title: Coping strategies for postpartum depression: a multi-centric study of 1626 women.
abstract: The transition to motherhood is stressful as it requires several important changes in family dynamics, finances, and working life, along with physical and psychological adjustments. This study aimed at determining whether some forms of coping might predict postpartum depressive symptomatology. A total of 1626 pregnant women participated in a multi-centric longitudinal study. Different evaluations were performed 8 and 32 weeks after delivery. Depression was assessed using the Edinburgh Postnatal Depression Scale (EPDS) and the structured Diagnostic Interview for Genetic Studies (DIGS). The brief Coping Orientation for Problem Experiences (COPE) scale was used to measure coping strategies 2-3 days postpartum. Some coping strategies differentiate between women with and without postpartum depression. A logistic regression analysis was used to explore the relationships between the predictors of coping strategies and major depression (according to DSM-IV criteria). In this model, the predictor variables during the first 32 weeks were self-distraction (OR 1.18, 95 % CI 1.04-1.33), substance use (OR 0.58, 95 % CI 0.35-0.97), and self-blame (OR 1.18, 95 % CI 1.04-1.34). In healthy women with no psychiatric history, some passive coping strategies, both cognitive and behavioral, are predictors of depressive symptoms and postpartum depression and help differentiate between patients with and without depression.
authors.affiliation: Clínica Psiquiátrica Universitaria - Hospital Universitari Institut Pere Mata, Research Department, IISPV, Universitat Rovira i Virgili, CIBERSAM, Ctra. De l'Institut Pere Mata s/n, 43206, Reus, Spain. gutierreza@peremata.com.
authors.forename: Alfonso
authors.initials: A
authors.lastname: Gutiérrez-Zotes
authors.affiliation: Clínica Psiquiátrica Universitaria - Hospital Universitari Institut Pere Mata, Research Department, IISPV, Universitat Rovira i Virgili, CIBERSAM, Ctra. De l'Institut Pere Mata s/n, 43206, Reus, Spain.
authors.forename: Javier
authors.initials: J
authors.lastname: Labad
authors.affiliation: Psychiatry Department, Neuroscience Institute, Hospital Clinic, University of Barcelona, IDIBAPS, CIBERSAM, Barcelona, Spain.|Neuroscience Program, IMIM-Parc de Salut Mar, Autonoma University of Barcelona, RTA, Barcelona, Spain.|Department of Psychiatry and Clinical Psychobiology, University of Barcelona, Barcelona, Spain.
authors.forename: Rocío
authors.initials: R
authors.lastname: Martín-Santos
authors.affiliation: Psychiatry Department, Neuroscience Institute, Hospital Clinic, University of Barcelona, IDIBAPS, CIBERSAM, Barcelona, Spain.|Department of Psychiatry and Clinical Psychobiology, University of Barcelona, Barcelona, Spain.
authors.forename: Luisa
authors.initials: L
authors.lastname: García-Esteve
authors.affiliation: Neuroscience Program, IMIM-Parc de Salut Mar, Autonoma University of Barcelona, RTA, Barcelona, Spain.|Department of Clinical and Health Psychology, Autonoma University of Barcelona, Bellaterra, Spain.
authors.forename: Estel
authors.initials: E
authors.lastname: Gelabert
authors.affiliation: Hospital Clinic, University of Valencia, CIBERSAM, Valencia, Spain.
authors.forename: Manuel
authors.initials: M
authors.lastname: Jover
authors.affiliation: Corporación Sanitaria Parc Taulí, Sabadell, Autonoma University of Barcelona, Barcelona, Spain.
authors.forename: Roser
authors.initials: R
authors.lastname: Guillamat
authors.affiliation: Unidad de Gestión Clínica de Salud Mental, Instituto de Investigación Biomédica de Málaga (IBIMA), Complejo Hospitalario de Málaga, Universidad de Málaga, Málaga, Spain.
authors.forename: Fermín
authors.initials: F
authors.lastname: Mayoral
authors.affiliation: Unidad de Gestión Clínica de Salud Mental, Instituto de Investigación Biomédica de Málaga (IBIMA), Complejo Hospitalario de Málaga, Universidad de Málaga, Málaga, Spain.
authors.forename: Isolde
authors.initials: I
authors.lastname: Gornemann
authors.affiliation: Hospital de Son Dureta, Palma de Mallorca, Spain.
authors.forename: Francesca
authors.initials: F
authors.lastname: Canellas
authors.affiliation: Centre for Genomic Regulation (CRG) and UPF, Barcelona, Spain.|Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain.
authors.forename: Mónica
authors.initials: M
authors.lastname: Gratacós
authors.affiliation: Corporación Sanitaria Parc Taulí, Sabadell, Autonoma University of Barcelona, Barcelona, Spain.
authors.forename: Montserrat
authors.initials: M
authors.lastname: Guitart
authors.affiliation: Institut Universitari d'Investigació en Ciències de la Salut, RediAPP, Palma de Mallorca, Spain.
authors.forename: Miguel
authors.initials: M
authors.lastname: Roca
authors.affiliation: Complexo Hospitalario Universitario de Santiago (CHUS), Instituto de Investigación Sanitaria de Santiago de Compostela (IDIS) Servizo Galego de Saúde (SERGAS), Reus, Spain.
authors.forename: Javier
authors.initials: J
authors.lastname: Costas
authors.affiliation: Hospital Clinic, University of Valencia, CIBERSAM, Valencia, Spain.
authors.forename: Jose Luis
authors.initials: JL
authors.lastname: Ivorra
authors.affiliation: Psychiatry Department, Neuroscience Institute, Hospital Clinic, University of Barcelona, IDIBAPS, CIBERSAM, Barcelona, Spain.|Neuroscience Program, IMIM-Parc de Salut Mar, Autonoma University of Barcelona, RTA, Barcelona, Spain.|Department of Psychiatry and Clinical Psychobiology, University of Barcelona, Barcelona, Spain.
authors.forename: Ricard
authors.initials: R
authors.lastname: Navinés
authors.affiliation: Unidad de Gestión Clínica de Salud Mental, Instituto de Investigación Biomédica de Málaga (IBIMA), Complejo Hospitalario de Málaga, Universidad de Málaga, Málaga, Spain.
authors.forename: Yolanda
authors.initials: Y
authors.lastname: de Diego-Otero
authors.affiliation: Clínica Psiquiátrica Universitaria - Hospital Universitari Institut Pere Mata, Research Department, IISPV, Universitat Rovira i Virgili, CIBERSAM, Ctra. De l'Institut Pere Mata s/n, 43206, Reus, Spain.
authors.forename: Elisabet
authors.initials: E
authors.lastname: Vilella
authors.affiliation: Hospital Clinic, University of Valencia, CIBERSAM, Valencia, Spain.
authors.forename: Julio
authors.initials: J
authors.lastname: Sanjuan
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D019052:Depression, Postpartum / Q000175:diagnosis / Q000523:psychology*; D003865:Major Depressive Disorder / Q000175:diagnosis / Q000523:psychology*; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008403:Mass Screening; D049590:Postpartum Period / Q000523:psychology*; D011247:Pregnancy; D011569:Psychiatric Status Rating Scales; D012044:Regression Analysis; D012307:Risk Factors; D013315:Stress, Psychological / Q000150:complications / Q000175:diagnosis; D011795:Surveys and Questionnaires
keywords: Coping; Depression; Postpartum; Self-blame