Impact of childhood trauma on postpartum depression: a prospective study

Archives of Women's Mental Health - Tập 19 - Trang 337-342 - 2015
Maud De Venter1,2, Jorien Smets3,4, Filip Raes3, Kristien Wouters5,6, Erik Franck7,8, Myriam Hanssens9,10, Yves Jacquemyn11,12, Bernard G.C. Sabbe2,13, Filip Van Den Eede1,2
1University Department of Psychiatry, Campus University Hospital Antwerp (UZA), Edegem, Belgium
2Collaborative Antwerp Psychiatric Research Institute (CAPRI), Faculty of Medicine and Health Sciences, University of Antwerp (UA), Antwerp, Belgium
3Faculty of Psychology and Educational Sciences, University of Leuven, Leuven, Belgium
4Department of Applied Psychology, Thomas More University College, Antwerp, Belgium
5Department of Scientific Coordination and Biostatistics, University Hospital Antwerp (UZA), Antwerp, Belgium
6Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
7Department of Nursing and Midwifery, University of Antwerp, Antwerp, Belgium
8Department of Health Care, Karel de Grote University College, Antwerp, Belgium
9Department of Obstetrics and Gynaecology, University Hospital Gasthuisberg, Leuven, Belgium
10Department of Development and Regeneration, Faculty of Medicine, University of Leuven, Leuven, Belgium
11Department of Gynaecology, Obstetrics and Fertility, University Hospital Antwerp (UZA), Antwerp, Belgium
12Department of Obstetrics and Gynaecology, University of Antwerp (UA), Antwerp, Belgium
13University Department of Psychiatry, Campus Psychiatric Hospital Duffel, Duffel, Belgium

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

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