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. 2010 Mar-Apr;20(2):96-104.
doi: 10.1016/j.whi.2009.11.003. Epub 2010 Feb 4.

How much does low socioeconomic status increase the risk of prenatal and postpartum depressive symptoms in first-time mothers?

Deepika Goyal  1 , Caryl Gay, Kathryn A Lee
Affiliations

How much does low socioeconomic status increase the risk of prenatal and postpartum depressive symptoms in first-time mothers?

Deepika Goyal et al. Womens Health Issues. 2010 Mar-Apr.

Abstract

Objective: To examine socioeconomic status (SES) as a risk factor for depressive symptoms in late pregnancy and the early postpartum period. A secondary objective was to determine whether SES was a specific risk factor for elevated postpartum depressive symptoms beyond its contribution to prenatal depressive symptoms.

Design: Quantitative, secondary analysis, repeated measures, descriptive design.

Setting: Participants were recruited from paid childbirth classes serving upper middle class women and Medicaid-funded hospitals serving low-income clients in Northern California.

Participants: A sample of 198 first-time mothers was assessed for depressive symptoms in their third trimester of pregnancy and at 1, 2, and 3 months postpartum.

Main outcome measure: Depressive symptoms were measured with the Center for Epidemiological Studies-Depression (CES-D) Scale.

Results: Low SES was associated with increased depressive symptoms in late pregnancy and at 2 and 3 months, but not at 1 month postpartum. Women with four SES risk factors (low monthly income, less than a college education, unmarried, unemployed) were 11 times more likely than women with no SES risk factors to have clinically elevated depression scores at 3 months postpartum, even after controlling for the level of prenatal depressive symptoms.

Conclusion: Although new mothers from all SES strata are at risk for postpartum depression, SES factors including low education, low income, being unmarried, and being unemployed increased the risk of developing postpartum depressive symptoms in this sample.

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Figures

Figure 1
Figure 1
Depressive symptoms over time by income group (n=198)
Figure 2
Figure 2
Postpartum depression risk by prenatal depression risk (n = 198)
See this image and copyright information in PMC

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References

    1. Adewuya AO, Fatoye FO, Ola BA, Ijaodola OR, Ibigbami SM. Sociodemographic and obstetric risk factors for postpartum depressive symptoms in Nigerian women. Journal of Psychiatric Practice. 2005;11(5):353–358. - PubMed
    1. Altshuler LL, Cohen LS, Moline ML, Kahn DA, Carpenter D, Docherty JP. The expert consensus guideline series. Treatment of depression in women. Postgraduate Medicine. 2001;(Spec No):1–107. - PubMed
    1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-IV. 4th. Washington, DC: American Psychiatric Association; 1994.
    1. Austin MP. Antenatal screening and early intervention for “perinatal” distress, depression and anxiety: Where to from here? Archives of Women's Mental Health. 2004;7(1):1–6. - PubMed
    1. Beck CT. The effects of postpartum depression on maternal-infant interaction: A meta-analysis. Nursing Research. 1995;44(5):298–304. - PubMed

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