Postpartum depression in an Israeli cohort: demographic, psychosocial and medical risk factors.
Demographic, psychosocial and medical risk factors for postpartum depression (PPD) were studied prospectively in a community cohort of 288 Israeli women. An Edinburgh Postnatal Depression Scale score of > or = 10 at 6 weeks postpartum was the criterion for PPD. Psychosocial risk factors were found to be the most potent. Lack of social support, marital disharmony, depressive symptoms during pregnancy, history of emotional problems and prolonged infant health problems were most predictive of PPD. The major role of psychosocial factors in PPD was similar to that found in other countries. The results were somewhat different for new Russian immigrants. These findings indicate that early identification of women at risk for PPD is feasible, and that consideration should be taken of subgroups that may be at heightened risk, or for whom risk factors play different roles.
Glasser
S
S
Health Services Research Unit, Ministry of Health, Sheba Medical Center, Israel.
Barell
V
V
Boyko
V
V
Ziv
A
A
Lusky
A
A
Shoham
A
A
Hart
S
S
D000293:Adolescent; D000328:Adult; D000704:Analysis of Variance; D019052:Depression, Postpartum / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology / Q000523:psychology*; D004641:Emigration and Immigration / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007557:Israel / Q000453:epidemiology; D008393:Marriage / Q000523:psychology; D008403:Mass Screening; D020380:Needs Assessment; D011237:Predictive Value of Tests; D011247:Pregnancy; D011320:Primary Health Care; D011446:Prospective Studies; D011569:Psychiatric Status Rating Scales; D012307:Risk Factors; D012944:Social Support; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires