Cargando…

The effect of perceived social support during early pregnancy on depressive symptoms at 6 weeks postpartum: a prospective study

BACKGROUND: Postpartum depression was associated with maternal suffering and diminished functioning, increased risk of marital conflict as well as adverse child outcomes. Perceived social support during pregnancy was associated with postpartum depression among women. However, its causal relationship...

Descripción completa

Detalles Bibliográficos
Autores principales: Gan, Yuexin, Xiong, Ran, Song, Junjiao, Xiong, Xinli, Yu, Fei, Gao, Weiming, Hu, Hui, Zhang, Jinsong, Tian, Ying, Gu, Xiaobo, Zhang, Jun, Chen, Dan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6664519/
https://www.ncbi.nlm.nih.gov/pubmed/31357958
http://dx.doi.org/10.1186/s12888-019-2188-2
_version_ 1783439900273541120
author Gan, Yuexin
Xiong, Ran
Song, Junjiao
Xiong, Xinli
Yu, Fei
Gao, Weiming
Hu, Hui
Zhang, Jinsong
Tian, Ying
Gu, Xiaobo
Zhang, Jun
Chen, Dan
author_facet Gan, Yuexin
Xiong, Ran
Song, Junjiao
Xiong, Xinli
Yu, Fei
Gao, Weiming
Hu, Hui
Zhang, Jinsong
Tian, Ying
Gu, Xiaobo
Zhang, Jun
Chen, Dan
author_sort Gan, Yuexin
collection PubMed
description BACKGROUND: Postpartum depression was associated with maternal suffering and diminished functioning, increased risk of marital conflict as well as adverse child outcomes. Perceived social support during pregnancy was associated with postpartum depression among women. However, its causal relationship remains unclear. Therefore, we prospectively evaluate the association between perceived social support during early pregnancy and postpartum depressive symptoms. METHODS: We prospectively examined whether perceived social support during early pregnancy affected depressive symptoms at 6 weeks postpartum in a cohort of 3310 women. Perceived social support and postpartum depression were assessed by ENRICHD Social Support Instrument (ESSI) and the postpartum Edinburgh Postpartum Depression Scale (EPDS), respectively. Prevalence of postpartum depressive symptoms was 11.4% (EPDS cutoff≥10). As a test of heterogeneity of association in subpopulations, logistic regression models were performed to analyze the association between social support and postpartum depressive symptoms in strata which were defined by the potential confounder candidates. After multiple imputation, multivariable logistic regression was performed to assess the effect of social support on postpartum symptoms in individual items and total score. Two models were built. Model I adjusted for the variables associated with social support or postpartum depression and changed the association estimates by ≥10%. Model II adjusted for all variables that may be related to social support or postpartum depression. RESULTS: Significant associations between low perceived social support and postpartum depressive symptoms was found(Model I odds ratio: 1.63, 95% confidence interval: 1.15, 2.30; Model II odds ratio: 1.77, 95% confidence interval: 1.24–2.52). Stratified analyses showed that there was little evidence of heterogeneity of association in subpopulations by basic characteristics of participants. CONCLUSIONS: These findings suggest that early intervention may be able to help protect against depression symptoms at 6 weeks postpartum. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12888-019-2188-2) contains supplementary material, which is available to authorized users.
format Online
Article
Text
id pubmed-6664519
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-66645192019-08-05 The effect of perceived social support during early pregnancy on depressive symptoms at 6 weeks postpartum: a prospective study Gan, Yuexin Xiong, Ran Song, Junjiao Xiong, Xinli Yu, Fei Gao, Weiming Hu, Hui Zhang, Jinsong Tian, Ying Gu, Xiaobo Zhang, Jun Chen, Dan BMC Psychiatry Research Article BACKGROUND: Postpartum depression was associated with maternal suffering and diminished functioning, increased risk of marital conflict as well as adverse child outcomes. Perceived social support during pregnancy was associated with postpartum depression among women. However, its causal relationship remains unclear. Therefore, we prospectively evaluate the association between perceived social support during early pregnancy and postpartum depressive symptoms. METHODS: We prospectively examined whether perceived social support during early pregnancy affected depressive symptoms at 6 weeks postpartum in a cohort of 3310 women. Perceived social support and postpartum depression were assessed by ENRICHD Social Support Instrument (ESSI) and the postpartum Edinburgh Postpartum Depression Scale (EPDS), respectively. Prevalence of postpartum depressive symptoms was 11.4% (EPDS cutoff≥10). As a test of heterogeneity of association in subpopulations, logistic regression models were performed to analyze the association between social support and postpartum depressive symptoms in strata which were defined by the potential confounder candidates. After multiple imputation, multivariable logistic regression was performed to assess the effect of social support on postpartum symptoms in individual items and total score. Two models were built. Model I adjusted for the variables associated with social support or postpartum depression and changed the association estimates by ≥10%. Model II adjusted for all variables that may be related to social support or postpartum depression. RESULTS: Significant associations between low perceived social support and postpartum depressive symptoms was found(Model I odds ratio: 1.63, 95% confidence interval: 1.15, 2.30; Model II odds ratio: 1.77, 95% confidence interval: 1.24–2.52). Stratified analyses showed that there was little evidence of heterogeneity of association in subpopulations by basic characteristics of participants. CONCLUSIONS: These findings suggest that early intervention may be able to help protect against depression symptoms at 6 weeks postpartum. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12888-019-2188-2) contains supplementary material, which is available to authorized users. BioMed Central 2019-07-29 /pmc/articles/PMC6664519/ /pubmed/31357958 http://dx.doi.org/10.1186/s12888-019-2188-2 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Gan, Yuexin
Xiong, Ran
Song, Junjiao
Xiong, Xinli
Yu, Fei
Gao, Weiming
Hu, Hui
Zhang, Jinsong
Tian, Ying
Gu, Xiaobo
Zhang, Jun
Chen, Dan
The effect of perceived social support during early pregnancy on depressive symptoms at 6 weeks postpartum: a prospective study
title The effect of perceived social support during early pregnancy on depressive symptoms at 6 weeks postpartum: a prospective study
title_full The effect of perceived social support during early pregnancy on depressive symptoms at 6 weeks postpartum: a prospective study
title_fullStr The effect of perceived social support during early pregnancy on depressive symptoms at 6 weeks postpartum: a prospective study
title_full_unstemmed The effect of perceived social support during early pregnancy on depressive symptoms at 6 weeks postpartum: a prospective study
title_short The effect of perceived social support during early pregnancy on depressive symptoms at 6 weeks postpartum: a prospective study
title_sort effect of perceived social support during early pregnancy on depressive symptoms at 6 weeks postpartum: a prospective study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6664519/
https://www.ncbi.nlm.nih.gov/pubmed/31357958
http://dx.doi.org/10.1186/s12888-019-2188-2
work_keys_str_mv AT ganyuexin theeffectofperceivedsocialsupportduringearlypregnancyondepressivesymptomsat6weekspostpartumaprospectivestudy
AT xiongran theeffectofperceivedsocialsupportduringearlypregnancyondepressivesymptomsat6weekspostpartumaprospectivestudy
AT songjunjiao theeffectofperceivedsocialsupportduringearlypregnancyondepressivesymptomsat6weekspostpartumaprospectivestudy
AT xiongxinli theeffectofperceivedsocialsupportduringearlypregnancyondepressivesymptomsat6weekspostpartumaprospectivestudy
AT yufei theeffectofperceivedsocialsupportduringearlypregnancyondepressivesymptomsat6weekspostpartumaprospectivestudy
AT gaoweiming theeffectofperceivedsocialsupportduringearlypregnancyondepressivesymptomsat6weekspostpartumaprospectivestudy
AT huhui theeffectofperceivedsocialsupportduringearlypregnancyondepressivesymptomsat6weekspostpartumaprospectivestudy
AT zhangjinsong theeffectofperceivedsocialsupportduringearlypregnancyondepressivesymptomsat6weekspostpartumaprospectivestudy
AT tianying theeffectofperceivedsocialsupportduringearlypregnancyondepressivesymptomsat6weekspostpartumaprospectivestudy
AT guxiaobo theeffectofperceivedsocialsupportduringearlypregnancyondepressivesymptomsat6weekspostpartumaprospectivestudy
AT zhangjun theeffectofperceivedsocialsupportduringearlypregnancyondepressivesymptomsat6weekspostpartumaprospectivestudy
AT chendan theeffectofperceivedsocialsupportduringearlypregnancyondepressivesymptomsat6weekspostpartumaprospectivestudy
AT ganyuexin effectofperceivedsocialsupportduringearlypregnancyondepressivesymptomsat6weekspostpartumaprospectivestudy
AT xiongran effectofperceivedsocialsupportduringearlypregnancyondepressivesymptomsat6weekspostpartumaprospectivestudy
AT songjunjiao effectofperceivedsocialsupportduringearlypregnancyondepressivesymptomsat6weekspostpartumaprospectivestudy
AT xiongxinli effectofperceivedsocialsupportduringearlypregnancyondepressivesymptomsat6weekspostpartumaprospectivestudy
AT yufei effectofperceivedsocialsupportduringearlypregnancyondepressivesymptomsat6weekspostpartumaprospectivestudy
AT gaoweiming effectofperceivedsocialsupportduringearlypregnancyondepressivesymptomsat6weekspostpartumaprospectivestudy
AT huhui effectofperceivedsocialsupportduringearlypregnancyondepressivesymptomsat6weekspostpartumaprospectivestudy
AT zhangjinsong effectofperceivedsocialsupportduringearlypregnancyondepressivesymptomsat6weekspostpartumaprospectivestudy
AT tianying effectofperceivedsocialsupportduringearlypregnancyondepressivesymptomsat6weekspostpartumaprospectivestudy
AT guxiaobo effectofperceivedsocialsupportduringearlypregnancyondepressivesymptomsat6weekspostpartumaprospectivestudy
AT zhangjun effectofperceivedsocialsupportduringearlypregnancyondepressivesymptomsat6weekspostpartumaprospectivestudy
AT chendan effectofperceivedsocialsupportduringearlypregnancyondepressivesymptomsat6weekspostpartumaprospectivestudy