Skip to main content
Erschienen in: Social Psychiatry and Psychiatric Epidemiology 5/2014

01.05.2014 | Original Paper

Antenatal maternal mental health as determinant of postpartum depression in a population based mother–child cohort (Rhea Study) in Crete, Greece

verfasst von: Katerina Koutra, Maria Vassilaki, Vaggelis Georgiou, Antonios Koutis, Panos Bitsios, Leda Chatzi, Manolis Kogevinas

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 5/2014

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Antenatal maternal mental health has been identified as an important determinant of postpartum depression (PPD). We investigated the occurrence of depression both antenatally and postnatally and examined whether maternal trait anxiety and depression during pregnancy were associated with PPD at 8 weeks postpartum in a prospective mother–child cohort (Rhea Study) in Crete, Greece.

Methods

438 women completed the Edinburgh Postnatal Depression Scale (EPDS) and the Trait subscale of the State-Trait Anxiety Inventory (STAI-Trait) questionnaires assessing antenatal depression and anxiety, respectively, during the third trimester of pregnancy as well as the EPDS at 8 weeks postpartum.

Results

The prevalence of women with probable depression (EPDS score ≥13) was 16.7 % at 28–32 weeks of pregnancy and 13.0 % at 8 weeks postpartum. A per 5 unit increase in the STAI-Trait subscale increased the odds for PPD by 70 % (OR = 1.70, 95 % CI 1.41, 2.05), whereas a per unit increase in EPDS during pregnancy increased the odds for PPD by 27 % (OR = 1.27, 95 % CI 1.19, 1.36).

Conclusions

Our findings suggest that antenatal maternal psychological well-being has a significant effect on PPD, which might have important implications for early detection during pregnancy of women at risk for postpartum depression.
Literatur
1.
Zurück zum Zitat Bennett HA, Einarson A, Taddio A, Koren G, Einarson TR (2004) Prevalence of depression during pregnancy: systematic review. Obstet Gynecol 103(4):698–709PubMedCrossRef Bennett HA, Einarson A, Taddio A, Koren G, Einarson TR (2004) Prevalence of depression during pregnancy: systematic review. Obstet Gynecol 103(4):698–709PubMedCrossRef
2.
Zurück zum Zitat Evans J, Heron J, Francomb H, Oke S, Golding J (2001) Cohort study of depressed mood during pregnancy and after childbirth. BMJ 323(7307):257–260PubMedCentralPubMedCrossRef Evans J, Heron J, Francomb H, Oke S, Golding J (2001) Cohort study of depressed mood during pregnancy and after childbirth. BMJ 323(7307):257–260PubMedCentralPubMedCrossRef
3.
Zurück zum Zitat Gavin NI, Gaynes BN, Lohr KN, Meltzer-Brody S, Gartlehner G, Swinson T (2005) Perinatal depression: a systematic review of prevalence and incidence. Obstet Gynecol 106(5 Pt 1):1071–1083PubMedCrossRef Gavin NI, Gaynes BN, Lohr KN, Meltzer-Brody S, Gartlehner G, Swinson T (2005) Perinatal depression: a systematic review of prevalence and incidence. Obstet Gynecol 106(5 Pt 1):1071–1083PubMedCrossRef
4.
Zurück zum Zitat Halbreich U, Karkun S (2006) Cross-cultural and social diversity of prevalence of postpartum depression and depressive symptoms. J Affect Disord 91(2–3):97–111PubMedCrossRef Halbreich U, Karkun S (2006) Cross-cultural and social diversity of prevalence of postpartum depression and depressive symptoms. J Affect Disord 91(2–3):97–111PubMedCrossRef
5.
Zurück zum Zitat Josefsson A, Berg G, Nordin C, Sydsjo G (2001) Prevalence of depressive symptoms in late pregnancy and postpartum. Acta Obstet Gynecol Scand 80(3):251–255PubMedCrossRef Josefsson A, Berg G, Nordin C, Sydsjo G (2001) Prevalence of depressive symptoms in late pregnancy and postpartum. Acta Obstet Gynecol Scand 80(3):251–255PubMedCrossRef
6.
Zurück zum Zitat O’Hara M, Swain A (1996) Rates and risk of postpartum depression: a meta-analysis. Intl Rev Psychiatr 8(1):37–54CrossRef O’Hara M, Swain A (1996) Rates and risk of postpartum depression: a meta-analysis. Intl Rev Psychiatr 8(1):37–54CrossRef
7.
Zurück zum Zitat Cox JL, Holden JM, Sagovsky R (1987) Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry 150:782–786PubMedCrossRef Cox JL, Holden JM, Sagovsky R (1987) Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry 150:782–786PubMedCrossRef
8.
Zurück zum Zitat Gonidakis F, Rabavilas AD, Varsou E, Kreatsas G, Christodoulou GN (2008) A 6-month study of postpartum depression and related factors in Athens, Greece. Compr Psychiatry 49(3):275–282PubMedCrossRef Gonidakis F, Rabavilas AD, Varsou E, Kreatsas G, Christodoulou GN (2008) A 6-month study of postpartum depression and related factors in Athens, Greece. Compr Psychiatry 49(3):275–282PubMedCrossRef
9.
Zurück zum Zitat Leonardou AA, Zervas YM, Papageorgiou CC, Marks MN, Tsartsara EC, Antsaklis A, Christodoulou GN, Soldatos CR (2009) Validation of the Edinburgh Postnatal Depression Scale and prevalence of postnatal depression at 2 months postpartum in a sample of Greek mothers. J Reprod Infant Psyc 27(1):28–39CrossRef Leonardou AA, Zervas YM, Papageorgiou CC, Marks MN, Tsartsara EC, Antsaklis A, Christodoulou GN, Soldatos CR (2009) Validation of the Edinburgh Postnatal Depression Scale and prevalence of postnatal depression at 2 months postpartum in a sample of Greek mothers. J Reprod Infant Psyc 27(1):28–39CrossRef
10.
Zurück zum Zitat Cox JL, Murray D, Chapman G (1993) A controlled study of the onset, duration and prevalence of postnatal depression. Br J Psychiatry 163:27–31PubMedCrossRef Cox JL, Murray D, Chapman G (1993) A controlled study of the onset, duration and prevalence of postnatal depression. Br J Psychiatry 163:27–31PubMedCrossRef
11.
Zurück zum Zitat Nonacs R, Cohen LS (2002) Depression during pregnancy: diagnosis and treatment options. J Clin Psychiatry 63(Suppl 7):24–30PubMed Nonacs R, Cohen LS (2002) Depression during pregnancy: diagnosis and treatment options. J Clin Psychiatry 63(Suppl 7):24–30PubMed
12.
Zurück zum Zitat O’Hara MW (1997) The nature of postpartum depressive disorders. In: Murray L, Cooper P (eds) Postpartum depression and child development. Guilford, New York, pp 3–31 O’Hara MW (1997) The nature of postpartum depressive disorders. In: Murray L, Cooper P (eds) Postpartum depression and child development. Guilford, New York, pp 3–31
13.
Zurück zum Zitat Llewellyn AM, Stowe ZN, Nemeroff CB (1997) Depression during pregnancy and the puerperium. J Clin Psychiatry 58(Suppl. 2):26–32PubMed Llewellyn AM, Stowe ZN, Nemeroff CB (1997) Depression during pregnancy and the puerperium. J Clin Psychiatry 58(Suppl. 2):26–32PubMed
14.
Zurück zum Zitat Beck CT (1996) A meta-analysis of predictors of postpartum depression. Nurs Res 45(5):297–303PubMedCrossRef Beck CT (1996) A meta-analysis of predictors of postpartum depression. Nurs Res 45(5):297–303PubMedCrossRef
15.
16.
Zurück zum Zitat Heron J, O’Connor TG, Evans J, Golding J, Glover V (2004) The course of anxiety and depression through pregnancy and the postpartum in a community sample. J Affect Disord 80(1):65–73PubMedCrossRef Heron J, O’Connor TG, Evans J, Golding J, Glover V (2004) The course of anxiety and depression through pregnancy and the postpartum in a community sample. J Affect Disord 80(1):65–73PubMedCrossRef
17.
Zurück zum Zitat Larsson C, Sydsjo G, Josefsson A (2004) Health, sociodemographic data, and pregnancy outcome in women with antepartum depressive symptoms. Obstet Gynecol 104(3):459–466PubMedCrossRef Larsson C, Sydsjo G, Josefsson A (2004) Health, sociodemographic data, and pregnancy outcome in women with antepartum depressive symptoms. Obstet Gynecol 104(3):459–466PubMedCrossRef
18.
Zurück zum Zitat Rich-Edwards JW, Kleinman K, Abrams A, Harlow BL, McLaughlin TJ, Joffe H, Gilman MW (2006) Sociodemographic predictors of antenatal and postpartum depressive symptoms among women in a medical group practice. J Epidemiol Commun H 60:221–227CrossRef Rich-Edwards JW, Kleinman K, Abrams A, Harlow BL, McLaughlin TJ, Joffe H, Gilman MW (2006) Sociodemographic predictors of antenatal and postpartum depressive symptoms among women in a medical group practice. J Epidemiol Commun H 60:221–227CrossRef
19.
Zurück zum Zitat Lee AM, Lam SK, Sze Mun Lau SM, Chong CS, Chui HW, Fong DY (2007) Prevalence, course, and risk factors for antenatal anxiety and depression. Obstet Gynecol 110(5):1102–1112PubMedCrossRef Lee AM, Lam SK, Sze Mun Lau SM, Chong CS, Chui HW, Fong DY (2007) Prevalence, course, and risk factors for antenatal anxiety and depression. Obstet Gynecol 110(5):1102–1112PubMedCrossRef
20.
Zurück zum Zitat Austin M-P, Tully L, Parker G (2007) Examining the relationship between antenatal anxiety and postnatal depression. J Affect Disord 101(1–3):169–174PubMedCrossRef Austin M-P, Tully L, Parker G (2007) Examining the relationship between antenatal anxiety and postnatal depression. J Affect Disord 101(1–3):169–174PubMedCrossRef
21.
Zurück zum Zitat Robertson E, Grace S, Wallington T, Steward DE (2004) Antenatal risk factors for postpartum depression: a synthesis of recent literature. Gen Hosp Psychiat 26(4):289–295CrossRef Robertson E, Grace S, Wallington T, Steward DE (2004) Antenatal risk factors for postpartum depression: a synthesis of recent literature. Gen Hosp Psychiat 26(4):289–295CrossRef
22.
Zurück zum Zitat Oates MR, Cox JL, Neema S, Asten P, Glangeaud-Freudenthal N, Figueiredo B, Gorman LL, Hacking S, Hirst E, Kammerer MH, Klier CM, Seneviratne G, Smith M, Sutter-Dallay A-L, Valoriani V, Wickberg B, Yoshida K, Group atT-P (2004) Postnatal depression across countries and cultures: a qualitative study. Br J Psychiatry 184(Suppl. 46):S10–S16CrossRef Oates MR, Cox JL, Neema S, Asten P, Glangeaud-Freudenthal N, Figueiredo B, Gorman LL, Hacking S, Hirst E, Kammerer MH, Klier CM, Seneviratne G, Smith M, Sutter-Dallay A-L, Valoriani V, Wickberg B, Yoshida K, Group atT-P (2004) Postnatal depression across countries and cultures: a qualitative study. Br J Psychiatry 184(Suppl. 46):S10–S16CrossRef
23.
Zurück zum Zitat Thorpe KJ, Dragonas T, Golding J (1992) The effects of psychosocial factors on the emotional well-being of women during pregnancy: a cross-cultural study of Britain and Greece. J Reprod Infant Psyc 10(4):191–204CrossRef Thorpe KJ, Dragonas T, Golding J (1992) The effects of psychosocial factors on the emotional well-being of women during pregnancy: a cross-cultural study of Britain and Greece. J Reprod Infant Psyc 10(4):191–204CrossRef
24.
Zurück zum Zitat Hoffman S, Hatch MC (2000) Depressive symptomatology during pregnancy: evidence for an association with decreased fetal growth in pregnancies of lower social class women. Health Psychol 19(6):535–543PubMedCrossRef Hoffman S, Hatch MC (2000) Depressive symptomatology during pregnancy: evidence for an association with decreased fetal growth in pregnancies of lower social class women. Health Psychol 19(6):535–543PubMedCrossRef
25.
Zurück zum Zitat Field T, Diego M, Hernandez-Reif M, Figueiredo B, Deeds O, Ascencio A, Schanberg S, Kuhn C (2010) Comorbid depression and anxiety effects on pregnancy and neonatal outcome. Infant Behav Dev 33(1):23–29PubMedCentralPubMedCrossRef Field T, Diego M, Hernandez-Reif M, Figueiredo B, Deeds O, Ascencio A, Schanberg S, Kuhn C (2010) Comorbid depression and anxiety effects on pregnancy and neonatal outcome. Infant Behav Dev 33(1):23–29PubMedCentralPubMedCrossRef
26.
Zurück zum Zitat Chatzi L, Plana E, Daraki V, Karakosta P, Alegkakis D, Tsatsanis C, Kafatos A, Koutis A, Kogevinas M (2009) Metabolic syndrome in early pregnancy and risk of preterm birth. Am J Epidemiol 170(7):829–836PubMedCrossRef Chatzi L, Plana E, Daraki V, Karakosta P, Alegkakis D, Tsatsanis C, Kafatos A, Koutis A, Kogevinas M (2009) Metabolic syndrome in early pregnancy and risk of preterm birth. Am J Epidemiol 170(7):829–836PubMedCrossRef
27.
Zurück zum Zitat Westerway SC, Davison A, Cowell S (2000) Ultrasonic fetal measurements: new Australian standards for the new millennium. Aust N Z J Obstet Gynaecol 40(3):297–302PubMedCrossRef Westerway SC, Davison A, Cowell S (2000) Ultrasonic fetal measurements: new Australian standards for the new millennium. Aust N Z J Obstet Gynaecol 40(3):297–302PubMedCrossRef
28.
Zurück zum Zitat Spielberger C, Gorsuch R, Lushene R, Vagg P, Jacobs G (1970) Manual for the State-Trait Anxiety Inventory. Consulting Psychologists Press, Palo Alto Spielberger C, Gorsuch R, Lushene R, Vagg P, Jacobs G (1970) Manual for the State-Trait Anxiety Inventory. Consulting Psychologists Press, Palo Alto
29.
Zurück zum Zitat Liakos A, Giannitsi S (1984) Reliability and validity of the modified Greek version of the Spielberger State-Trait Anxiety Inventory. Encephalos 21:71–76 Liakos A, Giannitsi S (1984) Reliability and validity of the modified Greek version of the Spielberger State-Trait Anxiety Inventory. Encephalos 21:71–76
30.
Zurück zum Zitat Murray L, Carothers AD (1990) The validation of the EPDS on a community sample. Br J Psychiatry 157:288–290PubMedCrossRef Murray L, Carothers AD (1990) The validation of the EPDS on a community sample. Br J Psychiatry 157:288–290PubMedCrossRef
31.
Zurück zum Zitat Matthey S, Henshaw C, Elliot S, Barnett B (2006) Variability in use of cut off scores and formats on the Edinburgh Postnatal Depression Scale—implications for clinical and research practice. Arch Womens Ment Health 9(6):309–315PubMedCrossRef Matthey S, Henshaw C, Elliot S, Barnett B (2006) Variability in use of cut off scores and formats on the Edinburgh Postnatal Depression Scale—implications for clinical and research practice. Arch Womens Ment Health 9(6):309–315PubMedCrossRef
32.
Zurück zum Zitat Vivilaki VG, Dafermos V, Kogevinas M, Bitsios P, Lionis C (2009) The Edinburgh Postnatal Depression Scale: translation and validation for a Greek sample. BMC Public Health 9:329PubMedCentralPubMedCrossRef Vivilaki VG, Dafermos V, Kogevinas M, Bitsios P, Lionis C (2009) The Edinburgh Postnatal Depression Scale: translation and validation for a Greek sample. BMC Public Health 9:329PubMedCentralPubMedCrossRef
33.
Zurück zum Zitat Wood SN (2006) Generalized additive models: an introduction with R. Chapman and Hall/CRC Press, Boca Raton Wood SN (2006) Generalized additive models: an introduction with R. Chapman and Hall/CRC Press, Boca Raton
34.
Zurück zum Zitat Rubertsson C, Waldenstrom U, Wickberg B (2003) Depressive mood in early pregnancy: prevalence and women at risk in a national Swedish sample. J Reprod Infant Psyc 21(2):113–123CrossRef Rubertsson C, Waldenstrom U, Wickberg B (2003) Depressive mood in early pregnancy: prevalence and women at risk in a national Swedish sample. J Reprod Infant Psyc 21(2):113–123CrossRef
35.
Zurück zum Zitat Bunevicius R, Kusminskas L, Bunevicius A, Nadisauskiene RJ, Jureniene K, Pop VJ (2009) Psychosocial risk factors for depression during pregnancy. Acta Obstet Gynaecol Scand 88:599–605CrossRef Bunevicius R, Kusminskas L, Bunevicius A, Nadisauskiene RJ, Jureniene K, Pop VJ (2009) Psychosocial risk factors for depression during pregnancy. Acta Obstet Gynaecol Scand 88:599–605CrossRef
36.
Zurück zum Zitat Bowen A, Muhajarine N (2006) Antenatal depression. Can Nurse 102(9):26–30PubMed Bowen A, Muhajarine N (2006) Antenatal depression. Can Nurse 102(9):26–30PubMed
37.
Zurück zum Zitat Da Costa D, Rippen N, Dritsa M, Ring A (2003) Self-supported leisure-time physical activity during pregnancy and relationship to psychological well-being. J Psychosom Obst Gyn 24(2):111–119CrossRef Da Costa D, Rippen N, Dritsa M, Ring A (2003) Self-supported leisure-time physical activity during pregnancy and relationship to psychological well-being. J Psychosom Obst Gyn 24(2):111–119CrossRef
38.
Zurück zum Zitat Haas JS, Jackson RA, Fuentes-Afflick E, Stewart AL, Dean ML, Brawarsky P, Escobar GJ (2004) Changes in the health status of women during and after pregnancy. J Gen Intern Med 20(1):45–51CrossRef Haas JS, Jackson RA, Fuentes-Afflick E, Stewart AL, Dean ML, Brawarsky P, Escobar GJ (2004) Changes in the health status of women during and after pregnancy. J Gen Intern Med 20(1):45–51CrossRef
39.
Zurück zum Zitat Goodwin A, Astbury J, McMeeken J (2000) Body image and psychological well-being in pregnancy. A comparison of exercisers and non-exercisers. Aust N Z J Obstet Gynaecol 40(4):442–447PubMedCrossRef Goodwin A, Astbury J, McMeeken J (2000) Body image and psychological well-being in pregnancy. A comparison of exercisers and non-exercisers. Aust N Z J Obstet Gynaecol 40(4):442–447PubMedCrossRef
40.
Zurück zum Zitat Poudevigne MS, O’Connor PJ (2005) Physical activity and mood during pregnancy. Med Sci Sports Exerc 37(8):1374–1380PubMedCrossRef Poudevigne MS, O’Connor PJ (2005) Physical activity and mood during pregnancy. Med Sci Sports Exerc 37(8):1374–1380PubMedCrossRef
41.
Zurück zum Zitat de Tychey C, Briancon S, Lighezzolo J, Spitz E, Kabuth B, de Luigi V, Messembourg C, Girvan F, Rosati A, Thockler A, Vincent S (2008) Quality of life, postnatal depression and baby gender. J Clin Nurs 17(3):312–322PubMed de Tychey C, Briancon S, Lighezzolo J, Spitz E, Kabuth B, de Luigi V, Messembourg C, Girvan F, Rosati A, Thockler A, Vincent S (2008) Quality of life, postnatal depression and baby gender. J Clin Nurs 17(3):312–322PubMed
42.
Zurück zum Zitat Xie RH, Liao S, Xie H, Guo Y, Walker M, Wen SW (2011) Infant sex, family support and postpartum depression in a Chinese cohort. J Epidemiol Commun Health 65(8):722–726CrossRef Xie RH, Liao S, Xie H, Guo Y, Walker M, Wen SW (2011) Infant sex, family support and postpartum depression in a Chinese cohort. J Epidemiol Commun Health 65(8):722–726CrossRef
43.
Zurück zum Zitat Ekuklu G, Tokuc B, Eskiocak M, Berberoglu U, Saltik A (2004) Prevalence of postpartum depression in Edirne, Turkey, and related factors. J Reprod Med 49(11):908–914PubMed Ekuklu G, Tokuc B, Eskiocak M, Berberoglu U, Saltik A (2004) Prevalence of postpartum depression in Edirne, Turkey, and related factors. J Reprod Med 49(11):908–914PubMed
44.
Zurück zum Zitat Patel V, Rodrigues M, DeSouza N (2002) Gender, poverty, and postnatal depression: a study of mothers in Goa, India. Am J Psychiatry 159(1):43–47PubMedCrossRef Patel V, Rodrigues M, DeSouza N (2002) Gender, poverty, and postnatal depression: a study of mothers in Goa, India. Am J Psychiatry 159(1):43–47PubMedCrossRef
45.
Zurück zum Zitat Edwards DRL, Porter SAM, Stein GS (1994) A pilot study of postnatal depression following caesarean section using two retrospective self-rating instruments. J Psychosom Res 38(2):111–117PubMedCrossRef Edwards DRL, Porter SAM, Stein GS (1994) A pilot study of postnatal depression following caesarean section using two retrospective self-rating instruments. J Psychosom Res 38(2):111–117PubMedCrossRef
46.
Zurück zum Zitat Hannah P, Adams D, Lee A, Glover V (1992) Links between early postpartum mood and postnatal depression. Br J Psychiatry 160:777–780PubMedCrossRef Hannah P, Adams D, Lee A, Glover V (1992) Links between early postpartum mood and postnatal depression. Br J Psychiatry 160:777–780PubMedCrossRef
47.
Zurück zum Zitat Lobel M, DeLuca RS (2007) Psychosocial sequelae of cesarean delivery: review and analysis of their causes and implications. Soc Sci Med 64:2272–2284PubMedCrossRef Lobel M, DeLuca RS (2007) Psychosocial sequelae of cesarean delivery: review and analysis of their causes and implications. Soc Sci Med 64:2272–2284PubMedCrossRef
48.
Zurück zum Zitat Carter FA, Frampton CM, Mulder RT (2006) Cesarean section and postpartum depression: a review of the evidence examining the link. Psychosom Med 68(2):321–330PubMedCrossRef Carter FA, Frampton CM, Mulder RT (2006) Cesarean section and postpartum depression: a review of the evidence examining the link. Psychosom Med 68(2):321–330PubMedCrossRef
49.
Zurück zum Zitat Green JM, Murray D (1994) The use of the Edinburgh Postnatal Depression Scale in research to explore the relationships between antenatal and postnatal dysphoria. In: Cox J, Holden J (eds) Perinatal psychiatry: use and misuse of the Edinburgh Postnatal Depression Scale. Gaskell, London, pp 180–198 Green JM, Murray D (1994) The use of the Edinburgh Postnatal Depression Scale in research to explore the relationships between antenatal and postnatal dysphoria. In: Cox J, Holden J (eds) Perinatal psychiatry: use and misuse of the Edinburgh Postnatal Depression Scale. Gaskell, London, pp 180–198
50.
Zurück zum Zitat Johanson R, Chapman G, Murray D, Johnson I, Cox J (2000) The North Staffordshire maternity hospital prospective study of pregnancy-associated depression. J Psychosom Obstet Gynaecol 21(2):93–97PubMedCrossRef Johanson R, Chapman G, Murray D, Johnson I, Cox J (2000) The North Staffordshire maternity hospital prospective study of pregnancy-associated depression. J Psychosom Obstet Gynaecol 21(2):93–97PubMedCrossRef
51.
Zurück zum Zitat Marcus S, Flynn H, Blow F, Barry K (2003) Depressive symptoms among pregnant women screened in obstetrics settings. J Womens Health 12(4):373–380CrossRef Marcus S, Flynn H, Blow F, Barry K (2003) Depressive symptoms among pregnant women screened in obstetrics settings. J Womens Health 12(4):373–380CrossRef
52.
Zurück zum Zitat Harris B, Huckle P, Thomas R, Johns S, Fung H (1989) The use of rating scales to identify post-natal depression. Br J Psychiatry 154:813–817PubMedCrossRef Harris B, Huckle P, Thomas R, Johns S, Fung H (1989) The use of rating scales to identify post-natal depression. Br J Psychiatry 154:813–817PubMedCrossRef
53.
Zurück zum Zitat Thompson WM, Harris B, Lazarus J, Richards C (1998) A comparison of the performance of rating scales used in the diagnosis of postnatal depression. Acta Psychiatry Scand 98(3):224–227CrossRef Thompson WM, Harris B, Lazarus J, Richards C (1998) A comparison of the performance of rating scales used in the diagnosis of postnatal depression. Acta Psychiatry Scand 98(3):224–227CrossRef
54.
Zurück zum Zitat Seguin L, Potvin L, St Denis M, Loiselle J (1999) Depressive symptoms in the late postpartum among low socioeconomic status women. Birth 26:157–163PubMedCrossRef Seguin L, Potvin L, St Denis M, Loiselle J (1999) Depressive symptoms in the late postpartum among low socioeconomic status women. Birth 26:157–163PubMedCrossRef
55.
Zurück zum Zitat Koutra K, Chatzi L, Bagkeris M, Vassilaki M, Bitsios P, Kogevinas M (2012) Antenatal and postnatal maternal mental health as determinants of infant neurodevelopment at 18 months of age in a mother-child cohort (Rhea Study) in Crete, Greece. Soc Psychiatry Psychiatr Epidemiol 48(8):1335–1345PubMedCrossRef Koutra K, Chatzi L, Bagkeris M, Vassilaki M, Bitsios P, Kogevinas M (2012) Antenatal and postnatal maternal mental health as determinants of infant neurodevelopment at 18 months of age in a mother-child cohort (Rhea Study) in Crete, Greece. Soc Psychiatry Psychiatr Epidemiol 48(8):1335–1345PubMedCrossRef
Metadaten
Titel
Antenatal maternal mental health as determinant of postpartum depression in a population based mother–child cohort (Rhea Study) in Crete, Greece
verfasst von
Katerina Koutra
Maria Vassilaki
Vaggelis Georgiou
Antonios Koutis
Panos Bitsios
Leda Chatzi
Manolis Kogevinas
Publikationsdatum
01.05.2014
Verlag
Springer Berlin Heidelberg
Erschienen in
Social Psychiatry and Psychiatric Epidemiology / Ausgabe 5/2014
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-013-0758-z

Weitere Artikel der Ausgabe 5/2014

Social Psychiatry and Psychiatric Epidemiology 5/2014 Zur Ausgabe

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.