were followed. RESULTS: The multivariate results show that psychopathology severity assessed during the first trimester (ß = 0.50, p < .001) and the Apgar score 5 min after delivery (ß = - 0.19, p = .030) were the two variables to significantly contribute to postpartum depressive symptoms. Conversely, only satisfaction with home care after delivery was independently associated with postpartum posttraumatic stress (ß = - 0.26, p = .016). The proposed model explained 21.8% of the variance of postpartum depressive symptoms (p = .041) and 27.1% of the variance of posttraumatic stress symptoms (p = .014). CONCLUSION: Special attention should be given to shared and unique predictive factors of PDD and PTSD to develop effective prevention programs in perinatal care.
PURPOSE: Posttraumatic stress (PTSD) and depression (PPD) are common mental disorders in the postpartum that constitute a threat both to the mother and the baby. It is unclear whether both disorders share similar antecedents, which is important to plan efficient interventions. The goal of this study was to examine the contribution of set of biopsychosocial predictors on both PTSD and PPD. METHODS: The study design was prospective. The study was conducted at Hospital Universitario de Fuenlabrada, a public university hospital located in the south of Madrid (Spain). The sample was composed of 116 pregnant women with low pregnancy risk. STROBE reporting guidelines were followed. RESULTS: The multivariate results show that psychopathology severity assessed during the first trimester (ß = 0.50, p < .001) and the Apgar score 5 min after delivery (ß = - 0.19, p = .030) were the two variables to significantly contribute to postpartum depressive symptoms. Conversely, only satisfaction with home care after delivery was independently associated with postpartum posttraumatic stress (ß = - 0.26, p = .016). The proposed model explained 21.8% of the variance of postpartum depressive symptoms (p = .041) and 27.1% of the variance of posttraumatic stress symptoms (p = .014). CONCLUSION: Special attention should be given to shared and unique predictive factors of PDD and PTSD to develop effective prevention programs in perinatal care.
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