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Erschienen in: Archives of Women's Mental Health 3/2009

01.06.2009 | Original Contribution

Depressive symptomatology in pregnant and postpartum women. An exploratory study of the role of maternal antenatal orientations

verfasst von: Johan C. H. van Bussel, Bernard Spitz, Koen Demyttenaere

Erschienen in: Archives of Women's Mental Health | Ausgabe 3/2009

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Abstract

Little is known about how an expecting woman’s view of pregnancy, the child, and motherhood relates to antenatal and postpartum depressive symptomatology. In this study, we investigated the influence of the maternal orientations, as described by Raphael-Leff (Psychological processes of childbearing. The Anna Freud Centre, London, 2005), on the prevalence of depressive symptoms in pregnant and postpartum women. Four hundred three pregnant women participated in a longitudinal study and completed the EPDS and the HADS-D in each pregnancy trimester and between 8 to 12 and 20 to 25 weeks postpartum. In addition, measures of maternal orientation (PPQ), personality (NEO-FFI), coping styles (UCL), adult attachment (RQ), and parental bonding (PBI) were completed antenatally. Bivariate and multivariate analyses revealed that Neuroticism and the Regulator orientation are positively associated with the EPDS and HADS-D in both pregnant and postpartum women. These associations decreased in strength but remained significant after controlling for previous responses on the EPDS and HADS-D. Small negative associations were found between the Facilitator orientation and the HADS-D scores during pregnancy and the early postpartum period. However, this association did not hold its statistical significance within the hierarchical multiple regression models. The maternal orientations have a small but significant and independent contribution in the variance of depressive symptomatology in pregnant and postpartum women.
Literatur
Zurück zum Zitat Austin MP, Tully L, Parker G (2007) Examining the relationship between antenatal anxiety and postnatal depression. J Affect Disord 101(1–3):169–174PubMedCrossRef Austin MP, Tully L, Parker G (2007) Examining the relationship between antenatal anxiety and postnatal depression. J Affect Disord 101(1–3):169–174PubMedCrossRef
Zurück zum Zitat Bartholomew K, Horowitz LM (1991) Attachment styles among young adults: a test of a four-category model. J Pers Soc Psychol 61(2):226–244PubMedCrossRef Bartholomew K, Horowitz LM (1991) Attachment styles among young adults: a test of a four-category model. J Pers Soc Psychol 61(2):226–244PubMedCrossRef
Zurück zum Zitat Britton JR (2007) Maternal anxiety: course and antecedents during the early postpartum period. Depress Anxiety 25:793–800CrossRef Britton JR (2007) Maternal anxiety: course and antecedents during the early postpartum period. Depress Anxiety 25:793–800CrossRef
Zurück zum Zitat Brouwers EP, van Baar AL, Pop VJ (2001) Does the Edinburgh postnatal depression scale measure anxiety? J Psychosom Res 51(5):659–663PubMedCrossRef Brouwers EP, van Baar AL, Pop VJ (2001) Does the Edinburgh postnatal depression scale measure anxiety? J Psychosom Res 51(5):659–663PubMedCrossRef
Zurück zum Zitat Carter MM, Sbrocco T, Lewis EL, Friedman EK (2001) Parental bonding and anxiety: differences between African American and European American college students. J Anxiety Disord 15(6):555–569PubMedCrossRef Carter MM, Sbrocco T, Lewis EL, Friedman EK (2001) Parental bonding and anxiety: differences between African American and European American college students. J Anxiety Disord 15(6):555–569PubMedCrossRef
Zurück zum Zitat Chen H, Chan Y, Tan K, Lee T (2004) Depressive symptomatology in pregnancy. Soc Psychiatry Psychiatr Epidemiol 39(12):975–979PubMedCrossRef Chen H, Chan Y, Tan K, Lee T (2004) Depressive symptomatology in pregnancy. Soc Psychiatry Psychiatr Epidemiol 39(12):975–979PubMedCrossRef
Zurück zum Zitat Chung TK, Lau TK, Yip AS, Chiu HF, Lee DT (2001) Antepartum depressive symptomatology is associated with adverse obstetric and neonatal outcomes. Psychosom Med 63(5):830–834PubMed Chung TK, Lau TK, Yip AS, Chiu HF, Lee DT (2001) Antepartum depressive symptomatology is associated with adverse obstetric and neonatal outcomes. Psychosom Med 63(5):830–834PubMed
Zurück zum Zitat Colin C (2006) Robust regression and outliers detection with the ROBUSTREG procedure. SAS Institute, Cary, NC, pp 265–227 Colin C (2006) Robust regression and outliers detection with the ROBUSTREG procedure. SAS Institute, Cary, NC, pp 265–227
Zurück zum Zitat Costa P, McCrae R (1990) Personality: another ‘hidden factor’ in stress research. Psychol Inq 1(1):22–24CrossRef Costa P, McCrae R (1990) Personality: another ‘hidden factor’ in stress research. Psychol Inq 1(1):22–24CrossRef
Zurück zum Zitat Costa P, McCrae R (1992) NEO PI-R. Professional manual. Psychological Assessment Resources, Odessa, FL Costa P, McCrae R (1992) NEO PI-R. Professional manual. Psychological Assessment Resources, Odessa, FL
Zurück zum Zitat Cox JL, Holden JM (1994) Perinatal psychiatry: use and misuse of the Edinburgh Postnatal Depression Scale EPDS. Gaskell, London Cox JL, Holden JM (1994) Perinatal psychiatry: use and misuse of the Edinburgh Postnatal Depression Scale EPDS. Gaskell, London
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
Zurück zum Zitat Da Costa D, Larouche J, Dritsa M, Brender W (2000) Psychosocial correlates of prepartum and postpartum depressed mood. J Affect Disord 59(1):31–40PubMedCrossRef Da Costa D, Larouche J, Dritsa M, Brender W (2000) Psychosocial correlates of prepartum and postpartum depressed mood. J Affect Disord 59(1):31–40PubMedCrossRef
Zurück zum Zitat Dayan J, Creveuil C, Herlicoviez M, Herbel C, Baranger E, Savoye C et al (2002) Role of anxiety and depression in the onset of spontaneous preterm labor. Am J Epidemiol 155(4):293–301PubMedCrossRef Dayan J, Creveuil C, Herlicoviez M, Herbel C, Baranger E, Savoye C et al (2002) Role of anxiety and depression in the onset of spontaneous preterm labor. Am J Epidemiol 155(4):293–301PubMedCrossRef
Zurück zum Zitat Dayan J, Creveuil C, Marks MN, Conroy S, Herlicoviez M, Dreyfus M et al (2006) Prenatal depression, prenatal anxiety, and spontaneous preterm birth: a prospective cohort study among women with early and regular care. Psychosom Med 68(6):938–946PubMedCrossRef Dayan J, Creveuil C, Marks MN, Conroy S, Herlicoviez M, Dreyfus M et al (2006) Prenatal depression, prenatal anxiety, and spontaneous preterm birth: a prospective cohort study among women with early and regular care. Psychosom Med 68(6):938–946PubMedCrossRef
Zurück zum Zitat Demyttenaere K, Lenaerts H, Nijs P, Van Assche FA (1995) Individual coping style and psychological attitudes during pregnancy and predict depression levels during pregnancy and during postpartum. Acta Psychiatr Scand 91(2):95–102PubMedCrossRef Demyttenaere K, Lenaerts H, Nijs P, Van Assche FA (1995) Individual coping style and psychological attitudes during pregnancy and predict depression levels during pregnancy and during postpartum. Acta Psychiatr Scand 91(2):95–102PubMedCrossRef
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):257–260PubMedCrossRef Evans J, Heron J, Francomb H, Oke S, Golding J (2001) Cohort study of depressed mood during pregnancy and after childbirth. BMJ 323(7307):257–260PubMedCrossRef
Zurück zum Zitat Griffin DW, Bartholomew K (1994) The metaphysics of measurement: the case of adult attachment. In: BartholomewK., PerlmanD. (eds) Advances in personal relationships (vol. 5: attachment processes in adulthood). Kingsley, London, pp 17–52 Griffin DW, Bartholomew K (1994) The metaphysics of measurement: the case of adult attachment. In: BartholomewK., PerlmanD. (eds) Advances in personal relationships (vol. 5: attachment processes in adulthood). Kingsley, London, pp 17–52
Zurück zum Zitat Harwood K, McLean N, Durkin K (2007) First-time mothers’ expectations of parenthood: what happens when optimistic expectations are not matched by later experiences? Dev Psychol 43(1):1–12PubMedCrossRef Harwood K, McLean N, Durkin K (2007) First-time mothers’ expectations of parenthood: what happens when optimistic expectations are not matched by later experiences? Dev Psychol 43(1):1–12PubMedCrossRef
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
Zurück zum Zitat Herrmann C (1997) International experiences with the Hospital Anxiety and Depression Scale—a review of validation data and clinical results. J Psychosom Res 42(1):17–41PubMedCrossRef Herrmann C (1997) International experiences with the Hospital Anxiety and Depression Scale—a review of validation data and clinical results. J Psychosom Res 42(1):17–41PubMedCrossRef
Zurück zum Zitat Hoekstra HA, Ormel J, de Fruyt F (1996) Handleiding NEO persoonlijkheids-vragenlijsten NEO-PI-R en NEO-FFI. Swets Test Services, Lisse Hoekstra HA, Ormel J, de Fruyt F (1996) Handleiding NEO persoonlijkheids-vragenlijsten NEO-PI-R en NEO-FFI. Swets Test Services, Lisse
Zurück zum Zitat Jylha P, Isometsa E (2006) The relationship of neuroticism and extraversion to symptoms of anxiety and depression in the general population. Depress Anxiety 23(5):281–289PubMedCrossRef Jylha P, Isometsa E (2006) The relationship of neuroticism and extraversion to symptoms of anxiety and depression in the general population. Depress Anxiety 23(5):281–289PubMedCrossRef
Zurück zum Zitat Kurki T, Hiilesmaa V, Raitasalo R, Mattila H, Ylikorkala O (2000) Depression and anxiety in early pregnancy and risk for preeclampsia. Obstet Gynecol 95(4):487–490PubMedCrossRef Kurki T, Hiilesmaa V, Raitasalo R, Mattila H, Ylikorkala O (2000) Depression and anxiety in early pregnancy and risk for preeclampsia. Obstet Gynecol 95(4):487–490PubMedCrossRef
Zurück zum Zitat Lowyck B, Luyten P, Hutsebaut J, Corveleyn J (2003) De relatievragenlijst van Bartholomew & Horowitz. Center for Psychoanalysis and Psychodynamic Psychology (K.U.Leuven), Leuven Lowyck B, Luyten P, Hutsebaut J, Corveleyn J (2003) De relatievragenlijst van Bartholomew & Horowitz. Center for Psychoanalysis and Psychodynamic Psychology (K.U.Leuven), Leuven
Zurück zum Zitat Matthey S, Barnett B, Ungerer J, Waters B (2000) Paternal and maternal depressed mood during the transition to parenthood. J Affect Disord 60(2):75–85PubMedCrossRef Matthey S, Barnett B, Ungerer J, Waters B (2000) Paternal and maternal depressed mood during the transition to parenthood. J Affect Disord 60(2):75–85PubMedCrossRef
Zurück zum Zitat McCrae RR, Costa PT (1986) Personality, coping, and coping effectiveness in an adult sample. J Person 54(2):385–404CrossRef McCrae RR, Costa PT (1986) Personality, coping, and coping effectiveness in an adult sample. J Person 54(2):385–404CrossRef
Zurück zum Zitat McLaren L, Kuh D, Hardy R, Mishra G (2007) Postnatal depression and the original mother–child relationship: a prospective cohort study. J Affect Disord 100(1–3):211–219PubMedCrossRef McLaren L, Kuh D, Hardy R, Mishra G (2007) Postnatal depression and the original mother–child relationship: a prospective cohort study. J Affect Disord 100(1–3):211–219PubMedCrossRef
Zurück zum Zitat Mickelson KD, Kessler RC, Shaver PR (1997) Adult attachment in a nationally representative sample. J Pers Soc Psychol 73(5):1092–1106PubMedCrossRef Mickelson KD, Kessler RC, Shaver PR (1997) Adult attachment in a nationally representative sample. J Pers Soc Psychol 73(5):1092–1106PubMedCrossRef
Zurück zum Zitat Misri S, Oberlander TF, Fairbrother N, Carter D, Ryan D, Kuan AJ et al (2004) Relation between prenatal maternal mood and anxiety and neonatal health. Can J Psychiatry 49(10):684–689PubMed Misri S, Oberlander TF, Fairbrother N, Carter D, Ryan D, Kuan AJ et al (2004) Relation between prenatal maternal mood and anxiety and neonatal health. Can J Psychiatry 49(10):684–689PubMed
Zurück zum Zitat Murphy B, Bates GW (1997) Adult attachment style and vulnerability to depression. Pers Individ Differ 22(6):835–844CrossRef Murphy B, Bates GW (1997) Adult attachment style and vulnerability to depression. Pers Individ Differ 22(6):835–844CrossRef
Zurück zum Zitat Murray D, Cox JL (1990) Screening for depression during pregnancy with the Edinburgh Depression Scale (EPDS). J Reprod Infant Psychol 8(2):99–107CrossRef Murray D, Cox JL (1990) Screening for depression during pregnancy with the Edinburgh Depression Scale (EPDS). J Reprod Infant Psychol 8(2):99–107CrossRef
Zurück zum Zitat Murray G, Rawlings D, Allen N, Trinder J (2003) NEO Five-Factor Inventory Scores: psychometric properties in a community sample. Meas Eval Couns Dev 36(3):140–149 Murray G, Rawlings D, Allen N, Trinder J (2003) NEO Five-Factor Inventory Scores: psychometric properties in a community sample. Meas Eval Couns Dev 36(3):140–149
Zurück zum Zitat O’Connor TG, Heron J, Glover V (2002) Antenatal anxiety predicts child behavioral/emotional problems independently of postnatal depression. J Am Acad Child Adolesc Psychiatry 41(12):1470–1477PubMedCrossRef O’Connor TG, Heron J, Glover V (2002) Antenatal anxiety predicts child behavioral/emotional problems independently of postnatal depression. J Am Acad Child Adolesc Psychiatry 41(12):1470–1477PubMedCrossRef
Zurück zum Zitat Orr ST, James SA, Blackmore Prince C (2002) Maternal prenatal depressive symptoms and spontaneous preterm births among African-American women in Baltimore, Maryland. Am J Epidemiol 156(9):797–802PubMedCrossRef Orr ST, James SA, Blackmore Prince C (2002) Maternal prenatal depressive symptoms and spontaneous preterm births among African-American women in Baltimore, Maryland. Am J Epidemiol 156(9):797–802PubMedCrossRef
Zurück zum Zitat Parker G (1979a) Parental characteristics in relation to depressive disorders. Br J Psychiatry 134:138–147PubMedCrossRef Parker G (1979a) Parental characteristics in relation to depressive disorders. Br J Psychiatry 134:138–147PubMedCrossRef
Zurück zum Zitat Parker G (1979b) Reported parental characteristics in relation to trait depression and anxiety levels in a non-clinical group. Aust N Z J Psychiatry 13(3):260–264PubMedCrossRef Parker G (1979b) Reported parental characteristics in relation to trait depression and anxiety levels in a non-clinical group. Aust N Z J Psychiatry 13(3):260–264PubMedCrossRef
Zurück zum Zitat Parker G (1989) The parental bonding instrument: psychometric properties reviewed. Psychiatr Dev 7(4):317–335PubMed Parker G (1989) The parental bonding instrument: psychometric properties reviewed. Psychiatr Dev 7(4):317–335PubMed
Zurück zum Zitat Parker G, Tupling H, Brown L (1979) A parental bonding instrument. J Med Psychol 52:1–10 Parker G, Tupling H, Brown L (1979) A parental bonding instrument. J Med Psychol 52:1–10
Zurück zum Zitat Perris C, Andersson P (2000) Experiences of parental rearing and patterns of attachment in adulthood. Clin Psychol Psychother 7(4):279–288CrossRef Perris C, Andersson P (2000) Experiences of parental rearing and patterns of attachment in adulthood. Clin Psychol Psychother 7(4):279–288CrossRef
Zurück zum Zitat Pitt B (1968) “Atypical” depression following childbirth. Br J Psychiatry 114(516):1325–1335PubMedCrossRef Pitt B (1968) “Atypical” depression following childbirth. Br J Psychiatry 114(516):1325–1335PubMedCrossRef
Zurück zum Zitat Pop VJ, Komproe IH, van Son MJ (1992) Characteristics of the Edinburgh Post Natal Depression Scale in The Netherlands. J Affect Disord 26(2):105–110PubMedCrossRef Pop VJ, Komproe IH, van Son MJ (1992) Characteristics of the Edinburgh Post Natal Depression Scale in The Netherlands. J Affect Disord 26(2):105–110PubMedCrossRef
Zurück zum Zitat Priel B, Besser A (1999) Vulnerability to postpartum depressive symptomatology: dependency, self-criticism and the moderating role of antenatal attachment. J Soc Clin Psych 18:240–253 Priel B, Besser A (1999) Vulnerability to postpartum depressive symptomatology: dependency, self-criticism and the moderating role of antenatal attachment. J Soc Clin Psych 18:240–253
Zurück zum Zitat Raphael-Leff J (1985) Facilitators and regulators: vulnerability to postnatal disturbance. J Psychosom Obstet Gynaecol 4:151–168CrossRef Raphael-Leff J (1985) Facilitators and regulators: vulnerability to postnatal disturbance. J Psychosom Obstet Gynaecol 4:151–168CrossRef
Zurück zum Zitat Raphael-Leff J (2005) Psychological processes of childbearing. The Anna Freud Centre, London Raphael-Leff J (2005) Psychological processes of childbearing. The Anna Freud Centre, London
Zurück zum Zitat Reti IM, Samuels JF, Eaton WW, Bienvenu Iii OJ, Costa PT Jr, Nestadt G (2002) Influences of parenting on normal personality traits. Psychiatry Res 111(1):55–64PubMedCrossRef Reti IM, Samuels JF, Eaton WW, Bienvenu Iii OJ, Costa PT Jr, Nestadt G (2002) Influences of parenting on normal personality traits. Psychiatry Res 111(1):55–64PubMedCrossRef
Zurück zum Zitat Roberts JE, Gotlib IH, Kassel JD (1996) Adult attachment security and symptoms of depression: the mediating roles of dysfunctional attitudes and low self-esteem. J Pers Soc Psychol 70(2):310–320PubMedCrossRef Roberts JE, Gotlib IH, Kassel JD (1996) Adult attachment security and symptoms of depression: the mediating roles of dysfunctional attitudes and low self-esteem. J Pers Soc Psychol 70(2):310–320PubMedCrossRef
Zurück zum Zitat Robertson E, Grace S, Wallington T, Stewart DE (2004) Antenatal risk factors for postpartum depression: a synthesis of recent literature. Gen Hosp Psychiatry 26(4):289–295PubMedCrossRef Robertson E, Grace S, Wallington T, Stewart DE (2004) Antenatal risk factors for postpartum depression: a synthesis of recent literature. Gen Hosp Psychiatry 26(4):289–295PubMedCrossRef
Zurück zum Zitat Ruble DN, Brooks-Gunn J, Fleming AS, Fitzmaurice G, Stangor C, Deutsch F (1990) Transition to motherhood and the self: measurement, stability, and change. J Pers Soc Psychol 58(3):450–463PubMedCrossRef Ruble DN, Brooks-Gunn J, Fleming AS, Fitzmaurice G, Stangor C, Deutsch F (1990) Transition to motherhood and the self: measurement, stability, and change. J Pers Soc Psychol 58(3):450–463PubMedCrossRef
Zurück zum Zitat Sanderman R, Ormel J (1992) De Utrechtse Copinglijst. Gedrag en Gezondheid 20:32–37 Sanderman R, Ormel J (1992) De Utrechtse Copinglijst. Gedrag en Gezondheid 20:32–37
Zurück zum Zitat SAS Institute Inc (2002) SAS software version 9.1 of the SAS system for windows (version 9.1). SAS Institute, Cary, NC SAS Institute Inc (2002) SAS software version 9.1 of the SAS system for windows (version 9.1). SAS Institute, Cary, NC
Zurück zum Zitat Schreurs P, van de Willige G (1988) Omgaan met problemen en Gebeurtenissen. De Utrechtse Copinglijst. Swets & Zeitlinger, Lisse Schreurs P, van de Willige G (1988) Omgaan met problemen en Gebeurtenissen. De Utrechtse Copinglijst. Swets & Zeitlinger, Lisse
Zurück zum Zitat Sharp H, Bramwell R (2004) An empirical evaluation of a psychoanalytic theory of mothering orientation: implications for the antenatal prediction of postnatal depression. J Reprod Infant Psychol 22(2):71–89CrossRef Sharp H, Bramwell R (2004) An empirical evaluation of a psychoanalytic theory of mothering orientation: implications for the antenatal prediction of postnatal depression. J Reprod Infant Psychol 22(2):71–89CrossRef
Zurück zum Zitat Spinhoven P, Ormel J, Sloekers PP, Kempen GI, Speckens AE, Van Hemert AM (1997) A validation study of the Hospital Anxiety and Depression Scale (HADS) in different groups of Dutch subjects. Psychol Med 27(2):363–370PubMedCrossRef Spinhoven P, Ormel J, Sloekers PP, Kempen GI, Speckens AE, Van Hemert AM (1997) A validation study of the Hospital Anxiety and Depression Scale (HADS) in different groups of Dutch subjects. Psychol Med 27(2):363–370PubMedCrossRef
Zurück zum Zitat Steer RA, Scholl TO, Hediger ML, Fischer RL (1992) Self-reported depression and negative pregnancy outcomes. J Clin Epidemiol 45(10):1093–1099PubMedCrossRef Steer RA, Scholl TO, Hediger ML, Fischer RL (1992) Self-reported depression and negative pregnancy outcomes. J Clin Epidemiol 45(10):1093–1099PubMedCrossRef
Zurück zum Zitat Uehara T, Sakado K, Sato T, Someya T (1999) Do perceived parenting styles influence stress coping in patients with major depressive disorders? Stress Med 15(3):197–200CrossRef Uehara T, Sakado K, Sato T, Someya T (1999) Do perceived parenting styles influence stress coping in patients with major depressive disorders? Stress Med 15(3):197–200CrossRef
Zurück zum Zitat van Bussel JCH, Spitz B, Demyttenaere K (2006) Women’s mental health before, during, and after pregnancy: a population-based controlled cohort study. Birth 33(4):297–302PubMedCrossRef van Bussel JCH, Spitz B, Demyttenaere K (2006) Women’s mental health before, during, and after pregnancy: a population-based controlled cohort study. Birth 33(4):297–302PubMedCrossRef
Zurück zum Zitat van Bussel JCH, Spitz B, Demyttenaere K (2009) Maternal antenatal orientations on pregnancy, the child and motherhood, reliability and construct validity of a brief measure. Individual Differences Research van Bussel JCH, Spitz B, Demyttenaere K (2009) Maternal antenatal orientations on pregnancy, the child and motherhood, reliability and construct validity of a brief measure. Individual Differences Research
Zurück zum Zitat Verschueren K, Marcoen A (1993) Gehechtheidsstijl, intimiteit en vertrouwen in de jongvolwassenheid: een reflectie van de ervaren ouderlijke sensitiviteit? Psychol Belg 33:49–76 Verschueren K, Marcoen A (1993) Gehechtheidsstijl, intimiteit en vertrouwen in de jongvolwassenheid: een reflectie van de ervaren ouderlijke sensitiviteit? Psychol Belg 33:49–76
Zurück zum Zitat Zigmond AS, Snaith RP (1983) The hospital anxiety and depression scale. Acta Psychiatr Scand 67(6):361–370PubMedCrossRef Zigmond AS, Snaith RP (1983) The hospital anxiety and depression scale. Acta Psychiatr Scand 67(6):361–370PubMedCrossRef
Metadaten
Titel
Depressive symptomatology in pregnant and postpartum women. An exploratory study of the role of maternal antenatal orientations
verfasst von
Johan C. H. van Bussel
Bernard Spitz
Koen Demyttenaere
Publikationsdatum
01.06.2009
Verlag
Springer Vienna
Erschienen in
Archives of Women's Mental Health / Ausgabe 3/2009
Print ISSN: 1434-1816
Elektronische ISSN: 1435-1102
DOI
https://doi.org/10.1007/s00737-009-0061-x

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