Nivine Hanach1, Hadia Radwan2, Randa Fakhry3, Cindy-Lee Dennis4, Wegdan Bani Issa3, MoezAlIslam E Faris2, Reyad Shaker Obaid2, Suad Al Marzooqi5, Charbel Tabet6, Nanne De Vries7. 1. Faculty of Health, Medicine, and Life Sciences, CAPHRI, Maastricht University, P.O. Box 616, Maastricht, Netherlands. n.hanach@maastrichtuniversity.nl. 2. Department of Clinical Nutrition and Dietetics, College of Health Sciences, Research Institute of Medical and Health Sciences (RIMHS), University of Sharjah, Sharjah, United Arab Emirates. 3. Department of Nursing, College of Health Sciences, Research Institute of Medical and Health Sciences (RIMHS), University of Sharjah, Sharjah, United Arab Emirates. 4. Lawrence S. Bloomberg, Faculty of Nursing, University of Toronto, Toronto, Canada. 5. Department of Psychology, Al Ain, United Arab Emirates University, Al Ain, United Arab Emirates. 6. CREG, Grenoble Alpes University, Paris, France. 7. Faculty of Health, Medicine, and Life Sciences, CAPHRI, Maastricht University, P.O. Box 616, Maastricht, Netherlands.
Abstract
PURPOSE: Postpartum depression received almost no attention in the United Arab Emirates (UAE). The aim was to examine the prevalence of depressive symptomatology and the associated risk factors among women in the UAE. METHODS: A prospective cohort study recruited women from postpartum wards in hospitals across four emirates in the UAE. Women completed questionnaires immediately after childbirth and at 3 and 6 months postpartum. Depressive symptomatology was measured using the Edinburgh Postnatal Depression Scale (EPDS > 12). Risk factors were identified using the generalized estimating equation. A stratified analysis of the postpartum period was performed. RESULTS: Among the 457 women recruited, 35% exhibited depressive symptomatology within the first 6 months postpartum. Younger women (< 25 years), part-time employment, the receipt of financial support from the family, and difficulty in managing monthly income were associated with a higher risk of postpartum depression. Husband's employment, husband's support, and living in own house were associated with a lower risk of postpartum depression. Maternity leave of more than 3 months increased the risk of depression during the first 3 months postpartum. From 3 to 6 months postpartum, Muslim women had a higher risk of depression whereas women who breastfed other children and in the past 7 days, and perceived their infant as healthy had a lower risk of depression. CONCLUSIONS: The prevalence of maternal depressive symptomatology is considerable in the UAE. Risk factors change over the 6-month postpartum period suggesting the need for an innovative multidisciplinary approach to the management of postpartum depression, including follow-up screening.
PURPOSE: Postpartum depression received almost no attention in the United Arab Emirates (UAE). The aim was to examine the prevalence of depressive symptomatology and the associated risk factors among women in the UAE. METHODS: A prospective cohort study recruited women from postpartum wards in hospitals across four emirates in the UAE. Women completed questionnaires immediately after childbirth and at 3 and 6 months postpartum. Depressive symptomatology was measured using the Edinburgh Postnatal Depression Scale (EPDS > 12). Risk factors were identified using the generalized estimating equation. A stratified analysis of the postpartum period was performed. RESULTS: Among the 457 women recruited, 35% exhibited depressive symptomatology within the first 6 months postpartum. Younger women (< 25 years), part-time employment, the receipt of financial support from the family, and difficulty in managing monthly income were associated with a higher risk of postpartum depression. Husband's employment, husband's support, and living in own house were associated with a lower risk of postpartum depression. Maternity leave of more than 3 months increased the risk of depression during the first 3 months postpartum. From 3 to 6 months postpartum, Muslim women had a higher risk of depression whereas women who breastfed other children and in the past 7 days, and perceived their infant as healthy had a lower risk of depression. CONCLUSIONS: The prevalence of maternal depressive symptomatology is considerable in the UAE. Risk factors change over the 6-month postpartum period suggesting the need for an innovative multidisciplinary approach to the management of postpartum depression, including follow-up screening.
Authors: Salwa M Alhammadi; Lien Abou Hashem; Zainah R Abusbeih; Fatima S Alzaabi; Salama N Alnuaimi; Ala F Jalabi; Satish C Nair; Frederick R Carrick; Mahera Abdulrahman Journal: Psychiatr Danub Date: 2017-09 Impact factor: 1.063