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Characterization of Depressive Symptom Trajectories in Women between Childbirth and Diagnosis

The inhomogeneity of postpartum mood and mother–child attachment was estimated from immediately after childbirth to 12 weeks postpartum in a cohort of 598 young mothers. At 3-week intervals, depressed mood and mother–child attachment were assessed using the EPDS and the MPAS, respectively. The diagn...

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Autores principales: Chechko, Natalia, Stickel, Susanne, Losse, Elena, Shymanskaya, Aliaksandra, Habel, Ute
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9030055/
https://www.ncbi.nlm.nih.gov/pubmed/35455653
http://dx.doi.org/10.3390/jpm12040538
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author Chechko, Natalia
Stickel, Susanne
Losse, Elena
Shymanskaya, Aliaksandra
Habel, Ute
author_facet Chechko, Natalia
Stickel, Susanne
Losse, Elena
Shymanskaya, Aliaksandra
Habel, Ute
author_sort Chechko, Natalia
collection PubMed
description The inhomogeneity of postpartum mood and mother–child attachment was estimated from immediately after childbirth to 12 weeks postpartum in a cohort of 598 young mothers. At 3-week intervals, depressed mood and mother–child attachment were assessed using the EPDS and the MPAS, respectively. The diagnosis was based on clinical interviews at the end of the 12-week follow-up. The latent class mixed model estimated multiple distinct patterns in depressed mood and mother–child attachment. The baseline EPDS cluster contained 72% of the study population and showed low EPDS values during the follow-up period, while the five remaining clusters showed either deterioration or improvement of the EPDS levels. The majority of women with postpartum depression showed deteriorating, and the majority of adjustment disorder cases improving, behavior. While the cases with more pronounced EPDS values were found to constitute more homogeneous clusters in terms of diagnosis, subclinical or only temporarily increased EPDS levels represented less homogeneous clusters. Higher EPDS levels correlated with the higher risk factor profiles. The four MPAS/EPDS clusters demonstrated that higher EPDS lead to lower mother–child attachment, and vice versa.
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spelling pubmed-90300552022-04-23 Characterization of Depressive Symptom Trajectories in Women between Childbirth and Diagnosis Chechko, Natalia Stickel, Susanne Losse, Elena Shymanskaya, Aliaksandra Habel, Ute J Pers Med Article The inhomogeneity of postpartum mood and mother–child attachment was estimated from immediately after childbirth to 12 weeks postpartum in a cohort of 598 young mothers. At 3-week intervals, depressed mood and mother–child attachment were assessed using the EPDS and the MPAS, respectively. The diagnosis was based on clinical interviews at the end of the 12-week follow-up. The latent class mixed model estimated multiple distinct patterns in depressed mood and mother–child attachment. The baseline EPDS cluster contained 72% of the study population and showed low EPDS values during the follow-up period, while the five remaining clusters showed either deterioration or improvement of the EPDS levels. The majority of women with postpartum depression showed deteriorating, and the majority of adjustment disorder cases improving, behavior. While the cases with more pronounced EPDS values were found to constitute more homogeneous clusters in terms of diagnosis, subclinical or only temporarily increased EPDS levels represented less homogeneous clusters. Higher EPDS levels correlated with the higher risk factor profiles. The four MPAS/EPDS clusters demonstrated that higher EPDS lead to lower mother–child attachment, and vice versa. MDPI 2022-03-28 /pmc/articles/PMC9030055/ /pubmed/35455653 http://dx.doi.org/10.3390/jpm12040538 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Chechko, Natalia
Stickel, Susanne
Losse, Elena
Shymanskaya, Aliaksandra
Habel, Ute
Characterization of Depressive Symptom Trajectories in Women between Childbirth and Diagnosis
title Characterization of Depressive Symptom Trajectories in Women between Childbirth and Diagnosis
title_full Characterization of Depressive Symptom Trajectories in Women between Childbirth and Diagnosis
title_fullStr Characterization of Depressive Symptom Trajectories in Women between Childbirth and Diagnosis
title_full_unstemmed Characterization of Depressive Symptom Trajectories in Women between Childbirth and Diagnosis
title_short Characterization of Depressive Symptom Trajectories in Women between Childbirth and Diagnosis
title_sort characterization of depressive symptom trajectories in women between childbirth and diagnosis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9030055/
https://www.ncbi.nlm.nih.gov/pubmed/35455653
http://dx.doi.org/10.3390/jpm12040538
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