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Non-psychotic psychiatric disorders after childbirth: prevalence and comorbidity in a community sample.
J Affect Disord. 2008 Jul; 109(1-2):171-6.JA

Abstract

BACKGROUND

Postnatal psychiatric morbidity is a frequent and serious complication of childbirth. The aim of the present study was to determine the prevalence and co-occurrence of DSM-IV psychiatric disorders in a community sample of postpartum Spanish mothers.

METHODS

A two-phase cross-sectional study was conducted in which all consecutive women attending the routine 6-week postnatal control visit at the Department of Obstetric and Gynecology of a university-affiliated hospital over a one year period were included. In the first phase, 1453 women were screened with the Edinburgh Postnatal Depression Scale (EPDS). In the second phase, 428 participants stratified according to employment status and EPDS outcomes were randomly selected within each stratum for clinical psychiatric evaluation using the Structured Clinical Interview for DSM-IV. Weighted prevalence estimates were obtained for DSM-IV disorders with or without comorbidity.

RESULTS

The overall 6-week prevalence rate for postpartum psychiatric disorders was 18.1% (95% CI 15.0-21.8) and 2.0% (95% CI 1.2-2.9) of postpartum women met criteria for more than one disorder. Mood disorders was the most prevalent group (9.8%; 95% CI 7.9-12.1) followed by adjustment disorders (4.3%; 95% CI 3.0-6.3), and anxiety disorders (4%; 95% CI 3.0-6.3). Comorbidity was associated to major depressive disorder.

LIMITATIONS

Underestimation of some disorders due to the cross-sectional design and the use of a screening instrument with good psychometric characteristics restricted to depression, anxiety, and adjustment disorders.

CONCLUSIONS

In the context of a 6-week postnatal visit, a high prevalence and heterogeneity of postnatal psychiatric morbidity in a community sample of Spanish women was found.

Authors+Show Affiliations

Unit of Perinatal Psychiatry and Gender Research, Hospital Clínic Universitari de Barcelona, Barcelona, Spain. purinavarrogar@yahoo.esNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18001842

Citation

Navarro, Purificación, et al. "Non-psychotic Psychiatric Disorders After Childbirth: Prevalence and Comorbidity in a Community Sample." Journal of Affective Disorders, vol. 109, no. 1-2, 2008, pp. 171-6.
Navarro P, García-Esteve L, Ascaso C, et al. Non-psychotic psychiatric disorders after childbirth: prevalence and comorbidity in a community sample. J Affect Disord. 2008;109(1-2):171-6.
Navarro, P., García-Esteve, L., Ascaso, C., Aguado, J., Gelabert, E., & Martín-Santos, R. (2008). Non-psychotic psychiatric disorders after childbirth: prevalence and comorbidity in a community sample. Journal of Affective Disorders, 109(1-2), 171-6.
Navarro P, et al. Non-psychotic Psychiatric Disorders After Childbirth: Prevalence and Comorbidity in a Community Sample. J Affect Disord. 2008;109(1-2):171-6. PubMed PMID: 18001842.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Non-psychotic psychiatric disorders after childbirth: prevalence and comorbidity in a community sample. AU - Navarro,Purificación, AU - García-Esteve,Lluïsa, AU - Ascaso,Carlos, AU - Aguado,Jaume, AU - Gelabert,Estel, AU - Martín-Santos,Rocío, Y1 - 2007/11/19/ PY - 2007/07/22/received PY - 2007/10/10/revised PY - 2007/10/10/accepted PY - 2007/11/16/pubmed PY - 2008/9/27/medline PY - 2007/11/16/entrez SP - 171 EP - 6 JF - Journal of affective disorders JO - J Affect Disord VL - 109 IS - 1-2 N2 - BACKGROUND: Postnatal psychiatric morbidity is a frequent and serious complication of childbirth. The aim of the present study was to determine the prevalence and co-occurrence of DSM-IV psychiatric disorders in a community sample of postpartum Spanish mothers. METHODS: A two-phase cross-sectional study was conducted in which all consecutive women attending the routine 6-week postnatal control visit at the Department of Obstetric and Gynecology of a university-affiliated hospital over a one year period were included. In the first phase, 1453 women were screened with the Edinburgh Postnatal Depression Scale (EPDS). In the second phase, 428 participants stratified according to employment status and EPDS outcomes were randomly selected within each stratum for clinical psychiatric evaluation using the Structured Clinical Interview for DSM-IV. Weighted prevalence estimates were obtained for DSM-IV disorders with or without comorbidity. RESULTS: The overall 6-week prevalence rate for postpartum psychiatric disorders was 18.1% (95% CI 15.0-21.8) and 2.0% (95% CI 1.2-2.9) of postpartum women met criteria for more than one disorder. Mood disorders was the most prevalent group (9.8%; 95% CI 7.9-12.1) followed by adjustment disorders (4.3%; 95% CI 3.0-6.3), and anxiety disorders (4%; 95% CI 3.0-6.3). Comorbidity was associated to major depressive disorder. LIMITATIONS: Underestimation of some disorders due to the cross-sectional design and the use of a screening instrument with good psychometric characteristics restricted to depression, anxiety, and adjustment disorders. CONCLUSIONS: In the context of a 6-week postnatal visit, a high prevalence and heterogeneity of postnatal psychiatric morbidity in a community sample of Spanish women was found. SN - 0165-0327 UR - https://www.unboundmedicine.com/medline/citation/18001842/Non_psychotic_psychiatric_disorders_after_childbirth:_prevalence_and_comorbidity_in_a_community_sample_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-0327(07)00355-2 DB - PRIME DP - Unbound Medicine ER -