title: Postpartum depression and its psychosocial correlates: A longitudinal study among a group of women in Turkey.
abstract: The postpartum period is a window of risk for psychological disturbances and particularly for depressive symptoms. This study explored the relationships between postpartum depression and prepartum depressive symptoms, marital adjustment, support from family, previous depressive symptomology, and pregnancy planning. A total of 128 women who were receiving prenatal care at a state hospital in Istanbul, Turkey, and who were in the last trimester of their pregnancy participated in the first phase of the study. Of these, eighty-seven women also participated in the second phase, during the 3-6 month postpartum period. The results indicated that depressed mood in the last trimester of pregnancy, family support, care and support from spouse, previous depression history, and unplanned pregnancy were significant risk factors for postpartum depressive symptoms; significant differences were found for study variables as a function of women's scores on the Edinburgh Postnatal Depression Scale in pregnancy and in the postpartum period. The recommendation is made to use screening tools, like the Edinburgh Postnatal Depression Scale, in the course of routine prenatal care, and to refer women with Edinburgh Postnatal Depression Scale scores above the cutoff score for further clinical examination.
authors.affiliation: a Department of Psychology , Istanbul Bilgi University , Istanbul , Turkey.
authors.forename: Hale
authors.initials: H
authors.lastname: Bolak Boratav
authors.affiliation: b Department of Psychiatry , Okmeydanı State Hospital , Istanbul , Turkey.
authors.forename: Özlem
authors.initials: Ö
authors.lastname: Toker
authors.affiliation: a Department of Psychology , Istanbul Bilgi University , Istanbul , Turkey.
authors.forename: Levent
authors.initials: L
authors.lastname: Küey
mesh_terms: D000328:Adult; D001007:Anxiety / Q000453:epidemiology / Q000523:psychology; D003863:Depression / Q000453:epidemiology / Q000209:etiology* / Q000523:psychology; D019052:Depression, Postpartum / Q000453:epidemiology* / Q000209:etiology / Q000523:psychology*; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D009035:Mothers / Q000523:psychology*; D049590:Postpartum Period / Q000523:psychology*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000523:psychology; D011263:Pregnancy Trimester, Third / Q000523:psychology*; D049168:Pregnancy, Unplanned / Q000523:psychology*; D015995:Prevalence; D011446:Prospective Studies; D011569:Psychiatric Status Rating Scales; D012307:Risk Factors; D012944:Social Support; D012959:Socioeconomic Factors; D018454:Spouses; D011795:Surveys and Questionnaires; D014421:Turkey / Q000453:epidemiology; D055815:Young Adult
keywords: Depressive symptoms; postpartum; pregnancy; prevalence; psychosocial; risk factors; stress