Association of Postpartum Depression with Social Support: A Cross-Sectional Study in A Hospital Setting of Rawalpindi-Islamabad, Pakistan
Postpartum Depression with Social Support
DOI:
https://doi.org/10.54393/pjhs.v4i06.818Keywords:
Postpartum Depression, Social Support, Maternal Health, Mental HealthAbstract
In Pakistan, the association of factors related to depression needs to be explored a little more because here when a woman discusses or shares her problems, her concerns are dismissed and turned down, the same reason women don’t express their feelings and seek help. Objective: To determine the association between postpartum depression and social support among women presenting at a hospital in Rawalpindi-Islamabad, Pakistan. Methods: This cross-sectional study included 310 women presenting to the obstetrics and gynaecology OPD, vaccination center and psychiatric OPD of Tertiary Care Hospital within postpartum phase. Participants were recruited via convenience sampling. The Structured questionnaire included demographics and gynaecological history. Edinburgh postpartum depression scale (EPDS) was used to classify patients at risk of postnatal depression. Social support was scored on multidimensional scale of perceived social support. Data analysis included descriptive statistics such as frequency & percentages and inferential statistics consisted of Pearson Chi-Square, independent samples t-test and Multiple Linear Regression. Statistical analysis done using IBM SPSS version-26. Results: The results indicated that the social support from significant other and family members is significantly associated with the development of postpartum depression (p-value <0.05). Furthermore, age of the mother, type of delivery, baby feeding habits, and history of being unwell during pregnancy did not present to have significant association with the development of postpartum depression. Conclusions: The findings of the study conclude that the development of postpartum depression is most importantly affected by lack of support from the family and husband after childbirth
References
Reck C, Stehle E, Reinig K, Mundt C. Maternity blues as a predictor of DSM-IV depression and anxiety disorders in the first three months postpartum. Journal of Affective Disorders. 2009 Feb; 113(1-2): 77-87. doi: 10.1016/j.jad.2008.05.003. DOI: https://doi.org/10.1016/j.jad.2008.05.003
World Health Organization. The ICD-10 classification of mental and behavioural disorders: clinical descriptions and diagnostic guidelines. World Health Organization. 10th edition. 1992.
Vliegen N, Casalin S, Luyten P. The course of postpartum depression: a review of longitudinal studies. Harvard Review of Psychiatry. 2014 Jan; 22(1): 1-22. doi: 10.1097/HRP.0000000000000013. DOI: https://doi.org/10.1097/HRP.0000000000000013
Rahman A, Iqbal Z, Bunn J, Lovel H, Harrington R. Impact of maternal depression on infant nutritional status and illness: a cohort study. Archives of General Psychiatry. 2004 Sep; 61(9): 946-52. doi: 10.1001/archpsyc.61.9.946. DOI: https://doi.org/10.1001/archpsyc.61.9.946
O'hara MW and McCabe JE. Postpartum depression: current status and future directions. Annual Review of Clinical Psychology. 2013 Mar; 9: 379-407. doi: 10.1146/annurev-clinpsy-050212-185612. DOI: https://doi.org/10.1146/annurev-clinpsy-050212-185612
Waqas A, Raza N, Lodhi HW, Muhammad Z, Jamal M, Rehman A. Psychosocial factors of antenatal anxiety and depression in Pakistan: is social support a mediator? PloS One. 2015 Jan; 10(1): e0116510. doi: 10.1371/journal.pone.0116510. DOI: https://doi.org/10.1371/journal.pone.0116510
Kazmi SF, Khan M, Tahir R, Dil S, Khan AM. Relationship between social support and postpartum depression. Annals of Pakistan Institute of Medical Sciences. 2013 Dec; 9(4): 191-4.
Feldhousen EB. The relationships between stress, social support, maternal self-efficacy, maternal depression, maternal reports of child demandingness and maternal reports of child social and emotional quality of life in a sample of overweight and obese women two years post childbirth (Doctoral dissertation, Syracuse University). 2014. Available at: https://www.proquest.com/docview/1538110245?pq-origsite=gscholar&fromopenview=true.
Klainin P and Arthur DG. Postpartum depression in Asian cultures: a literature review. International Journal of Nursing Studies. 2009 Oct; 46(10): 1355-73. doi: 10.1016/j.ijnurstu.2009.02.012. DOI: https://doi.org/10.1016/j.ijnurstu.2009.02.012
Gulamani SS, Shaikh K, Chagani J. Postpartum depression in Pakistan. Nursing for Women's Health. 2013 Apr; 17(2): 147-52. doi: 10.1111/1751-486X.12024. DOI: https://doi.org/10.1111/1751-486X.12024
Rahman A and Creed F. Outcome of prenatal depression and risk factors associated with persistence in the first postnatal year: Prospective study from Rawalpindi, Pakistan. Journal of Affective Disorders. 2007 Jun; 100(1-3): 115-21.doi: 10.1016/j.jad.2006.10.004. DOI: https://doi.org/10.1016/j.jad.2006.10.004
Zahidie A and Jamali T. An overview of the predictors of depression among adult Pakistani women. Journal of the College of Physicians and Surgeons Pakistan. 2013 Mar; 23(8): 574.
Shriraam V, Shah PB, Rani MA, Sathiyasekaran BW. A community-based study of postpartum depression in rural Southern India. Indian Journal of Social Psychiatry. 2019 Jan; 35(1): 64-8. DOI: https://doi.org/10.4103/ijsp.ijsp_13_18
Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression: development of the 10-item Edinburgh Postnatal Depression Scale. The British Journal of Psychiatry. 1987 Jun; 150(6): 782-6. doi: 10.1192/bjp.150.6.782. DOI: https://doi.org/10.1192/bjp.150.6.782
Cankorur VS, Abas M, Berksun O, Stewart R. Social support and the incidence and persistence of depression between antenatal and postnatal examinations in Turkey: a cohort study. BMJ Open. 2015 Apr; 5(4): e006456. doi: 10.1136/bmjopen-2014-006456. DOI: https://doi.org/10.1136/bmjopen-2014-006456
MGH Center for Women’s Mental Health. Using the EPDS to Measure Postpartum Depression Severity. [Last Cited: 23rd Mar 2016]. Available at: https://womensmentalhealth.org/posts/using-epds-measure-postpartum-depression-severity/.
Osman A, Lamis DA, Freedenthal S, Gutierrez PM, McNaughton-Cassill M. The multidimensional scale of perceived social support: analyses of internal reliability, measurement invariance, and correlates across gender. Journal of personality assessment. 2014 Jan; 96(1): 103-12. DOI: https://doi.org/10.1080/00223891.2013.838170
Bakhtiar H, Khaliq MM, Nawaz A, Asif M, Jamil S, Jamal S, et al. Risk factors associated with postpartum depression in two tertiary care hospitals of Peshawar: a comparative cross-sectional study. Journal of Rehman Medical Institute. 2020 Oct; 6(3): 16-9. DOI: https://doi.org/10.52442/jrmi.v6i3.185
Al Hinai FI and Al Hinai SS. Prospective study on prevalence and risk factors of postpartum depression in Al-dakhliya governorate in Oman. Oman Medical Journal. 2014 May; 29(3): 198. doi: 10.5001/omj.2014.49. DOI: https://doi.org/10.5001/omj.2014.49
Martini J, Petzoldt J, Einsle F, Beesdo-Baum K, Höfler M, Wittchen HU. Risk factors and course patterns of anxiety and depressive disorders during pregnancy and after delivery: a prospective-longitudinal study. Journal of Affective Disorders. 2015 Apr; 175: 385-95. doi: 10.1016/j.jad.2015.01.012. DOI: https://doi.org/10.1016/j.jad.2015.01.012
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