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Correlation Between the Great East Japan Earthquake and Postpartum Depression: A Study in Miyako, Iwate, Japan

Published online by Cambridge University Press:  21 April 2015

Hidekazu Nishigori ,
Michiho Sasaki ,
Taku Obara ,
Toshie Nishigori ,
Mami Ishikuro ,
Hirohito Metoki ,
Junichi Sugawara ,
Shinichi Kuriyama ,
Akira Hosoyachi  and
Nobuo Yaegashi
...Show all authors
Hidekazu Nishigori*
Affiliation:
Department of Obstetrics and Gynecology, Tohoku University Graduate School of Medicine, Miyagi, Japan
Michiho Sasaki
Affiliation:
Department of Obstetrics and Gynecology, Iwate Prefectural Miyako Hospital, Iwate, Japan
Taku Obara
Affiliation:
Tohoku Medical Megabank Organization, Tohoku University, Miyagi, Japan
Toshie Nishigori
Affiliation:
Tohoku Medical Megabank Organization, Tohoku University, Miyagi, Japan
Mami Ishikuro
Affiliation:
Tohoku Medical Megabank Organization, Tohoku University, Miyagi, Japan
Hirohito Metoki
Affiliation:
Tohoku Medical Megabank Organization, Tohoku University, Miyagi, Japan
Junichi Sugawara
Affiliation:
Department of Obstetrics and Gynecology, Tohoku University Graduate School of Medicine, Miyagi, Japan Tohoku Medical Megabank Organization, Tohoku University, Miyagi, Japan
Shinichi Kuriyama
Affiliation:
Tohoku Medical Megabank Organization, Tohoku University, Miyagi, Japan International Research Institute of Disaster Science, Tohoku University, Miyagi, Japan
Akira Hosoyachi
Affiliation:
Department of Obstetrics and Gynecology, Iwate Prefectural Miyako Hospital, Iwate, Japan
Nobuo Yaegashi
Affiliation:
Department of Obstetrics and Gynecology, Tohoku University Graduate School of Medicine, Miyagi, Japan Tohoku Medical Megabank Organization, Tohoku University, Miyagi, Japan
Takashi Kobayashi
Affiliation:
Kobayshi Clinic of Obstetrics and Gynecology, Iwate, Japan
Noboru Yoshizumi
Affiliation:
Department of Obstetrics and Gynecology, Iwate Prefectural Miyako Hospital, Iwate, Japan
*
Correspondence and reprint requests to Hidekazu Nishigori, MD, PhD, Department of Obstetrics and Gynecology, Tohoku University Graduate School of Medicine, 1-1 Seiryo Aoba, Sendai, Miyagi, Japan, 020-8505 (e-mail: nishigori@med.tohoku.ac.jp).
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Abstract

Objective

This study aimed to explore the correlation between the 2011 Great East Japan Earthquake and postpartum depression among perinatal subjects in the Miyako region of Iwate, an area damaged by earthquakes and tsunamis.

Methods

We retrospectively compared the percentages of women with scores ≥9 on the Japanese version of the Edinburgh Postnatal Depression Scale (EPDS) among 3 groups of women who gave birth prior to the disaster (before-disaster group: n=141), within 3 months after the disaster (within-3-months group: n=70), and 4-6 months after the disaster (4-6-months group: n=89) at the Iwate Prefectural Miyako Hospital. The risk factors for EPDS scores ≥9 were estimated with multivariate logistic regression analyses.

Results

Compared with the before-disaster group, a significantly greater number of women in the within-3-months group had EPDS scores ≥9 at hospital discharge (31.4% versus 9.9%, P<.0001), whereas women in the 4-6-months group did not (10.1% versus 9.9%, P=.96). In both the after-disaster groups, the destruction of their home (adjusted odds ratio [AOR], 3.68; 95% confidence interval [CI], 1.46-9.26) and dissatisfaction with their living conditions (AOR, 3.02; 95% CI, 1.20-7.59) were significantly associated with EPDS scores ≥9.

Conclusions

An increase in postpartum depression was observed after the Great East Japan Earthquake among perinatal women. (Disaster Med Public Health Preparedness. 2015;9:307-312)

Keywords

tsunamismental disordersmedical records
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 9 , Issue 3 , June 2015 , pp. 307 - 312
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2015 

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References

1. Countermeasures for the Great East Japan Earthquake; damage situation and police countermeasures associated with 2011. Tohoku District—off the Pacific Ocean Earthquake [in Japanese]. The National Police Agency website. https://www.npa.go.jp/archive/keibi/biki/index_e.htm. Accessed October 10, 2014.Google Scholar
2. Nishigori, H, Sugawara, J, Obara, T, et al. Surveys of postpartum depression in Miyagi, Japan, after the Great East Japan Earthquake. Arch Womens Ment Health. 2014;17:579-581.Google Scholar
3. Ren, JH, Chiang, CL, Jiang, XL, et al. Mental disorders of pregnant and postpartum women after earthquakes: a systematic review. Disaster Med Public Health Prep. 2014;8:315-325.CrossRefGoogle ScholarPubMed
4. Harville, EW, Xiong, X, Pridjian, G, et al. Postpartum mental health after Hurricane Katrina: a cohort study. BMC Pregnancy Childbirth. 2009;9:21.Google Scholar
5. Chang, HL, Chang, TC, Lin, TY, et al. Psychiatric morbidity and pregnancy outcome in a disaster area of Taiwan 921 earthquake. Psychiatry Clin Neurosci. 2002;56:139-144.CrossRefGoogle Scholar
6. Sayil, M, Gure, A, Ucanok, Z. First time mother's anxiety and depressive symptoms across the transition to motherhood: associations with maternal and environmental characteristics. Women Health. 2006;44:61-77.Google Scholar
7. Murray, L, Fiori-Cowley, A, Hooper, R, et al. The impact of postnatal depression and associated adversity on early mother-infant interactions and later infant outcome. Child Dev. 1996;67:2512-2526.Google Scholar
8. Kokubu, M, Okano, T, Sugiyama, T. Postnatal depression, maternal bonding failure, and negative attitudes towards pregnancy: a longitudinal study of pregnant women in Japan. Arch Womens Ment Health. 2012;15(3):211-216.Google Scholar
9. Beck, CT. The effects of postpartum depression on child development: a meta-analysis. Arch Psychiatr Nurs. 1998;12:12-20.Google Scholar
10. Porter, CL, Hsu, HC. First-time mothers' perceptions of efficacy during the transition to motherhood: links to infant temperament. J Fam Psychol. 2003;17:54-64.Google Scholar
11. Rahman, A, Iqbal, Z, Bunn, J, et al. Impact of maternal depression on infant nutritional status and illness: a cohort study. Arch Gen Psychiatry. 2004;61:946-952.Google Scholar
12. Turcotte-Tremblay, AM, Lim, R, Laplante, DP, et al. Prenatal maternal stress predicts childhood asthma in girls: Project Ice Storm [published online May 8, 2014]. Biomed Res Int. 2014;2014:201717. doi: 10.1155/2014/201717 CrossRefGoogle ScholarPubMed
13. Hay, DF, Pawlby, S, Waters, CS, et al. Antepartum and postpartum exposure to maternal depression: different effects on different adolescent outcomes. J Child Psychol Psychiatry. 2008;49:1079-1088.Google Scholar
14. Talge, NM, Neal, C, Glover, V. Antenatal maternal stress and long-term effects on child neurodevelopment: how and why? J Child Psychol Psychiatry. 2007;48:245-261.Google Scholar
15. Cox, JL, Holden, JM, Sagovsky, R. Detection of postnatal depression: development of the 10-item Edinburgh postnatal depression scale. Br J Psychiatry. 1987;150:782-786.CrossRefGoogle ScholarPubMed
16. Okano, T, Murata, M, Msuji, F, et al. Validation and reliability of Japanese version of the EPDS [in Japanese]. Arch Psychiatr Diag Clin Eval. 1996;7:525-533.Google Scholar
17. Ethical guidelines for clinical studies [in Japanese]. Japanese Ministry of Health, Labour and Welfare website. https://www.mhlw.go.jptopicsbukyokuseisakukojindl161228rinsyou.pdf. Accessed October 10, 2014.Google Scholar
18. WMA Declaration of Helsinki—ethical principles for medical research involving human subjects. http://www.wma.net/en/30publications/10policies/b3/index.html. Accessed October 10, 2014.Google Scholar
19. Yamashita, H, Yoshida, K, Nakano, H, et al. Postnatal depression in Japanese women. Detecting the early onset of postnatal depression by closely monitoring the postpartum mood. J Affect Disord. 2000;58:145-154.Google Scholar
20. Saigai ni kakawaru jyuka no higai nintei kijyun unyou shishin. Cabinet Office, Government of Japan website. http://www.bousai.go.jp/taisaku/pdf/shishin002.pdf. Accessed October 10, 2014.Google Scholar
21. Mercer, RT. The nurse and maternal tasks of early postpartum. MCN Am J Matern Child Nurs. 1981;6:341-345.Google Scholar
22. Sleutel, MR. Intrapartum nursing: integrating Rubin's framework with social support theory. J Obstet Gynecol Neonatal Nurs. 2003;32:76-82.Google Scholar
23. Anderson, JG, Taylor, AG. Effects of healing touch in clinical practice: a systematic review of randomized clinical trials. J Holist Nurs. 2011;29:221-228.CrossRefGoogle ScholarPubMed
24. Tanaka, A, Masaoka, Y, Koiwa, N, et al. Effects of rub and touch on emotion and respiration in humans. Showa Univ J Med Sci. 2013;25:59-66.Google Scholar
25. Shibahara, S. The 2011 Tohoku earthquake and devastating tsunami. Tohoku J Exp Med. 2011;223:305-307.CrossRefGoogle ScholarPubMed
26. Shibahara, S. Revisiting the March 11, 2011 earthquake and tsunami: resilience and restoration. Tohoku J Exp Med. 2012;226:1-2.CrossRefGoogle ScholarPubMed
27. Xiong, X, Harville, EW, Mattison, DR, et al. Hurricane Katrina experience and the risk of post-traumatic stress disorder and depression among pregnant women. Am J Disaster Med. 2010;5:181-187.Google Scholar
28. Ehrlich, M, Harville, E, Xiong, X, et al. Loss of resources and hurricane experience as predictors of postpartum depression among women in southern Louisiana. J Womens Health (Larchmt). 2010;19:877-884.Google Scholar
29. Qu, Z, Tian, D, Zhang, Q, et al. The impact of the catastrophic earthquake in China's Sichuan province on the mental health of pregnant women. J Affect Disord. 2012;136:117-123.Google Scholar
30. Qu, Z, Wang, X, Tian, D, et al. Post-traumatic stress disorder and depression among new mothers at 8 months later of the 2008 Sichuan earthquake in China. Arch Womens Ment Health. 2012;15:49-55.CrossRefGoogle ScholarPubMed
31. Hibino, Y, Takaki, J, Kambayashi, Y, et al. Health impact of disaster-related stress on pregnant women living in the affected area of Noto Peninsula earthquake in Japan. Psychiatry Clin Neurosci. 2009;63:107-115.Google Scholar
32. Hibino, Y, Takaki, J, Kambayashi, Y, et al. Relationship between the Noto-Peninsula earthquake and maternal postnatal depression and child-rearing. Environ Health Prev Med. 2009;14:255-260.Google Scholar