Abstract
Objectives
This study investigates the impact on different postpartum depressive trajectories (i.e., “non depressive symptoms”, “stable depressive symptoms”, “deterioration” and “improvement”) from 5–17 months after childbirth exerted by emotional support that mothers receive from their partners and emotional support they provide to their partners.
Methods
Postpartum depressive symptoms were assessed using the Edinburgh Postnatal Depression Scale 5 and 17 months after delivery in a sample of 293 mothers. Emotional support received from the partners was assessed among both mothers and partners.
Results
The initial level and the change in emotional support that mothers received from their partners were related to different trajectories of postpartum depressive symptoms. Mothers who were living in a partnership with low reciprocal emotional support showed a significantly higher risk of suffering from “stable depressive symptoms” than mothers who were living in a partnership with high reciprocal emotional support.
Conclusions
An increased risk of persistent depressive symptoms beyond the early postpartum period was observed in mothers with poor reciprocal emotional support in the partnership. Further research is needed for a better understanding of the mothers persistent depressive symptoms after childbirth associated with reciprocity of emotional support in the partnership.
Similar content being viewed by others
References
Bandura A (1986) Social foundations of thought and action: a social cognitive theory. Prentice Hall, Englewood Cliffs, NJ
Beck CT (2001) Predictors of postpartum depression: an update. Nurs Res 50:275–285
Bergant AM, Nguyen T, Heim K, Ulmer H, Depunt O (1998) German translation and validation of the ‘Edinburgh Postnatal Depression Scale’ EPDS. Dtsch Med Wochenschr 123:35–40
Boyce Ph, Hickey A (2005) Psychosocial risk factors to major depression after childbirth. Soc Psychiatry Psychiatr Epidemiol 40:605–612
Cialdini RB, Darby BL, Vincent JE (1973) Transgression and altruism: a case for hedonism. J Exp Soc Psychol 9:502–516
Cohan S, Wills TA (1985) Stress, social support, and the buffering hypothesis. Psychol Bull 98:310–357
Cox MJ, Owen MT, Lewis JM, Henderson VK (1989) Marriage, adult adjustment, and early parenting. Child Dev 60:1015–1024
Cox JL, Murray D, Chapman G (1993) A controlled study of the onset, duration and prevalence of postnatal depression. B J Psychiatry 163:27–31
Cox JL, Chapman G, Murray D, Jones P (1996) Validation of the Edinburgh Postnatal Depression Scale (EPDS) in non-postnatal women. J Affect Disord 39:185–189
Cox JL, Holden JM, Sagovsky R (1998) Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry 150:782–786
Drack G, Ackermann-Liebrich U, Schindler C (1998) Totgeburten und Säuglingssterblichkeit in der Schweiz 1986–1992. Bundesamt Stat
Eberhard-Gran M, Eskild A, Tambs K, Samuelsen SO, Opjordsmoen S (2002) Depression in postpartum and non-postpartum women: prevalence and risk factors. Acta Psychiatr Scand 106:426–433
Gleason MEJ, Iida M, Bolger N, Shrout PE (2003) Daily supportive equity in close relationships. Pers Soc Psychol Bull 29:1036–1045
Goodman JH (2004) Postpartum depression beyond the early postpartum period. J Obstet Gynecol Neonatal Nurs 33:410–420
Lee D, Yip A, Chui H, Chung T (2002) Screening for postnatal depression using the double-test strategy. Psychosom Med 62:258–261
Lemola S, Grob A (2008) Smoking cessation during pregnancy and relapse after childbirth: the impact of the grandmother’s smoking status. Matern Child Health J 12:525–533
Lemola S, Stadlmayr W, Grob A (2007) Maternal adjustment five months after birth: the impact of the subjective experience of childbirth and emotional support from the partner. J Reprod Infant Psychol 25:190–202
Life Course and Health Research Center (2001) Transitions: a study of stress and well-being in young adulthood. Wave II questionnaire. Drug use trajectories ethnic/racial comparisons. http://www.fiu.edu/~lchrc/pdfs/w2instrument.pdf. Accessed 22 May 2006
Maton KI (1987) Patterns and psychological correlates of material support within a religious setting: the bidirectional support hypothesis. Am J Community Psychol 15:185–207
Matthey S, Morgan M, Healey L, Barnett B, Kavanagh DJ, Howie P (2002) Postpartum issues for expectant mothers and fathers. J Obstet Gynecol Neonatal Nurs 31:428–435
Merchant DC, Affonso DD, Mayberry LJ (1995) Influence of marital relationship and child-care stress on maternal depression symptoms in the postpartum. J Pediatr Obstet Gynaecol 16:193–200
Miseri S, Kostaras X, Fox D, Kostaras D (2000) The impact of partner support in the treatment of postpartum depression. Can J Psychiatry 45:554–558
O’Hara MW, Swain A (1996) Rates and risk of postpartum depression: a meta-analysis. Int Rev Psychiatry 8:37–54
Patel V, Rodrigues M, DeSouza N (2002) Gender, poverty, and postnatal depression: a study of mothers in Goa, India. Am J Psychiatry 159:43–47
Rich-Edwards JW, Kleinman K, Abrams A et al (2006) Sociodemographic predictors of antenatal and postpartum depressive symptoms among women in a medical group practice. J Epidemiol Community Health 60:221–227
Robertson E, Grace S, Wallington T, Stewart DE (2004) Antenatal risk factors for postpartum depression: a synthesis of recent literature. Gen Hosp Psychiatry 26:289–295
Rohde A (2001) Die vielen Gesichter der Depression. UNI-MED Verl, Bremen
Rowe HJ, Loh JR, Loh WM (2008) The Edinburgh Postnatal Depression Scale detects but does not distinguish anxiety disorders from depression in mothers of infants. Arch Womens Ment Health 11:103–108
Schmidt CO (2008) Risk quantification in epidemiologic studies. Int J Public Health 53:118–119
Stevenson W, Maton KI, Teti DMS (1999) Social support, relationship quality, and well-being among pregnant adolescents. J Adolesc 22:109–121
Swiss Federal Office of Statistics (2005a) Medizinische Statistik der Krankenhäuser. Available via Medienmitteilung Nr. 0350-0507-40
Swiss Federal Office of Statistics (2005b) Current population and population growth—key data: births. http://www.bfs.admin.ch. Assessed 3 September 2006
Swiss Federal Office of Statistics (2005c) Swiss labour force statistics (SAKE). Je-d-03.02.0112.xls. http://www.bfs.admin.ch. Assessed 3 September 2006
Walster E, Walster GW, Berscheid E, Austin W (1978) Equity: theory and research. Allyn and Bacon, Boston
Acknowledgments
This study was conducted within the research project “Substance use and psychosocial risk of mothers in Switzerland”, which was supported by the Swiss Federal Office of Public Health (SFOPH Decree No 03.001623 to Prof. Dr. A. Grob). The study was run at the Department of Personality, Individual Differences and Diagnostics, University of Berne, and at the Department of Personality and Developmental Psychology, University of Basel. We thank Dr. Heather Murray for her invaluable help in proofreading the manuscript and above all the mothers and fathers who participated in this study.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Bielinski-Blattmann, D., Lemola, S., Jaussi, C. et al. Postpartum depressive symptoms in the first 17 months after childbirth: the impact of an emotionally supportive partnership. Int J Public Health 54, 333–339 (2009). https://doi.org/10.1007/s00038-009-0056-4
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00038-009-0056-4