Summary
A total of 183 Ugandan women were interviewed at their first visit to a rural antenatal clinic and again 6–15 weeks after childbirth. The Luganda modification of Goldberg's Standardised Psychiatric Interview was administered on each occasion. Eighteen women had a depressive illness following childbirth, which in all but four had not been present during pregnancy. No association was found between postnatal depression and a hospital delivery, having a first baby or being unmarried. Anxiety neuroses were found in six women, and two had animal phobias. Schizophrenia and organic psychoses did not occur. The depressed Africans were unlikely to consult doctors because of their symptoms. When compared with Scottish women with postnatal depression, the depressed Africans were less likely to report guilt or selfblame.
Similar content being viewed by others
References
Assael MI, Namboze JM, German GA, Bennett FJ (1972) Psychiatric disturbances during pregnancy in a rural group of African women. Soc Sci Med 6: 387–95
Cox JL, Connor Y, Kendell RE (1982) Prospective study of the psychiatric disorders of childbirth. Br J Psychiatry 140: 111–117
Cox JL (1979) Amakiro: an Ugandan puerperal psychosis? Soc Psychiatry 14: 49–52
Ebie JC (1972) Psychiatric illness in the puerperium among Nigerians. Trop Geogr Med 24: 253–256
Goldberg DP, Cooper B, Eastwood MR, Kedward HB, Shepherd M (1970) A standardised psychiatric interview for use in community studies. Br J Prev Soc Med 24: 18–23
International classification of disease (1968) Her Majesty's Stationery Office, London
Orley J, Wing JK (1979) Psychiatric disorders in two African villages. Arch Gen Psychiatry 36: 513–520
Pitt B (1968) “Atypical” depression following childbirth. Br J Psychiatry 114: 1325–1335
Swift CR (1972) Psychosis during the puerperium among Tanzanians. East Afr Med J 49: 651–657
Wing JK, Cooper JE, Sartorius N (1974) The measurement and classification of psychiatric symptoms. Cambridge University Press, Cambridge
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Cox, J.L. Postnatal depression: A comparison of African and Scottish women. Soc Psychiatry 18, 25–28 (1983). https://doi.org/10.1007/BF00583384
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00583384