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Childbirth: Life Event or Start of a Long-Term Difficulty?

Further Data from the Stoke-on-Trent Controlled Study of Postnatal Depression

Published online by Cambridge University Press:  02 January 2018

Declan Murray ,
John L. Cox ,
Gail Chapman  and
Peter Jones
Declan Murray*
Affiliation:
St Ita's Hospital, Portrane, Co. Dublin, Ireland
John L. Cox
Affiliation:
Department of Psychiatry, School of Postgraduate Medicine, University of Keele
Gail Chapman
Affiliation:
North Staffordshire Maternity Hospital, Stoke-on-Trent
Peter Jones
Affiliation:
Department of Mathematics, University of Keele
*
Dr Murray, St Ita's Hospital, Portrane, Co. Dublin, Ireland
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Abstract

Background

This paper reports further data from the Stoke study of postnatal depression and examines whether psychosocial characteristics and symptom profiles differ between postnatal and control depression.

Method

Two hundred and thirty-two postnatal and non-postnatal control women were screened with the Edinburgh Postnatal Depression Scale; all high scorers and a sample of low scorers were interviewed with the Standardised Psychiatric Interview and modified Social Maladjustment Schedule. Depression was diagnosed using the Research Diagnostic Criteria.

Results

Postnatal but not control depression was associated with a poor relationship with the woman's own mother and greater occupational instability. Depression in control women was associated with low income, having three or more children, performing manual work and occupational dissatisfaction, but postnatal depression was not. There were no differences in the symptom profiles of the postnatal and control women nor between early and late onset postnatal depression.

Conclusion

Depression is a common and socially disabling disorder affecting mothers of young children. Postnatal depression is more contingent on acute biopsychosocial stresses caused by the arrival of a new family member. Depression in women with older children is more closely related to longer term social adversity.

Type
Papers
Information
The British Journal of Psychiatry , Volume 166 , Issue 5 , May 1995 , pp. 595 - 600
Copyright
Copyright © Royal College of Psychiatrists, 1995 

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References

Brown, G. W. & Harris, T. (1978) Social Origins of Depression: A Study of Psychiatric Disorders in Women. London: Tavistock.Google Scholar
Clare, A. W. & Cairns, V. E. (1978) Design development and use of a standardised interview to assess social maladjustment and dysfunction in community studies. Psychological Medicine, 8, 589–604.CrossRefGoogle ScholarPubMed
Cooper, P. J., Campbell, E. A., Day, A., et al (1988) Non-psychotic psychiatric disorder after childbirth. British Journal of Psychiatry, 152, 799–806.CrossRefGoogle ScholarPubMed
Cox, J. L., Holden, J. M. & Sagovsky, R. (1987) Detection of postnatal depression: Development of the 10-item Edinburgh Postnatal Depression Scale. British Journal of Psychiatry, 150, 782–786.CrossRefGoogle ScholarPubMed
Cox, J. L., Murray, D. & Chapman, G. (1993) A controlled study of the onset, duration and prevalence of postnatal depression. British Journal of Psychiatry, 163, 27–31.CrossRefGoogle ScholarPubMed
Goldberg, D. P., Cooper, B., Eastwood, M. R., et al (1970) A standardised psychiatric interview for use in community surveys. British Journal of Preventive and Social Medicine, 24, 18–23.Google ScholarPubMed
Goldberg, D. P. & Hillier, V. F. (1979) A scaled version of the General Health Questionnaire. Psychological Medicine, 9, 139–145.CrossRefGoogle ScholarPubMed
Gotlib, I. H., Whiffen, V. E., Wallace, P. M., et al (1991) Prospective investigation of postpartum depression: factors involved in onset and recovery. Journal of Abnormal Psychology, 100, 122–132.CrossRefGoogle ScholarPubMed
Holden, J. M., Sagovsky, R. & Cox, J. L. (1989) Counselling in a general practice setting: controlled study of health visitor intervention in treatment of postnatal depression. British Medical Journal, 298, 223–226.CrossRefGoogle Scholar
Johnson, Z., Howell, F. & Molloy, B. (1993) Community mothers programme: randomised controlled trial of nonprofessional intervention in parenting. British Medical Journal, 306, 1449–1452.CrossRefGoogle ScholarPubMed
Kumar, R. & Robson, K. (1984) A prospective study of emotional disorders in child-bearing women. British Journal of Psychiatry, 144, 35–47.CrossRefGoogle Scholar
Martin, C. J., Brown, G. W., Goldberg, D. P., et al (1989) Psychosocial stress and puerperal depression. Journal of Affective Disorders, 16, 283–293.CrossRefGoogle ScholarPubMed
Martin, M. E. (1977) A maternity hospital study of psychiatric illness associated with childbirth. Irish Journal of Medical Science, 144, 239–244.CrossRefGoogle Scholar
Nilsson, A. & Almgrem, P. (1970) Paranatal emotional adjustment; a prospective investigation of 165 women. Acta Psychiatrica Scandinavica, Suppl. 220, 65–141.Google ScholarPubMed
O'Hara, M. W., Rehm, L. P. & Campbell, S. B. (1983) Postpartum depression a role for social network and life stress variables. Journal of Nervous and Mental Disease, 171, 336–341.CrossRefGoogle ScholarPubMed
O'Hara, M. W., Neunaber, D. J. & Zekoski, E. M. (1984) A prospective study of postpartum depression: prevalence, course and predictive factors. Journal of Abnormal Psychology, 93, 158–167.CrossRefGoogle ScholarPubMed
O'Hara, M. W. & Zekoski, E. M. (1988) Postpartum depression: a comprehensive review. In Motherhood and Mental Illness 2 (eds R. Kumar & I. F. Brockington), pp. 17–63. London: Wright.Google Scholar
O'Hara, M. W., Schlechte, J. A., Lewis, D. A., et al (1991) Controlled prospective study of postpartum mood disorders: psychological, environmental, and hormonal variables. Journal of Abnormal Psychology, 100, 63–73.CrossRefGoogle ScholarPubMed
Parker, G., Tupling, H. & Brown, L. B. (1979) A parental bonding instrument. British Journal of Medical Psychology, 52, 1–10.CrossRefGoogle Scholar
Paykel, E. S., Emms, E. M., Fletcher, R., et al (1980) Life events and social support in puerperal depression. British Journal of Psychiatry, 136, 339–346.CrossRefGoogle ScholarPubMed
Pitt, B. (1968) “Atypical” depression following childbirth. British Journal of Psychiatry, 114, 1325–1335.CrossRefGoogle ScholarPubMed
Solomon, Z. & Bromet, E. (1982) The role of social factors in affective disorder: an assessment of the vulnerability model of Brown and his colleagues. Psychological Medicine, 12, 123–130.CrossRefGoogle Scholar
Spitzer, R. L., Endicott, J. & Robins, E. (1978) Research Diagnostic Criteria: rationale and reliability. Archives of General Psychiatry, 35, 773–782.CrossRefGoogle ScholarPubMed
Stein, A., Cooper, P. J., Campbell, E. A., et al (1989) Social adversity and perinatal complications: their relation to postnatal depression. British Medical Journal, 298, 1073–1074.CrossRefGoogle ScholarPubMed
Uddenberg, N. (1974) Reproductive adaptation in mother and daughter. A study of personality development and adaptation to motherhood. Acta Psychiatrica Scandinavica, supplement 254.Google ScholarPubMed
Watson, J. P., Elliott, S. A., Rugg, A. J., et al (1984) Psychiatric disorder in pregnancy and the first postnatal year. British Journal of Psychiatry, 144, 453–462.CrossRefGoogle ScholarPubMed
Whiffen, V. E. & Gotlib, I. H. (1993) Comparison of postpartum and nonpostpartum depression: clinical presentation, psychiatric history, and psychosocial functioning. Journal of Consulting and Clinical Psychology, 61, 485–494.CrossRefGoogle ScholarPubMed
Wieck, A., Kumar, R., Hirst, A. D., et al (1991) Increased sensitivity of dopamine receptors and recurrence of affective psychosis after childbirth. British Medical Journal, 303, 613–616.CrossRefGoogle ScholarPubMed
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974) The Measurement and Classification of Psychiatric Symptoms. Cambridge: Cambridge University Press.Google Scholar
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