Hostname: page-component-78c5997874-v9fdk Total loading time: 0 Render date: 2024-11-05T05:29:47.404Z Has data issue: false hasContentIssue false

Prevalence and detection of postnatal depression in an Irish community sample

Published online by Cambridge University Press:  13 June 2014

Fiona Crotty
Affiliation:
Department of Psychiatry of Old Age, Mater Misericordiae Hospital, 61 Eccles Street, Dublin 7, Ireland
John Sheehan
Affiliation:
Department of Adult Psychiatry, Mater Misericordiae Hospital, 63 Eccles Street, Dublin 7 and Rotunda Hospital, Parnell Square, Dublin 1, Ireland

Abstract

Objectives: To establish the prevalence of postnatal depression using standardised methods of diagnosis and to evaluate early detection of postnatal depression.

Methods: Prospective cohort study. Prevalence established using two-step screening with EPDS and semi-structured clinical interview for ICD-10 diagnosis. EPDS recorded at day three-five postnatal evaluated as predictor of depression at week six postnatal.

Results: Prevalence established at 14.4%. EPDS recorded at day three-five postnatal when combined with past history of depression was a predictor of depression occurring at week six postnatal.

Conclusions: We found a similar prevalence of postnatal depression in this Irish sample to other international prevalence studies. There are implications for hospital based screening to identify those at risk of developing a postnatal depression.

Type
Original Papers
Copyright
Copyright © Cambridge University Press 2004

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Cox, JL, Kendall, RE. Prospective study of the psychiatric disorders of childbirth. Br J Psychiatry 1982; 140: 111117.CrossRefGoogle ScholarPubMed
2.Watson, K, Sharp, D, Hay, D, Kumar, Ret al.Psychiatric disorder in pregnancy and the first postnatal year. Br J Psychiatry 1984; 144: 453–62.CrossRefGoogle ScholarPubMed
3.Kumar, R, Robson, K. A prospective study of emotional disorders in childbearing women. Br J Psychiatry 1984; 144: 3547.CrossRefGoogle ScholarPubMed
4.O'Hara, MW. The nature of postpartum depressive disorders. In: Murray, L, Cooper, PJ eds Postpartum Depression and child development, New York: Guildford, 1997: 331.Google Scholar
5.Cox, JL, Murray, D, Chapman, G. A controlled study of the onset, duration and prevalence of postnatal depression. Br J Psychiatry, 1993; 163: 2731.CrossRefGoogle ScholarPubMed
6.Cooper, PJ, Campbell, EA, Day, A, Gath, D. Non-psychotic psychiatric disorder after childbirth. Br J Psychiatry 1988; 152: 799806.CrossRefGoogle ScholarPubMed
7.Murray, L. the impact of postnatal depression on child development. J Child Psychology Psychiatry 1992; 33: 543561.CrossRefGoogle Scholar
8.Murray, L, Fiori-Cowley, A, Hooper, R, Cooper, PJ. The impact of postnatal depression and associated adversity on early mother-infant interactions and later infant outcome, Child Development 1996; 67: 25122526.CrossRefGoogle ScholarPubMed
9.Murray, L, Cooper, PJ. Effects of postnatal depression on infant development. Arch Diseases Children 1997; 7: 99101.CrossRefGoogle Scholar
10.Caplan, HL, Cogill, SR. Maternal depression and the emotional development of the child. Br J Psychiatry 1989; 154: 818822.CrossRefGoogle ScholarPubMed
11.Cogill, SR, Caplan, HL. Impact of postnatal depression on the cognitive development of young children. BMJ 1990; 157: 282290.Google Scholar
12. World health Report 1999/2000. Indicators for member states.Google Scholar
13.Martin, M. A maternity hospital study of psychiatric illness associated with childbirth. I J Med Science 1977: 239244.Google ScholarPubMed
14.O'Neill, P, Murphy, P, Greene, VT. Postnatal depression – aetiological factors. Irish Med J 1990; 83(1): 1718.Google ScholarPubMed
15.Cryan, E, Keogh, F, Daly, Iet al.Depression among postnatal women in an urban Irish community. Ir J Psychological Medicine 2001; 18(1): 510.CrossRefGoogle Scholar
16.Lane, A, Barry, Set al.Postnatal depression and elation among mothers and their partners, prevalence and predictors. Br J Psychiatry 1997; 171: 550555.CrossRefGoogle ScholarPubMed
17.Murray, L, Carothers, AD. The validation of the Edinburgh Postnatal Depression Scale on a community sample. Br J Psychiatry 1990; 157: 288290.CrossRefGoogle ScholarPubMed
18.Dunn, G, Pickles, A, Tansella, Met al.Two-phase epidemiological surveys in psychiatric research. Br J Psychiatry 1999; 174: 95100.CrossRefGoogle ScholarPubMed
19.Appleby, L, Gregoire, A, Platz, C, Prince, M, Kumar, R. Screening women for high risk of Postnatal Depression. J Psychosom Res 1994; 34(6): 539545.CrossRefGoogle Scholar
20.Cox, JL, Holden, JM. Detection of postnatal Depression – Development of the 10-item Edinburgh Postnatal Depression scale. Br J Psychiatry 1987; 150: 782786.CrossRefGoogle ScholarPubMed
21.World Health Organisation (Division of mental health) 1998 Schedules for Clinical Assessment in Neuropsychiatry Version 2.1 Geneva, WHO.Google Scholar
22.World Health Organisation 1992. The tenth Revision of the International Classification of Diseases and related health problems (ICD-10), Geneva, WHO.Google Scholar
23.Warner, R, Appleby, L, Whitton, A, Faragher, B. Demographic and obstetric risk factors for postnatal psychiatric morbidity. Br J Psychiatry 1996; 168: 607–11.CrossRefGoogle ScholarPubMed
24.Cooper, PJ, Murray, L. The impact of psychological treatments of postpartum depression on maternal mood and infant development. In: Murray, L, Cooper, PJ, eds Postpartum Depression and Child Development, New York: Guildford, 1997: 201220.Google Scholar