Timing of Postpartum Depressive Symptoms

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Robbins, Cheryl L. ; Ko, Jean Y. ; D’Angelo, Denise V. ; Salvesen von Essen, Beatriz ; Bish, Connie L. ; Kroelinger, Charlan D. ; Tevendale, Heather D. ; Warner, Lee ; Barfield, Wanda
• Description:
  Introduction ; Postpartum depression is a serious public health problem that can adversely impact mother–child interactions. Few studies have examined depressive symptoms in the later (9–10 months) postpartum period. ; Methods ; We analyzed data from the 2019 Pregnancy Risk Assessment Monitoring System (PRAMS) linked with data from a telephone follow-up survey administered to PRAMS respondents 9 to 10 months postpartum in 7 states (N = 1,954). We estimated the prevalence of postpartum depressive symptoms (PDS) at 9 to 10 months overall and by sociodemographic characteristics, prior depression (before or during pregnancy), PDS at 2 to 6 months, and other mental health characteristics. We used unadjusted prevalence ratios (PRs) to examine associations between those characteristics and PDS at 9 to 10 months. We also examined prevalence and associations with PDS at both time periods. ; Results ; Prevalence of PDS at 9 to 10 months was 7.2%. Of those with PDS at 9 to 10 months, 57.4% had not reported depressive symptoms at 2 to 6 months. Prevalence of PDS at 9 to 10 months was associated with having Medicaid insurance postpartum (PR = 2.34; P = .001), prior depression (PR = 4.03; P <.001), and current postpartum anxiety (PR = 3.58; P <.001). Prevalence of PDS at both time periods was 3.1%. Of those with PDS at both time periods, 68.5% had prior depression. ; Conclusion ; Nearly 3 in 5 women with PDS at 9 to 10 months did not report PDS at 2 to 6 months. Screening for depression throughout the first postpartum year can identify women who are not symptomatic early in the postpartum period but later develop symptoms.
• Subjects:
  • Pregnancy
  • Female
  • Humans
  • Depression
  • Postpartum Period
  • Depression, Postpartum
  • Risk Assessment
  • Prevalence
• Source:
  Prev Chronic Dis. 2023; 20
• DOI:
  http://dx.doi.org/10.5888/pcd20.230107
• ISSN:
  1545-1151
• Pubmed ID:
  37943725
• Pubmed Central ID:
  PMC10684283
• Document Type:
  Journal Article
• Place as Subject:
  United States
• Volume:
  20
• Download URL:
  https://stacks.cdc.gov/view/cdc/151070/cdc_151070_DS1.pdf
• File Type:
  [PDF - 573.33 KB]
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:e6316d49206e98d22d3ac06e681bbc61ea5da90f61386e515b5c54c414133b6974d924d497afab818702f7c85f2a32051a1abe5053b5a80dfe853a2f937f7e71