Very low birth-weight as a risk factor for postpartum depression four to six weeks postbirth in mothers and fathers: Cross-sectional results from a controlled multicentre cohort study.

TY - JOUR

T1 - Very low birth-weight as a risk factor for postpartum depression four to six weeks postbirth in mothers and fathers: Cross-sectional results from a controlled multicentre cohort study.

AU - Helle, Nadine Jessica

AU - Barkmann, Claus

AU - Bartz-Seel, Jutta

AU - Diehl, Thilo

AU - Ehrhardt, Stephan

AU - Hendel, Astrid

AU - Nestoriuc, Yvonne

AU - Schulte-Markwort, Michael

AU - Dr. von der Wense, Axel

AU - Bindt, Carola

N1 - Copyright © 2015 Elsevier B.V. All rights reserved.

PY - 2015/7/15

Y1 - 2015/7/15

N2 - Preterm birth and survival rates of very low birth-weight (VLBW: <1.500g) infants have increased. Although new parents are frequently affected by depressive symptoms, little is known about prevalence, risk, and predictors of parental postpartum depression (PPD) following VLBW birth. Furthermore, most studies assessing PPD in parents of preterm children relied on self-report only. As part of the HaFEn cohort-study, data from the index groups of parents with VLBW infants and the control group of parents with term infants were cross-sectionally analysed. Families were recruited at the three largest centres of perinatal medical care in Hamburg, Germany. PPD was evaluated one month postpartum using standardized questionnaires and clinical interviews. Socioeconomic status, social support, risks during pregnancy, and psychiatric lifetime diagnoses were also assessed. A multiple random coefficient model was used to examine predictors of PPD in both parents simultaneously. 230 mothers and 173 fathers were included. Depending on the measure, the risk of being postnatally depressed was 4 to 18 times higher in mothers and 3 to 9 times higher in fathers from the index group. The most relevant risk factor for PPD was the birth of a VLBW infant, followed by female sex, lifetime psychiatric disorder, and low social support. Results presented here, are based on cross sectional data. Therefore no temporal relationships can be established. Our findings highlight the importance of early screening for PPD in both parents of VLBW infants. Factors contributing to developing depression should also be considered in neonatal care. Very low birth-weight as a risk factor for postpartum depression four to six weeks postbirth in mothers and fathers: Cross-sectional results from a controlled multicentre cohort study. Available from: https://www.researchgate.net/publication/275338241_Very_low_birth-weight_as_a_risk_factor_for_postpartum_depression_four_to_six_weeks_postbirth_in_mothers_and_fathers_Cross-sectional_results_from_a_controlled_multicentre_cohort_study [accessed May 14, 2015].

AB - Preterm birth and survival rates of very low birth-weight (VLBW: <1.500g) infants have increased. Although new parents are frequently affected by depressive symptoms, little is known about prevalence, risk, and predictors of parental postpartum depression (PPD) following VLBW birth. Furthermore, most studies assessing PPD in parents of preterm children relied on self-report only. As part of the HaFEn cohort-study, data from the index groups of parents with VLBW infants and the control group of parents with term infants were cross-sectionally analysed. Families were recruited at the three largest centres of perinatal medical care in Hamburg, Germany. PPD was evaluated one month postpartum using standardized questionnaires and clinical interviews. Socioeconomic status, social support, risks during pregnancy, and psychiatric lifetime diagnoses were also assessed. A multiple random coefficient model was used to examine predictors of PPD in both parents simultaneously. 230 mothers and 173 fathers were included. Depending on the measure, the risk of being postnatally depressed was 4 to 18 times higher in mothers and 3 to 9 times higher in fathers from the index group. The most relevant risk factor for PPD was the birth of a VLBW infant, followed by female sex, lifetime psychiatric disorder, and low social support. Results presented here, are based on cross sectional data. Therefore no temporal relationships can be established. Our findings highlight the importance of early screening for PPD in both parents of VLBW infants. Factors contributing to developing depression should also be considered in neonatal care. Very low birth-weight as a risk factor for postpartum depression four to six weeks postbirth in mothers and fathers: Cross-sectional results from a controlled multicentre cohort study. Available from: https://www.researchgate.net/publication/275338241_Very_low_birth-weight_as_a_risk_factor_for_postpartum_depression_four_to_six_weeks_postbirth_in_mothers_and_fathers_Cross-sectional_results_from_a_controlled_multicentre_cohort_study [accessed May 14, 2015].

KW - Cohort Studies

KW - Cross-Sectional Studies

KW - Depression, Postpartum

KW - Fathers

KW - Female

KW - Germany

KW - Humans

KW - Infant

KW - Infant, Newborn

KW - Infant, Very Low Birth Weight

KW - Male

KW - Mothers

KW - Postpartum Period

KW - Pregnancy

KW - Premature Birth

KW - Prevalence

KW - Social Support

KW - Surveys and Questionnaires

KW - Controlled Clinical Trial

KW - Journal Article

KW - Multicenter Study

KW - Research Support, Non-U.S. Gov't

U2 - 10.1016/j.jad.2015.04.001

DO - 10.1016/j.jad.2015.04.001

M3 - SCORING: Journal article

C2 - 25911131

VL - 180

SP - 154

EP - 161

JO - J AFFECT DISORDERS

JF - J AFFECT DISORDERS

SN - 0165-0327

ER -