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Association between postpartum physical symptoms and mood.

Jonathan Schaffir1, Anne Kunkler1, Courtney D Lynch1

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Postpartum physical symptoms, like fatigue and pain, are linked to a higher likelihood of postpartum depression. A high symptom score at six weeks postpartum increases depression screening odds.

Keywords:
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Area of Science:

  • Obstetrics and Gynecology
  • Psychiatry
  • Women's Health

Background:

  • Postpartum depression (PPD) is a significant concern, potentially linked to physical pain.
  • The association between general physical discomfort and PPD requires further investigation.

Purpose of the Study:

  • To quantify the relationship between physical symptoms and mood disturbances in the postpartum period.
  • To assess if quantitatively measured physical symptoms correlate with postpartum depression screening scores.

Main Methods:

  • Developed and utilized the Postpartum Symptom Inventory (PSI) for quantitative symptom measurement.
  • Administered the PSI and Edinburgh Postnatal Depression Scale (EPDS) to women at routine postpartum visits.
  • Compared PSI scores with EPDS results and demographic data.

Main Results:

  • Fatigue, back/hip pain, and headache were the most common bothersome symptoms.
  • Women screening positive for depression (EPDS score ≥10) had significantly higher total PSI scores.
  • High PSI scores (>10) were associated with 3.6 times higher odds of screening positive for postpartum depression, even after adjustments.

Conclusions:

  • Elevated physical symptomatology at six weeks postpartum, as measured by the PSI, is associated with increased odds of postpartum depression.
  • Quantitative symptom assessment may aid in identifying women at risk for PPD.
  • Further research is warranted to explore the clinical implications of this association.