دورية أكاديمية
Postnatal depressive symptoms display marked similarities across continents.
| العنوان: | Postnatal depressive symptoms display marked similarities across continents. |
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| المؤلفون: | Wesselhoeft R; Research Unit of Child and Adolescent Mental Health, Institute for Clinical Research, University of Southern Denmark, Mental Health Services in the Region of Southern Denmark, Odense, Denmark. Electronic address: rwesselhoeft@health.sdu.dk., Madsen FK; Research Unit of Gynecology and Obstetrics, Department of Clinical Research, University of Southern Denmark, Odense, Denmark., Lichtenstein MB; Research Unit for E-mental Health Odense, Mental Health Services in the Region of Southern Denmark, Department of Clinical Research, University of Southern Denmark, Odense, Denmark., Sibbersen C; Research Unit for E-mental Health Odense, Mental Health Services in the Region of Southern Denmark, Odense, Denmark., Manongi R; Institute of Public Health, Kilimanjaro Christian Medical University College, Moshi, Tanzania., Mushi DL; Institute of Public Health, Kilimanjaro Christian Medical University College, Moshi, Tanzania., Nguyen HTT; Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam., Van TN; Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam., Kyhl H; Hans Christian Andersen Children's Hospital, University of Southern Denmark and Odense Patient data Explorative Network (OPEN), Odense, Denmark., Bilenberg N; Research Unit of Child and Adolescent Mental Health, Mental Health Services in the Region of Southern Denmark, Department of Clinical Research, University of Southern Denmark, Odense, Denmark., Meyrowitsch DW; Department of Public Health, University of Copenhagen, Copenhagen, Denmark., Gammeltoft TM; Department of Anthropology, University of Copenhagen, Copenhagen, Denmark., Rasch V; Research Unit of Gynecology and Obstetrics, Department of Clinical Research, University of Southern Denmark, Odense, Denmark. |
| المصدر: | Journal of affective disorders [J Affect Disord] 2020 Jan 15; Vol. 261, pp. 58-66. Date of Electronic Publication: 2019 Oct 01. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier/North-Holland Biomedical Press Country of Publication: Netherlands NLM ID: 7906073 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-2517 (Electronic) Linking ISSN: 01650327 NLM ISO Abbreviation: J Affect Disord Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Amsterdam, Elsevier/North-Holland Biomedical Press. |
| مواضيع طبية MeSH: | Anhedonia* , Cross-Cultural Comparison*, Anxiety/*ethnology , Depression/*ethnology , Depression, Postpartum/*ethnology, Adult ; Anxiety/psychology ; Cross-Sectional Studies ; Denmark/epidemiology ; Depression/psychology ; Depression, Postpartum/epidemiology ; Depression, Postpartum/psychology ; Educational Status ; Factor Analysis, Statistical ; Female ; Humans ; Postpartum Period/psychology ; Poverty/ethnology ; Poverty/psychology ; Pregnancy ; Psychiatric Status Rating Scales ; Regression Analysis ; Risk Factors ; Self Report ; Tanzania/epidemiology ; Vietnam/epidemiology |
| مستخلص: | Background: Postnatal depressive symptoms measured by the Edinburgh Postnatal Depression Scale (EPDS) are reported to display measurement variance regarding factor structure and the frequency of specific depressive symptoms. However, postnatal depressive symptoms measured by EPDS have not been compared between women representing three continents. Methods: A cross-sectional study including birth cohort samples from Denmark, Vietnam and Tanzania. Women were included during pregnancy at routine care sites. Depressive symptoms were self-reported 40-90 days postpartum using the EPDS. Exploratory and confirmatory factor analyses and generalized additive regression models were performed. Results: A total of N = 4,516 participated in the study (Denmark N = 2,069, Vietnam N = 1,278, Tanzania N = 1,169). Factor analyses identified three factors (anhedonia, anxiety and depression) that were almost identical in the three study populations. The only variation between countries was that the item 'self-harm' loaded differently. Women from Tanzania and Denmark were more likely to have an EPDS total score above cut-off 12 (12.6% and 6.4%), compared to women from Vietnam (1.9%) (p<0.001). A low level of education was associated with significantly more depressive symptoms after adjusting for country (p<0.001). Limitations: EPDS data was collected at a later time point in the Danish sample. Conclusions: Postnatal depressive symptoms constitute a three-factor model across cultures including the factors anhedonia, anxiety and depression. The frequency of postnatal depressive symptoms differs between high-, medium-, and low-income countries. However, clinicians should bear in mind that low-educated women worldwide are more likely to experience postnatal depressive symptoms. (Copyright © 2019. Published by Elsevier B.V.) |
| تواريخ الأحداث: | Date Created: 20191011 Date Completed: 20210118 Latest Revision: 20210118 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1016/j.jad.2019.09.075 |
| PMID: | 31600588 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1573-2517 |
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| DOI: | 10.1016/j.jad.2019.09.075 |