Hostname: page-component-586b7cd67f-r5fsc Total loading time: 0 Render date: 2024-11-26T05:12:57.907Z Has data issue: false hasContentIssue false

Maternity “Blues”: Prevalence and Risk Factors

Published online by Cambridge University Press:  10 April 2014

Alexandre Faisal-Cury*
Affiliation:
Hospital Universitário de São Paulo (Brazil)
Paulo Rossi Menezes
Affiliation:
Hospital Universitário de São Paulo (Brazil)
Jose Júlio A Tedesco
Affiliation:
Faculdade de Medicina da Santa Casa de São Paulo (Brazil)
Soubhi Kahalle
Affiliation:
Hospital Universitário de São Paulo (Brazil)
Marcelo Zugaib
Affiliation:
Faculdade de Medicina da Universidade de São Paulo (Brazil)
*
Correspondence concerning this article should be adressed to Alexandre Faisal-Cury, Rua Dr Mário Ferraz 135/32, Jd Paulistano, 01453-010-São Paulo. E mail:, [email protected]

Abstract

Objectives: estimate the prevalence and track the risk factors associated with, Maternity blues (MB).

Methods: a transversal study was performed with 113 women, on the tenth day of puerperium. The following instruments were used: Pitt Scale (1968), Stein (1980), Inventory for stressful life events by Holmes & Rahe (1967), and a questionnaire with sociodemographic and obstetric data.

Results: the prevalence of MB was 32.7% according to the Stein scale. In the univariated analysis, civil status and tobacco use were associated with MB. Legally married women and nonsmokers showed a risk approximately 4 times lower of experiencing the problem.

Conclusions: MB was very prevalent in this sample. Obstetricians must be aware of this condition which may be associated with postpartum depression.

Objetivos: estimar la prevalencia y rastrear los factores de riesgo asociados con la tristeza postparto (TP).

Método: se realizó un estudio transversal con 113 mujeres, en el décimo día del puerperio. Se utilizaron los siguientes instrumentos: Pitt Scale (1968), Stein (1980), Inventory for Stressful Life Events de Holmes & Rahe (1967) y un cuestionario de datos sociodemográficos y obstétricos.

Resultados: la prevalencia de la TP fue de un 32.7% de acuerdo con la escala Stein. En el análisis univariado, el estado civil y el consumo de tabaco se asociaron a la TP. Las mujeres casadas y las no fumadoras mostraron un riesgo aproximadamente 4 veces más bajo de sufrir el problema.

Conclusiones: se encontró una alta prevalencia de la TP en la muestra. Los obstetras deberían estar alerta ante este estado, que puede asociarse con la depresión postparto.

Type
Articles
Copyright
Copyright © Cambridge University Press 2008

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Adewuya, A. O. (2005) The maternity blues in Western Nigerian women: prevalence and risk factors. American Journal of Obstetrics and Gynecology, 193(4):1522–5.CrossRefGoogle ScholarPubMed
Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Nerbaugh, J. (1961). An inventory for measuring depression. Archives of General Psichiatry, 4:561–71.CrossRefGoogle ScholarPubMed
Brody, C. L., Hamer, D. H., & Haaga, D. A. (2005). Depression vulnerability, cigarette smoking, and the serotonin transposter gene. Addictive Behaviors, 30(3):557–66.CrossRefGoogle Scholar
Condon, J. T., & Watson, T. L. (1987) The maternity blues: Exploration of a psychological hypothesis. Acta Psychiatrica Scandinavica, 76:164–71.CrossRefGoogle ScholarPubMed
Dietrich, A. J., Williams, J. W., Ciotti, M. C., Schulkin, J., Stotland, N., Rost, K., et al. (2003). Depression care attitudes and practices of newer obstetrician-gynecologists: A national survey. American Journal of Obstetrics and Gynecology, 189:267–73.CrossRefGoogle ScholarPubMed
Faisal-Cury, A., Tedesco, J. J. A., Kahhale, S., Zugaib, M., & Menezes, P. R. (2004). Postpartum depression in relation to life events and patterns of coping. Archives of Women's Mental Health, 123–31.Google Scholar
Fossey, L., Papiernik, E., & Bydlowski, M. (1997). Postpartum blues: A clinical syndrome and predictor of postnataldepression?. Journal of Psychosomatics Obstetrics and Gynecology, 18:1721.CrossRefGoogle Scholar
Gabeyama, K., Narita, Y., Honda, Y., & Okazaki, Y. (1985). A clinical study of maternity blues. Japanese Midwives, 39:594604Google Scholar
Gale, S., & Harlow, B. L. (2003). Postpartum mood disorders: A review of clinical and epidemiological factors. Journal of Psychosomatics Obstetrics and Gynecology, 24(4):257–66.CrossRefGoogle ScholarPubMed
Gard, P. R., Handley, S. L., Parsons, A. D., & Waldrom, G. (1986). A multivariate investigation of postpartum mood disturbance. British Journal of Psychiatry, 148567–75.CrossRefGoogle ScholarPubMed
Gonidakis, F., Rabavilas, A. D., Varsou, E., Kreatsas, G., & Christodoulou, G. N. (2007). Maternity blues in Athens Greece: A study during the first 3 days after delivery. Journal of Affective Disorders, 99(1–3):107–15.CrossRefGoogle ScholarPubMed
Guedeney, A., Bungener, R., Jouvent, R., Darbois, Y., & Wildlôcher, , (1990). D. Post-partum blues et émoussement affectif. Annals of Medical Psychology, 149(3):240–3.Google Scholar
Hapgood, C. C., Elkind, G. S., & Wright, J. J. (1988). Maternity blues: Phenomena and relationship to later postpartum depression. Australian and New Zealand Journal of Psychiatry, 22:299306.CrossRefGoogle Scholar
Henshaw, C. (2003). Mood disturbance in the early puerperium: A review. Archives of Women's Mental Health, 6 (Supp 2):3342.CrossRefGoogle ScholarPubMed
Holmes, T. H., & Rahe, R. K. (1967). The Social Readjustment Rating Scale. Journal of Psychosomatic Research, 189–94.Google ScholarPubMed
Johnson, E. O., Rhee, S. H., Chase, G. A., & Breslau, N. (2004). Comorbidity of depression with levels of smoking: An exploration of the shared familial risk hypothesis. Nicotine and Tobacco Research, 6(6):1029–38.Google ScholarPubMed
Kennerly, H., & Gath, D. (1989). Maternity blues: I. Detection and measurement by questionnaire. British Journal of Psychiatry, 155:356–62.CrossRefGoogle Scholar
Lane, A., Kelville, R., Morriss, M., Kinsella, A., Turner, M., & Barry, S. (1997). Postnatal depression and elation among mothers and their partners: prevalence and predictors. British Journal of Psychiatry, 171:550–5.CrossRefGoogle ScholarPubMed
Lanczik, M., Brown, G., & Stump, K. (1992). Post-partum blues: Depressive disease of pseudoneurasthenic syndrome. Journal of Affective Disorders, 25:4752.CrossRefGoogle ScholarPubMed
Lipp, M. (1984). Stress e suas implicações. Estudos de Psicologia, 3/4:611.Google Scholar
Matthey, S., Kavanagh, D. J., Howie, P., Barnett, B., & Charles, M. (2004). Prevention of postnatal distress or depression:, An evaluation of intervention at preparation for parenthood classes. Journal of Affective Disorders, 79(1–3):113–26.CrossRefGoogle ScholarPubMed
Murata, A., Nadaoka, T., Morioka, Y., Oiji, A., & Saito, H. (1998). Prevalence and background factors of maternity blues. Gynecological and Obstetrics Investigation, 46:99104.CrossRefGoogle ScholarPubMed
Newnham, J., Dennett, P. M., Aron, S., Tomlin, S., Legg, C., Bourne, G. L., et. al. (1984). A study of the relationship between circulating B endorphin-like immunoreactivity and postpartum “blues”. Clinical Endocrinolology, 20:169–77.CrossRefGoogle Scholar
O'Hara, M. W., Schlechte, J. A., Lewis, D.A., & Wright, E. J. (1991). Prospective study of postpartum blues: Biologic and psychosocial factors. Archives of General Psychiatry, 48:801–6.CrossRefGoogle ScholarPubMed
O'Hara, M. W., Zekoski, E. M. (1988). Postpartum depression: A comprehensive review. In Kumar, R. and Brockington, I.F. (Eds.) Motherhood and Mental Ilness 2: causes and consequences. John Wright: London.Google Scholar
Pitt, B. (1973). Maternity blues. British Journal of Psychiatry, 22:431–3.CrossRefGoogle Scholar
Rhode, L. A. P., Busnello, E., Wolf, A, Zomer, A, Shansis, F., Martins, S., et al. (1997). Maternity blues in Brazilian women. Acta Psychiatrica Scandinavica, 95(3):231–5.CrossRefGoogle Scholar
Rhode, L. A. P., Souza, A. L. W., Zomer, A., Carbone, F., Shansis, F., Martins, S., et al. (1996). Síndrome da tristeza pós-parto. Revista da AMRIGS, 40(2):100–5.Google Scholar
Savóia, M. G. (1995 Relação entre eventos vitais adversos e mecanismos de “coping”. no transtorno de pânico. Unpublished doctoral dissertation, Universidade de São Paulo.Google Scholar
Stein, G. S. (1980). The pattern of mental changes and body weight change in the first post-partum week. Journal of Psychosomatic Research, 24:165–71.CrossRefGoogle ScholarPubMed
Seyfried, L.S., & Marcus, S. M. (2003). Postpartum mood disorders. International Review of Psychiatry, 15(3):231–42.CrossRefGoogle ScholarPubMed
Sutter, A. L., Leroy, V., Dallay, D., Verdoux, H., & Bourgeois, M. (1997). Post-partum blues and mild depressive symptomatology at days three and five after delivery: A French cross sectional study. Journal of Affective Disorders, 44:14.CrossRefGoogle ScholarPubMed
Thalassinos, M., Zittoun, C., Rouillon, F., & Engelmann, P. (1993). Etude des troubles anxieux et dépressifs du post-partum chez les femmes enceintes. Journal de gynécologie obstétrique et biologie de la reproduction, 22:101–6.Google Scholar