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P-989 - Psychosocial Risk Factors for Postpartum Depression: a Descriptive Sample of Pregnants

Published online by Cambridge University Press:  15 April 2020

S. Chiappini ,
L. D’Oria ,
E. Righino ,
A. Bruschi ,
F. Di Nardo ,
G. Oliva  and
L. Janiri
S. Chiappini
Affiliation:
Institute of Psychiatry, Catholic University of the Sacred Heart, Roma, Italy Institute of Gynaecology, Catholic University of the Sacred Heart, Roma, Italy Hygiene Institute, Catholic University of the Sacred Heart, Roma, Italy
L. D’Oria
Affiliation:
Institute of Psychiatry, Catholic University of the Sacred Heart, Roma, Italy Institute of Gynaecology, Catholic University of the Sacred Heart, Roma, Italy Hygiene Institute, Catholic University of the Sacred Heart, Roma, Italy
E. Righino
Affiliation:
Institute of Psychiatry, Catholic University of the Sacred Heart, Roma, Italy Institute of Gynaecology, Catholic University of the Sacred Heart, Roma, Italy Hygiene Institute, Catholic University of the Sacred Heart, Roma, Italy
A. Bruschi
Affiliation:
Institute of Psychiatry, Catholic University of the Sacred Heart, Roma, Italy Institute of Gynaecology, Catholic University of the Sacred Heart, Roma, Italy Hygiene Institute, Catholic University of the Sacred Heart, Roma, Italy
F. Di Nardo
Affiliation:
Institute of Psychiatry, Catholic University of the Sacred Heart, Roma, Italy Institute of Gynaecology, Catholic University of the Sacred Heart, Roma, Italy Hygiene Institute, Catholic University of the Sacred Heart, Roma, Italy
G. Oliva
Affiliation:
Institute of Psychiatry, Catholic University of the Sacred Heart, Roma, Italy Institute of Gynaecology, Catholic University of the Sacred Heart, Roma, Italy Hygiene Institute, Catholic University of the Sacred Heart, Roma, Italy
L. Janiri
Affiliation:
Institute of Psychiatry, Catholic University of the Sacred Heart, Roma, Italy Institute of Gynaecology, Catholic University of the Sacred Heart, Roma, Italy Hygiene Institute, Catholic University of the Sacred Heart, Roma, Italy

Abstract

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Introduction

PostPartum Depression (PPD) is a common problem connected to pregnancy. Related previous data show a prevalence of depressive symptoms between 8% and 51% and a prevalence of Major Depressive Disorder between 10% and 17%.

Objectives

Find a correlation between Psychosocial Risk Factors and the develop of Mood Disorders during pregnancy and post-delivery.

Aims

Develop strategies of prevention and treatment of PPD.

Methods

A population of pregnants has been analyzed proposing an anamnestic questionnaire, the Edinburgh Postnatal Depression Scale (EPDS) and the Hypomania checklist Symptoms (HCL), in two times: between the 35th and the 37th week of pregnancy and 2–3 days after the delivery.

Results

We found that at the first survey were depressed (EPDS score >9) 21 women of 149 (14.1%) and hyperthymic (HCL score >14) 59 women of 149 (39.9%).We noticed that risk factors for depression were a complicated pregnancy (p = 0.004), a conflicting relationship with the partner (p = 0.009) and a permanence in Italy < 6 months (p < 0.001). An history of illnesses during pregnancy (p = 0.042) and previous psychological problems (p = 0.049) were correlated to an hyperthymic state.

At the second survey, data were confirmed: the incidence of depression was 17,4% (12/69 women) and that of hyperthymia was 44% (30/69 women).

Conclusions

Our data confirm previous evidences about the incidence of PPD and the contribution of risk factors of the pregnancy in its pathogenesis; moreover, high scores at HCL can express an hyperthymic dimension peculiar of pregnancy, rather than a mood disorder, considering HCL as a dimensional assessment.

Type
Abstract
Information
European Psychiatry , Volume 27 , Issue S1: Abstracts of the 20th European Congress of Psychiatry , 2012 , pp. 1
Copyright
Copyright © European Psychiatric Association 2012
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