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Psychiatric morbidity of employed mothers 6-weeks and one year after childbirth: A prospective study of adaptation

Published online by Cambridge University Press:  16 April 2020

M.L. Imaz ,
P. Navarro ,
M. Garriz ,
C. Ascaso ,
C. Aguado ,
E. Gelabert  and
L. García
M.L. Imaz
Affiliation:
Unit of Perinatal Psychiatry and Gender Research, Hospital Clinic, Barcelona, Spain Pharmacology Research Unit, Institut Municipal d'Investigació Mèdica, Barcelona, Spain
P. Navarro
Affiliation:
Unit of Perinatal Psychiatry and Gender Research, Hospital Clinic, Barcelona, Spain
M. Garriz
Affiliation:
Unit of Perinatal Psychiatry and Gender Research, Hospital Clinic, Barcelona, Spain
C. Ascaso
Affiliation:
Department of Public Health, University of Barcelona, Barcelona, Spain Institut d'Investigacions Biomèdiques August Pi I Sunyer, Barcelona, Spain
C. Aguado
Affiliation:
Department of Public Health, University of Barcelona, Barcelona, Spain
E. Gelabert
Affiliation:
Unit of Perinatal Psychiatry and Gender Research, Hospital Clinic, Barcelona, Spain Pharmacology Research Unit, Institut Municipal d'Investigació Mèdica, Barcelona, Spain
L. García
Affiliation:
Unit of Perinatal Psychiatry and Gender Research, Hospital Clinic, Barcelona, Spain

Abstract

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Objective:

To assess the adaptation of employed mothers one year after childbirth depending on 6-weeks psychiatric status and received treatment.

Method:

A prospective study was designed. A randomly stratified group (according to EPDS score) of 325 employed mothers was interviewed at 6-weeks postpartum to establish psychiatric diagnosis according to DSM-IV criteria (SCID-I). Some cases were treated (mostly diagnosed of major depressive and panic attack disorders). 258 mothers were reassessed with the same procedure one year later. Chi-square was calculated to determine if psychiatric diagnosis one year after childbirth is related with psychiatric diagnosis at 6-weeks postpartum. Odds ratio (OR) were calculated to determine the increased risk of having a disorder at one year according to 6-weeks psychiatric diagnosis.

Results:

At one year, 50% of women in our sample were psychiatric cases and were significantly associated with clinical diagnosis at 6-weeks (X2=52.91; gl 2, p<0.001). The risk of being a psychiatric case at one year was three times higher (OR: 3.35; CI95%: 1.62-6.93) for non treated cases and nine times (OR: 9.46; CI95%: 4.96-18.06) for treated cases.

Conclusion:

Half of our sample received a clinically relevant psychiatric diagnosis at one year.

Our results support the hypothesis that maternity is a vulnerable period for psychiatric disorders. Additionally many cases receiving treatment do not remit or remit partially and tend to chronification. The special characteristics of this population suggest that specific treatment units with specialized professionals are needed.

This study has been supported in part by grant 13/00 from Institute of Women, Spain.

Type
Poster Session 2: Diagnosis and Classification Issues
Information
European Psychiatry , Volume 22 , Issue S1: 15th AEP Congress - Abstract book - 15th AEP Congress , March 2007 , pp. S320
Copyright
Copyright © European Psychiatric Association 2007
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