Impact of childhood trauma on postpartum depression: a prospective study
Tóm tắt
Studies on the impact of childhood trauma on postpartum depression show inconsistencies and methodological limitations. The present study examines the effect of childhood trauma on depression 12 and 24 weeks after childbirth, while controlling for history of depression, depression symptoms during pregnancy and type D personality. During the third trimester of pregnancy, 210 women completed self-report questionnaires assessing depression (current and/or past episodes), childhood trauma and type D personality, of whom 187 participated in the postpartum follow-up, with depression symptoms being reassessed at 12 and 24 weeks after delivery with three depression outcome measures. Eventually, 183 participants were retained for analysis. Results indicated no predictive value of childhood trauma on postpartum depression in the univariate analyses, nor after controlling for previous depression, depression symptoms during pregnancy and type D personality. However, past depression and depression symptoms during pregnancy did independently and convincingly predict postpartum depression, especially at 12 weeks and to a lesser extent at 24 weeks following childbirth. Overall, we found no significant association between childhood trauma and postpartum depression. Past depression and depression symptoms during pregnancy are more relevant factors to assess before childbirth.
Tài liệu tham khảo
Alvarez-Segura M, Garcia-Esteve L, Torres A, Plaza A, Imaz ML, Hermida-Barros L, Burtchen N (2014) Are women with a history of abuse more vulnerable to perinatal depressive symptoms? A systematic review. Arch Womens Ment Health 17:343–357
American Psychiatric Association (2000) Diagnostic and Statistical Manual of Mental Disorders, 4th edn. American Psychiatric Press, Washington DC
Bloch M, Rotenberg N, Koren D, Klein E (2006) Risk factors for early postpartum depressive symptoms. Gen Hosp Psychiatry 28:3–8
Boyd RC, Le HN, Somberg R (2005) Review of screening instruments for postpartum depression. Arch Womens Ment Health 8:141–153
Chaudron LH, Wisner KL (2014) Perinatal depression screening: let’s not throw the baby out with the bath water! J Psychosom Res 76:489–491
Cohen MM, Schei B, Ansara D, Gallop R, Stewart DE (2002) A history of personal violence and postpartum depression: is there a link? Arch Womens Ment Health 4:83–92
Cox JL, Holden JM, Sagovsky R (1987) Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry 150:782–786
De Beurs E, van Dyck R, Marquenie LA, Lange A, Blonk R (2001) De DASS: Een vragenlijst voor het meten van depressie, angst en stress. Gedragstherapie 34:35–53
Dennis CLE, Janssen PA, Singer J (2004) Identifying women at-risk for postpartum depression in the immediate postpartum period. Acta Psychiatr Scand 110:338–346
Denollet JKL (2000) Type D personality: a potential risk factor refined. J Psychosom Res 49:255–266
Denollet JKL (2005) DS14: Standard assessment of negative affectivity, social inhibition, and type D personality. Psychosom Med 67:89–97
Gavin NI, Gaynes BN, Lohr KN, Meltzer-Brody S, Gartlehner G, Swinson T (2005) Perinatal depression: a systematic review of prevalence and incidence. Am J Obstet Gynecol 106:1071–1083
Hardt J, Rutter M (2004) Validity of adult retrospective reports of adverse childhood experiences: review of the evidence. J Child Psychol Psychiatry 45:260–273
Li X, Wang Z, Hou Y, Wang Y, Liu J, Wang C (2014) Effects of childhood trauma on personality in a sample of Chinese adolescents. Child Abuse Negl 38:788–796
Lovibond SH, Lovibond PF (1995) Manual for the Depression Anxiety Stress Scales, 2nd edn. Psychology Foundation, Sydney
Matthey S, Henshaw C, Elliott S, Barnett B (2006) Variability in use of cut-off scores and formats on the Edinburgh Postnatal Depression Scale: implications for clinical and research practice. Arch Womens Ment Health 9:309–315
Meltzer-Brody S, Bledsoe-Mansori SE, Johnson N, Killian C, Hamer RM, Jackson C, Wessel J, Thorp J (2013a) A prospective study of perinatal depression and trauma history in pregnant minority adolescents. Am J Obstet Gynecol 208:211.e1–211.e7
Meltzer-Brody S, Boschloo L, Jones I, Sullivan PF, Penninx BW (2013b) The EPDS-Lifetime: assessment of lifetime prevalence and risk factors for perinatal depression in a large cohort of depressed women. Arch Womens Ment Health 16:465–473
Milgrom J, Gemmill AW, Bilszta JL, Hayes B, Barnett B, Brooks J, Ericksen J, Ellwood D, Buist A (2008) Antenatal risk factors for postnatal depression: a large prospective study. J Affect Disord 108:147–157
Näring G, Nijenhuis ERS (2005) Relationships between self-reported potentially traumatizing events, psychoform and somatoform dissociation, and absorption, in two non-clinical populations. Aust N Z J Psychiatry 39:982–988
Nijenhuis ERS, Van der Hart O, Kruger K (2002) The psychometric characteristics of the traumatic experiences checklist (TEC): first findings among psychiatric outpatients. Clin Psychol psychother 9:200–210
Plaza A, Garcia-Esteve L, Torres A, Ascaso C, Gelabert E, Imaz ML, Navarro P, Valdès M, Martin-Santos R (2012) Childhood physical abuse as a common risk factor for depression and thyroid dysfunction in the earlier postpartum. Psychiatry Res 200:329–335
Pop VJ, Komproe IH, van Son MJ (1992) Characteristics of the Edinburgh Postnatal Depression Scale in the Netherlands. J Affect Disord 26:105–110
Robertson E, Grace S, Wallington T, Stewart DE (2004) Antenatal risk factors for postpartum depression: a synthesis of recent literature. Gen Hosp Psychiatry 26:289–295
Robertson-Blackmore E, Carroll J, Reid A, Biringer A, Glazier RH, Midmer D, Permaul JA, Stewart DE (2006) The use of the Antenatal Psychosocial Health Assessment (ALPHA) tool in the detection of psychosocial risk factors for postpartum depression: a randomized controlled trial. J Obstet Gynaecol Can 28:873–878
Robertson-Blackmore E, Putnam FW, Rubinow DR, Matthieu M, Hunn JE, Putnam KT, Moynihan JA, O’Connor TG (2013) Antecedent trauma exposure and risk of depression in the perinatal period. J Clin Psychiatry 74:942–948
Seng JS, Sperlich M, Kane Low L, Ronis DL, Muzik M, Liberzon I (2013) Childhood abuse history, posttraumatic stress disorder, postpartum mental health and bonding: a prospective cohort study. J Midwifery Womens Health 58:57–68
Thombs BD, Arthurs E, Coronado-Montoya S, Roseman M, Delisle VC, Leavens A, Levis B, Azoulay L, Smith C, Ciofani L, Coyne JC, Feeley N, Gilbody S, Schinazi J, Stewart DE, Zelkowitz P (2014) Depression screening and patient outcomes in pregnancy or postpartum: a systematic review. J Psychosom Res 76:433–446
Van der Does AJW, Barnhofer T, Williams JMG (2003) The Major Depression Questionnaire (MDQ). Available from: http://www.dousa.nl/publications
Verkerk GJM, Denollet J, Heck GL, van Son MJM, Pop VJM (2005) Personality factors as determinants of depression in postpartum women: a prospective 1-year follow-up study. Psychosom Med 67:632–637