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Postnatal depression and elation among mothers and their partners: Prevalence and predictors

Published online by Cambridge University Press:  02 January 2018

Abbie Lane ,
Rita Keville ,
Mary Morris ,
Anthony Kinsella ,
Michael Turner  and
Siobhan Barry
Abbie Lane
Affiliation:
Cluain Mhuire Family Centre
Rita Keville
Affiliation:
Coombe Women's Hospital, Dublin 8
Mary Morris
Affiliation:
Cluain Mhuire Family Centre
Anthony Kinsella
Affiliation:
Dublin Institute of Technology, Dublin
Michael Turner
Affiliation:
Coombe Women's Hospital, Dublin 8
Siobhan Barry*
Affiliation:
Cluain Mhuire Family Centre, Newtonpark Avenue, Blackrock, Co. Dublin, Ireland, and Coombe Women's Hospital, Dublin 8, Ireland
*
Dr S. Barry, Cluain Mhuire Family Centre, Newtonpark Avenue, Blackrock, Co. Dublin, Ireland. Fax: 353-1-2780053
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Abstract

Background

Correlates and predictors of mood disturbance at 3 days and 6 weeks postpartum were assessed in Irish mothers and their partners.

Method

The Edinburgh Postnatal Depression Scale (EPDS) and the Highs Scale were used to assess 370 mothers and their partners. Socio-demographic, clinical and obstetric data were collected at patients' first antenatal visit. Factors associated with EPDS scores of ≥ 13 and Highs scores of ≥ 8 were examined.

Results

On the EPDS 11.4% of mothers scored ≥ 13 at 3 days postpartum and 11% at 6 weeks, while 18.3% of mothers scored ≥ 8 on the Highs Scale at 3 days and 9% at 6 weeks. Scores on the EPDS and Highs Scale were interrelated. Factors associated with EPDS scores of ≥ 13 at 6 weeks were single status, unemployment, unplanned pregnancy, public status and bottle-feeding. The best predictors of EPDS ≥ 13 at 6 weeks were mothers' scores on the EPDS and the Highs Scale at 3 days. Three per cent of partners scored ≥ 13 on the EPDS at 3 days postpartum and 1.2% at 6 weeks.

Conclusions

Factors associated with mothers' mood disturbance were readily identifiable and collected routinely at antenatal intake. Mothers' mood within 3 days of delivery was the best predictor of later postnatal depression. Paternal mood disturbance was rare. Certain women may be at increased risk for postnatal mood disturbance and may be amenable to early identification and intervention.

Type
Papers
Information
The British Journal of Psychiatry , Volume 171 , Issue 6 , December 1997 , pp. 550 - 555
Copyright
Copyright © 1997 The Royal College of Psychiatrists 

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