Stability and change in physical symptoms and depression at one month and at one year after delivery

2.50
Hdl Handle:
http://hdl.handle.net/10755/153356
Type:
Presentation
Title:
Stability and change in physical symptoms and depression at one month and at one year after delivery
Abstract:
Stability and change in physical symptoms and depression at one month and at one year after delivery
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Chien, Li-Yin, ScD
P.I. Institution Name:National Yang Ming University
Title:Associate Professor
[Research Presentation] A high prevalence of physical symptoms and depression after childbirth was reported worldwide. Relatively few studies examined whether the health problems after delivery persisted with passage of time. The objectives of this study were to examine the stability and change in physical symptoms and depression between one month and one year after delivery. The study participants were 166 women who completed a structured questionnaire at one month and one year after delivery. Depression was measured using the Center for Epidemiologic Studies Depression Scale (CES-D). Postpartum physical symptoms were assessed using an 18-item, 4-point Likert scale, with higher score indicating more severe physical symptoms. There were a significant decrease in mean scores of physical symptoms (one month: 8.48; one year: 5.01; p<0.001) but no differences in mean scores of depression scale (one month: 12.76; one year: 12.10; p=0.35). Prevalence of postnatal depression based on the CES-D cut-off score of 15 was 27.7% and 23.5% at one month and one year after delivery, respectively. Women who were depressed at one month were more likely to be depressed at one year (odds ratio 3.03, 95% CI: 1.42- 6.46). Prevalence of the eighteen physical symptoms decreased significantly between the two time points, except for three symptoms. They were "more colds than usual" (24.1% vs. 26.5%), "cold hands and/or feet" (16.9% vs. 47.6%), and "urinary incontinence" (12.0% vs. 11.4%). Of the eighteen physical symptoms included, ten symptoms were more likely to be reported at one year among those women who reported them at one month. Our study revealed a persistence of physical symptoms and depression among postpartum women at one year after delivery, though overall severity of physical symptoms decreased. Health professionals need to be aware of the persistence of health problems among postpartum women and to provide continuous care for women with health problems.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleStability and change in physical symptoms and depression at one month and at one year after deliveryen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153356-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Stability and change in physical symptoms and depression at one month and at one year after delivery</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Chien, Li-Yin, ScD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">National Yang Ming University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">lychien@ym.edu.tw</td></tr><tr><td colspan="2" class="item-abstract">[Research Presentation] A high prevalence of physical symptoms and depression after childbirth was reported worldwide. Relatively few studies examined whether the health problems after delivery persisted with passage of time. The objectives of this study were to examine the stability and change in physical symptoms and depression between one month and one year after delivery. The study participants were 166 women who completed a structured questionnaire at one month and one year after delivery. Depression was measured using the Center for Epidemiologic Studies Depression Scale (CES-D). Postpartum physical symptoms were assessed using an 18-item, 4-point Likert scale, with higher score indicating more severe physical symptoms. There were a significant decrease in mean scores of physical symptoms (one month: 8.48; one year: 5.01; p&lt;0.001) but no differences in mean scores of depression scale (one month: 12.76; one year: 12.10; p=0.35). Prevalence of postnatal depression based on the CES-D cut-off score of 15 was 27.7% and 23.5% at one month and one year after delivery, respectively. Women who were depressed at one month were more likely to be depressed at one year (odds ratio 3.03, 95% CI: 1.42- 6.46). Prevalence of the eighteen physical symptoms decreased significantly between the two time points, except for three symptoms. They were &quot;more colds than usual&quot; (24.1% vs. 26.5%), &quot;cold hands and/or feet&quot; (16.9% vs. 47.6%), and &quot;urinary incontinence&quot; (12.0% vs. 11.4%). Of the eighteen physical symptoms included, ten symptoms were more likely to be reported at one year among those women who reported them at one month. Our study revealed a persistence of physical symptoms and depression among postpartum women at one year after delivery, though overall severity of physical symptoms decreased. Health professionals need to be aware of the persistence of health problems among postpartum women and to provide continuous care for women with health problems.</td></tr></table>en_GB
dc.date.available2011-10-26T12:13:06Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:13:06Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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