Prenatal anxiety and depression have significant and negative influences on maternal well- being, both during the labor experience, such as more complicated, painful and prolonged labor (Alhusen & Alvarez, 2016, Anim-Somuah et al., 2011), and after delivery, promoting higher levels of post-partum depression (PPD) (Heron et al., 2004). The aim of the present study was to investigate the role of maternal prenatal psychopathological symptomatology on the level of PPD, both directly and indirectly through the labor experience. A longitudinal design at three different time points was performed on 120 women (Mage = 31.54, SD = 5.05): T1) at 31-32 week of gestation: women completed the Beck Depression Inventory (BDI; Beck et al., 1979; Ghisi et al., 2006) and the State Anxiety Inventory (STAI_Y2;Spielberger et al., 1983; Predabissi & Santinello, 1989); T2) at childbirth: hospital healthcare staff registered clinical data of women’s labor (duration, administration of oxytocin and epidural analgesia); T3) at one month after birth: women filled out the Edinburg Postnatal Depression Scale (EPDS; Cox et al., 1987; Benvenuti et al., 1999). Structural Equation Modeling was performed. Results showed that the model tested had a good fit to the data (2 = 9.346, df= 6, p = .155, CFI = .99, TLI = .98, RMSEA = .07, SRMR = .02). There were significant effects of prenatal anxiety and depression on the clinical aspects of labor and on PPD. Moreover, PPD was predicted also in an indirect way by prenatal depression and prenatal anxiety, through the labor experience. Overall, our results confirmed that both depression and anxiety during pregnancy are a significant risk factor. To our knowledge, no studies have explored the role of both prenatal depression and anxiety jointly on PPD, also considering the labor experience. Therefore, the present study expands the current literature, showing the complex interaction among all these variables.
HOW MATERNAL PRENATAL PSYCHOPATOLOGICAL SYMPTOMATOLOGY AFFECTS POST PARTUM DEPRESSION: A PRELIMINARY STUDY / Smorti M., Ponti L., Tani F.. - STAMPA. - (2018), pp. 28-28. (Intervento presentato al convegno La salute mentale perinatale tenutosi a Padova nel 12 maggio 2018).
HOW MATERNAL PRENATAL PSYCHOPATOLOGICAL SYMPTOMATOLOGY AFFECTS POST PARTUM DEPRESSION: A PRELIMINARY STUDY
Ponti L.;Tani F.
2018
Abstract
Prenatal anxiety and depression have significant and negative influences on maternal well- being, both during the labor experience, such as more complicated, painful and prolonged labor (Alhusen & Alvarez, 2016, Anim-Somuah et al., 2011), and after delivery, promoting higher levels of post-partum depression (PPD) (Heron et al., 2004). The aim of the present study was to investigate the role of maternal prenatal psychopathological symptomatology on the level of PPD, both directly and indirectly through the labor experience. A longitudinal design at three different time points was performed on 120 women (Mage = 31.54, SD = 5.05): T1) at 31-32 week of gestation: women completed the Beck Depression Inventory (BDI; Beck et al., 1979; Ghisi et al., 2006) and the State Anxiety Inventory (STAI_Y2;Spielberger et al., 1983; Predabissi & Santinello, 1989); T2) at childbirth: hospital healthcare staff registered clinical data of women’s labor (duration, administration of oxytocin and epidural analgesia); T3) at one month after birth: women filled out the Edinburg Postnatal Depression Scale (EPDS; Cox et al., 1987; Benvenuti et al., 1999). Structural Equation Modeling was performed. Results showed that the model tested had a good fit to the data (2 = 9.346, df= 6, p = .155, CFI = .99, TLI = .98, RMSEA = .07, SRMR = .02). There were significant effects of prenatal anxiety and depression on the clinical aspects of labor and on PPD. Moreover, PPD was predicted also in an indirect way by prenatal depression and prenatal anxiety, through the labor experience. Overall, our results confirmed that both depression and anxiety during pregnancy are a significant risk factor. To our knowledge, no studies have explored the role of both prenatal depression and anxiety jointly on PPD, also considering the labor experience. Therefore, the present study expands the current literature, showing the complex interaction among all these variables.
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