title: Psychosocial risk factors for postpartum depression and their relation to timing of onset: the Hamamatsu Birth Cohort (HBC) Study.
abstract: BACKGROUND
  The time frame for postpartum depression (PPD) defined in the literature differs among studies - either 4 weeks or 3 months after childbirth. To address potential difference in PPD in relation to onset of the illness, we investigated risk factors for early- and late-onset PPD using a representative birth cohort in Japan.
  
  
  METHODS
  We evaluated 675 women who completed the Edinburgh Postnatal Depression Scale (EPDS) for two to three times within 3 months after childbirth. Mothers with an onset of PPD (≥ 9 points on EPDS) within 4 weeks after childbirth were classified as having early-onset PPD, and those with PPD that occurred during the period of the 5th to 12th week after childbirth were classified as having late-onset PPD. We adopted multinomial logistic regression to investigate risk factors associated with each of early- and late-onset PPD, whilst simultaneously allowing for all risk factors a priori selected in the model.
  
  
  RESULTS
  The period prevalence of early- and late-onset PPD was 11% and 4%, respectively. Primiparity was associated only with early-onset PPD (OR=2.6, 95%CI 1.5-4.4). Younger (<25 years: OR=3.6, 95%CI 1.2-11.2) and advanced age (≥ 35 years: OR=2.5, 95%CI 1.1-5.8) of the participating women was significantly associated only with late-onset PPD. Lack of emotional support and a history of depression/anxiety appeared to increase risk both for early- and late-onset PPD.
  
  
  CONCLUSIONS
  Moderate sample size and diagnosis of PPD without use of structured interviews may limit generalisability of the findings.
  
  
  CONCLUSIONS
  The finding that risk sets for early- and late-onset PPD differ suggests that these two types may have different aetiology.
authors.affiliation: Department of Child Development, United Graduate School of Child Development, Osaka University, Hamamatsu, Japan.
authors.forename: Tsuruko
authors.initials: T
authors.lastname: Mori
authors.forename: Kenji J
authors.initials: KJ
authors.lastname: Tsuchiya
authors.forename: Kaori
authors.initials: K
authors.lastname: Matsumoto
authors.forename: Katsuaki
authors.initials: K
authors.lastname: Suzuki
authors.forename: Norio
authors.initials: N
authors.lastname: Mori
authors.forename: Nori
authors.initials: N
authors.lastname: Takei
mesh_terms: D000328:Adult; D001008:Anxiety Disorders / Q000150:complications / Q000523:psychology; D015331:Cohort Studies; D003863:Depression / Q000523:psychology; D019052:Depression, Postpartum / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology* / Q000523:psychology; D005260:Female; D006801:Humans; D007564:Japan / Q000453:epidemiology; D009035:Mothers / Q000523:psychology; D015995:Prevalence; D012307:Risk Factors; D013997:Time Factors; D055815:Young Adult