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Prevalence and predictors of maternal postpartum depressed mood and anhedonia by race and ethnicity

Published online by Cambridge University Press:  12 August 2013

C. H. Liu  and
E. Tronick
C. H. Liu*
Affiliation:
Department of Psychiatry, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, USA
E. Tronick
Affiliation:
Department of Psychology, University of Massachusetts, Boston, USA
*
*Address for correspondence: Dr C. H. Liu, Department of Psychiatry, Beth Israel Deaconess Medical Center, Harvard Medical School, 75 Fenwood Road, Boston, MA 02115, USA. (Email: [email protected])
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Abstract

Aims.

Depression requires the presence of either depressed mood or anhedonia, yet little research attention has been focused on distinguishing these two symptoms. This study aimed to obtain the prevalence rates of these two core depression symptoms and to explore the risk factors for each symptom by race/ethnicity.

Methods.

2423 White, African American, Hispanic and Asian/Pacific Islander (API) women from the Massachusetts area completed the Pregnancy Risk Assessment Monitoring System (PRAMS) from 2007 to 2008.

Results.

Socioeconomic variables (SES) accounted for increased rates in depressed mood and anhedonia among African Americans and Hispanics compared with Whites. API women were still 2.1 times more likely to report anhedonia after controlling for SES. Stressors were associated with depressed mood across groups and associated with anhedonia for Whites and Hispanics. Having a female infant was associated with depressed mood for APIs. Being non-US born was associated with anhedonia for Whites, APIs and African Americans, but not Hispanics.

Conclusions.

Prevalence rates for depressed mood and anhedonia differ across race/ethnic groups and risks associated with depressed mood and anhedonia depend on the race/ethnic group, suggesting the importance of distinguishing depressed mood from anhedonia in depression assessment and careful inquiry regarding symptom experiences with a diverse patient population.

Keywords

Anhedoniadepressionhealth status disparitieslife stresspostpartum depression
Type
Original Articles
Information
Epidemiology and Psychiatric Sciences , Volume 23 , Issue 2 , June 2014 , pp. 201 - 209
Copyright
Copyright © Cambridge University Press 2013 

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References

Abrams, LS, Dornig, K, Curran, L (2009). Barriers to service use for postpartum depression symptoms among low-income ethnic minority mothers in the United States. Qualitative Health Research 19, 535–551.Google Scholar
Alegría, M, Canino, G, Shrout, PE, Woo, M, Duan, N, Vila, D, Torres, M, Chen, CN, Meng, XL (2008). Prevalence of mental illness in immigrant and non-immigrant U.S. Latino groups. American Journal of Psychiatry 165, 359–369.CrossRefGoogle ScholarPubMed
Beeghly, M, Olson, KL, Weinberg, MK, Pierre, SC, Downey, N, Tronick, EZ (2003). Prevalence, stability, and socio-demographic correlates of depressive symptoms in Black mothers during the first 18 months postpartum. Maternal and Child Health Journal 7, 157–168.CrossRefGoogle ScholarPubMed
Booth, BE, Verma, M, Beri, RS (1994). Fetal sex determination in infants in Punjab, India: correlations and implications. British Medical Journal 309, 1259–1261.Google Scholar
Chandran, M, Tharyan, P, Muliyil, J, Abraham, S (2002). Post-partum depression in a cohort of women from a rural area of Tamil Nadu, India. Incidence and risk factors. British Journal of Psychiatry 181, 499–504.Google Scholar
Cheng, D, Schwarz, EB, Douglas, E, Horon, I (2009). Unintended pregnancy and associated maternal preconception, prenatal and postpartum behaviors. Contraception 79, 194–198.CrossRefGoogle ScholarPubMed
Christensen, AL, Stuart, EA, Perry, DF, Le, H-N (2011). Unintended pregnancy and perinatal depression trajectories in low-income, high-risk Hispanic immigrants. Prevention Science 12, 289–299.Google Scholar
Da Costa, D, Larouche, J, Dritsa, M, Brender, W (2000). Psychosocial correlates of prepartum and postpartum depressed mood. Journal of Affective Disorders 59, 31–40.Google Scholar
Eid, M, Diener, E (2001). Norms for experiencing emotions in different cultures: inter- and intranational differences. Journal of Personality and Social Psychology 81, 869–885.CrossRefGoogle ScholarPubMed
Gross, JJ, John, OP (1998). Mapping the domain of expressivity: multimethod evidence for a hierarchical model. Journal of Personality and Social Psychology 74, 170–191.Google Scholar
Gross, JJ, Richards, JM, John, OP (2006). Emotion regulation in everyday life. In Emotion Regulation in Families: Pathways to Dysfunction and Health (ed. Snyder, DK, Simpson, JA and Hughes, JN), pp. 13–35. American Psychological Association: Washington, DC.Google Scholar
Hobfoll, SE, Ritter, C, Lavin, J, Hulsizer, MR, Cameron, RP (1995). Depression prevalence and incidence among inner-city pregnant and postpartum women. Journal of Consulting and Clinical Psychology 63, 445–453.CrossRefGoogle ScholarPubMed
Howell, EA, Mora, PA, Horowitz, CR, Leventhal, H (2005). Racial and ethnic differences in factors associated with early postpartum depressive symptoms. Race 105, 1442–1450.Google ScholarPubMed
Howell, EA, Mora, P, Leventhal, H (2006). Correlates of early postpartum depressive symptoms. Maternal and Child Health Journal 10, 149–157.Google Scholar
Hsu, J, Tseng, WS, Ashton, G, McDermott, JF, Char, W (1985). Family interaction patterns among Japanese-American and Caucasian families in Hawaii. American Journal of Psychiatry 142, 577–581.Google ScholarPubMed
Iwata, N, Buka, S (2002). Race/ethnicity and depressive symptoms: a cross-cultural/ethnic comparison among university students in East Asia, North and South America. Social Science Medicine 55, 2243–2252.Google Scholar
Iwata, N, Roberts, CR, Kawakami, N (1995). Japan-U.S. comparison of responses to depression scale items among adult workers. Psychiatry Research 58, 237–245.Google Scholar
Iwata, N, Turner, RJ, Lloyd, DA (2002). Race/ethnicity and depressive symptoms in community-dwelling young adults: a differential item functioning analysis. Psychiatry Research 110, 281–289.CrossRefGoogle Scholar
Joseph, GF (2009). Transitions. Obstetrics and Gynecology 114, 4–6.Google Scholar
Kanazawa, A, White, PM, Hampson, SE (2007). Ethnic variation in depressive symptoms in a community sample in Hawaii. Cultural Diversity and Ethnic Minority Psychology 13, 35–44.CrossRefGoogle Scholar
Liu, CH, Tronick, E (in press). Rates and predictors of postpartum depression by race and ethnicity: results from the 2004–2007 New York City PRAMS Survey (Pregnancy Risk Assessment Monitoring System). Maternal and Child Health Journal.Google Scholar
Löfstedt, P, Shusheng, L, Johansson, A (2004). Abortion patterns and reported sex ratios at birth in rural Yunnan, China. Reproductive Health Matters 12, 86–95.Google Scholar
Markus, HR, Kitayama, S (1991). Culture and the self: implications for cognition, emotion, and motivation. Psychological Review 98, 224–253.CrossRefGoogle Scholar
Massachusetts (2010). An act relative to postpartum depression. Pub. L. No. Chapter 313.Google Scholar
Matsumoto, D, Fontaine, J (2008). Mapping expressive differences around the world: the relationship between emotional display rules and individualism versus collectivism. Journal of Cross Cultural Psychology 39, 55–74.Google Scholar
Mesquita, B, Karasawa, M (2002). Different emotional lives. Cognition & Emotion 16, 127–141.Google Scholar
Nielsen, BB, Liljestrand, J, Hedegaard, M, Thilsted, SH, Joseph, A (1997). Reproductive pattern, perinatal mortality, and sex preference in rural Tamil Nadu, south India: community based, cross sectional study. British Medical Journal 314, 1521–1524.Google Scholar
O'Hara, MW (2009). Postpartum depression: what we know. Journal of Clinical Psychology 65, 1258–1269.CrossRefGoogle ScholarPubMed
O'Hara, MW, Swain, AM (1996). Rates and risk of postpartum depression-a meta-analysis. International Review of Psychiatry 8, 37–54.CrossRefGoogle Scholar
Patel, V, Rodrigues, M, Desouza, N (2002). Gender, poverty and postnatal depression: a study of mothers in Goa, India. American Journal of Psychiatry 159, 751–758.Google Scholar
Postpartum Depression Screening (2006). Pub. L. No. S-213/A-1325Google Scholar
Rich-Edwards, JW, Kleinman, K, Abrams, A, Harlow, BL, McLaughlin, TJ, Joffe, H, Gillman, MW (2006). Sociodemographic predictors of antenatal and postpartum depressive symptoms among women in a medical group practice. Journal of Epidemiology & Community Health 60, 221–227.CrossRefGoogle Scholar
Robertson, E, Grace, S, Wallington, T, Stewart, DE (2004). Antenatal risk factors for postpartum depression: a synthesis of recent literature. General Hospital Psychiatry 26, 289–295.Google Scholar
Ruby, MB, Falk, CF, Heine, SJ, Villa, C, Silberstein, O (2012). Not all collectivisms are equal: opposing preferences for ideal affect between East Asians and Mexicans. Emotion 12, 1206–1209.Google Scholar
Sibitz, I, Berger, P, Freidl, M, Topitz, A, Krautgartner, M, Spiegel, W, Katschnig, H (2010). ICD-10 or DSM-IV? Anhedonia, fatigue and depressed mood as screening symptoms for diagnosing a current depressive episode in physically ill patients in general hospital. Journal of Affective Disorders 126, 245–251.Google Scholar
Tsai, JL, Chentsova-Dutton, Y, Freire-Bebeau, L, Przymus, DE (2002). Emotional Expression and Physiology in European Americans and Hmong Americans. Emotion 2, 380–397.Google Scholar
Tsai, JL, Knutson, B, Fung, HH (2006). Cultural variation in affect valuation. Journal of Personality and Social Psychology 90, 288–307.Google Scholar
Wei, G, Greaver, LB, Marson, SM, Herndon, CH, Rogers, J (2008). Postpartum depression: racial differences and ethnic disparities in a tri-racial and bi-ethnic population. Maternal and Child Health Journal 12, 699–707.Google Scholar
Xie, R, He, G, Liu, A, Bradwejn, J, Walker, M, Wen, SW (2007). Fetal gender and postpartum depression in a cohort of Chinese women. Social Science Medicine 65, 680–684.Google Scholar
Xie, R-H, He, G, Koszycki, D, Walker, M, Wen, SW (2009). Prenatal social support, postnatal social support, and postpartum depression. Annals of Epidemiology 19, 637–643.Google Scholar
Yen, S, Robins, CJ, Lin, N (2000). A cross-cultural comparison of depressive symptom manifestation: China and the United States. Journal of Consulting and Clinical Psychology 68, 993–999.Google Scholar
Yonkers, KA, Ramin, SM, Rush, AJ, Navarrete, CA, Carmody, T, March, D, Heartwell, SF, Leveno, KJ (2001). Onset and persistence of postpartum depression in an inner-city maternal health clinic system. American Journal of Psychiatry 158, 1856–1863.Google Scholar