Maternity blues: a risk factor for anhedonia, anxiety, and depression components of Edinburgh Postnatal Depression Scale
Maternity blues: a risk factor for anhedonia, anxiety, and depression components of Edinburgh Postnatal Depression Scale
Background: Women undergo adaptive physical and psychological changes during pregnancy, which make them vulnerable to psychological disorders.
Methods: This study used a prospective observational design and included concurrent validation analysis of the 16-item Maternity Blues Scale (MBS) Dutch version to determine the direction and magnitude on the Edinburgh Postnatal Depression Scale (EPDS) symptoms, including three factors, anhedonia, anxiety, and depression in 320 puerperae early after childbirth.
Results: We found a statistically significant correlation between MBS and EPDS global scores (0.22, p < .001). Moreover, Negative affect was significantly correlated with the EPDS global score (0.23, p < .001), anhedonia (0.12, p < .05), and anxiety (0.25, p < .001); Positive affect with the EPDS global score (0.14, p < .05) and depression (0.13, p < .05); and Depression subscale with EPDS global score (0.15, p < .05), anhedonia (0.12, p < .05), and anxiety (0.12, p < .05), and depression (0.12, p < .05). In addition, the subgroup of women (n = 33, 10.3%) with EPDS > 12 presented significantly higher global MBS score (2.51 ± 0.38 versus 2.26 ± 0.38, p = .01), with negative affect (2.88 ± 0.67 versus 2.62 ± 0.38, p=.04), positive affect (2.52 ± 0.69 versus 2.32 ± 0.38, p = .04), and depression (2.09 ± 0.75 versus 1.82 ± 0.36, p = .02).
Conclusion: These findings together suggest that women with higher maternity blues scores may represent a distinct subgroup at increased risk of depression.
Anhedonia, anxiety, depression, maternity blues
Zanardo, Vincenzo
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Volpe, Francesca
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de Luca, Federico
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Giliberti, Lara
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Giustardi, Arturo
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Parotto, Matteo
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Straface, Gianluca
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Soldera, Gino
552692eb-8e21-4cb4-8372-bbb984585621
Zanardo, Vincenzo
1ae8822c-b412-4958-84cb-0cc3d7a11ae8
Volpe, Francesca
185575a5-16f7-48fe-aa7a-a0d880e2531b
de Luca, Federico
079a076c-20af-4c1e-aa6f-cb82c7e126e6
Giliberti, Lara
0b5b7534-095c-4ae5-a305-78ab838d49da
Giustardi, Arturo
1269660f-fa74-484e-9103-ef9122e686d9
Parotto, Matteo
1373ca4b-7e34-448d-b6a6-5d36f7dbb0fe
Straface, Gianluca
1dd08496-aa55-4b12-93b6-0c160484b946
Soldera, Gino
552692eb-8e21-4cb4-8372-bbb984585621
Zanardo, Vincenzo, Volpe, Francesca, de Luca, Federico, Giliberti, Lara, Giustardi, Arturo, Parotto, Matteo, Straface, Gianluca and Soldera, Gino
(2019)
Maternity blues: a risk factor for anhedonia, anxiety, and depression components of Edinburgh Postnatal Depression Scale.
Journal of Maternal-Fetal and Neonatal Medicine.
(doi:10.1080/14767058.2019.1593363).
Abstract
Background: Women undergo adaptive physical and psychological changes during pregnancy, which make them vulnerable to psychological disorders.
Methods: This study used a prospective observational design and included concurrent validation analysis of the 16-item Maternity Blues Scale (MBS) Dutch version to determine the direction and magnitude on the Edinburgh Postnatal Depression Scale (EPDS) symptoms, including three factors, anhedonia, anxiety, and depression in 320 puerperae early after childbirth.
Results: We found a statistically significant correlation between MBS and EPDS global scores (0.22, p < .001). Moreover, Negative affect was significantly correlated with the EPDS global score (0.23, p < .001), anhedonia (0.12, p < .05), and anxiety (0.25, p < .001); Positive affect with the EPDS global score (0.14, p < .05) and depression (0.13, p < .05); and Depression subscale with EPDS global score (0.15, p < .05), anhedonia (0.12, p < .05), and anxiety (0.12, p < .05), and depression (0.12, p < .05). In addition, the subgroup of women (n = 33, 10.3%) with EPDS > 12 presented significantly higher global MBS score (2.51 ± 0.38 versus 2.26 ± 0.38, p = .01), with negative affect (2.88 ± 0.67 versus 2.62 ± 0.38, p=.04), positive affect (2.52 ± 0.69 versus 2.32 ± 0.38, p = .04), and depression (2.09 ± 0.75 versus 1.82 ± 0.36, p = .02).
Conclusion: These findings together suggest that women with higher maternity blues scores may represent a distinct subgroup at increased risk of depression.
Text
Final Text MATERNITY BLUES Psychiatry Research
- Accepted Manuscript
More information
Accepted/In Press date: 7 March 2019
e-pub ahead of print date: 25 March 2019
Keywords:
Anhedonia, anxiety, depression, maternity blues
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Local EPrints ID: 432592
URI: http://eprints.soton.ac.uk/id/eprint/432592
ISSN: 1476-7058
PURE UUID: 297e9dee-e5a2-4cae-86a9-168c7ee7cc77
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Date deposited: 19 Jul 2019 16:35
Last modified: 16 Mar 2024 07:46
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Contributors
Author:
Vincenzo Zanardo
Author:
Francesca Volpe
Author:
Federico de Luca
Author:
Lara Giliberti
Author:
Arturo Giustardi
Author:
Matteo Parotto
Author:
Gianluca Straface
Author:
Gino Soldera
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