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Postnatal depression: a Christchurch study
H McGill1, V L Burrows, L A Holland
1NZ Family Planning Association, Christchurch.
The New Zealand Medical Journal
|May 10, 1995
Summary
Postnatal depression (PND) affects 13% of women, with factors like prior depression and relationship issues increasing risk. Early screening using the Edinburgh postnatal depression scale (EPDS) is recommended.
Area of Science:
- Psychiatry
- Obstetrics & Gynecology
- Public Health
Background:
- Postnatal depression (PND) is a significant concern affecting maternal well-being.
- Understanding the incidence and associated factors is crucial for effective intervention.
Purpose of the Study:
- To determine the incidence of PND in a New Zealand population.
- To identify factors associated with PND.
Main Methods:
- A postal questionnaire including the Edinburgh postnatal depression scale (EPDS) was administered to 1330 women 6-9 months postpartum.
- Data collected from women birthing at Christchurch Women's Hospital in 1991/92.
Main Results:
- 13% of women scored as severely depressed on the EPDS, with an additional 7% at a threshold level.
- Key associated factors included prior depressive symptoms, relationship deterioration, decreased energy, premenstrual tension, nausea, low education, and low income.
- Only 6% of women recognized their symptoms as depression.
Conclusions:
- Postnatal depression is more prevalent than commonly perceived.
- The EPDS can aid in diagnosing PND during postnatal check-ups.
- Involving male partners in treatment is highly recommended.