Trajectories of mothers’ and fathers’ depressive symptoms from pregnancy to 24 months postpartum

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http://hdl.handle.net/10138/306825

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Kiviruusu , O H , Pietikäinen , J T , Kylliäinen , A , Pölkki , P , Saarenpää-Heikkilä , O , Marttunen , M , Paunio , T & Paavonen , E J 2020 , ' Trajectories of mothers’ and fathers’ depressive symptoms from pregnancy to 24 months postpartum ' , Journal of Affective Disorders , vol. 260 , pp. 629-637 . https://doi.org/10.1016/j.jad.2019.09.038

Title: Trajectories of mothers’ and fathers’ depressive symptoms from pregnancy to 24 months postpartum
Author: Kiviruusu, Olli Hannu; Pietikäinen, Johanna T; Kylliäinen, Anneli; Pölkki, Pirjo; Saarenpää-Heikkilä, Outi; Marttunen, Mauri; Paunio, Tiina; Paavonen, E. Juulia
Contributor: University of Helsinki, University of Helsinki
University of Helsinki, Department of Psychiatry
University of Helsinki, HUS Psychiatry
University of Helsinki, HUS Psychiatry
University of Helsinki, HUS Children and Adolescents
Date: 2020-01-01
Number of pages: 9
Belongs to series: Journal of Affective Disorders
ISSN: 0165-0327
URI: http://hdl.handle.net/10138/306825
Abstract: ObjectivesThis study investigated trajectories of mothers’ and fathers’ depressive symptoms from prenatal to 24 months postpartum. Prenatal correlates of the trajectories were also examined. MethodsMothers (N=1,670) and fathers (N=1,604) from the Finnish CHILD-SLEEP birth cohort, reported depressive symptoms at 32nd pregnancy week and 3, 8, and 24 months postpartum using the Center for Epidemiologic Studies Depression Scale (CES-D, 10-item). Profile analysis was used to group participants according to their longitudinal patterns of depressive symptoms. Prenatal predictors (sociodemographic, health, substance use, sleep, and stress related factors, family atmosphere) of depressive symptom trajectories as well as association between parents’ trajectories were analyzed using multinomial logistic regression. ResultsFor both mothers and fathers, a solution with three stable depressive symptom trajectories (low: 63.1% mothers and 74.9% fathers; moderate: 28.1% and 22.6%; high: 8.8% and 2.6%) was considered the best fitting and most informative. Insomnia, earlier depression, anxiousness, stressfulness, and poor family atmosphere predicted the moderate and high (compared to low) depressive symptom trajectories among both mothers and fathers in multivariate analyses. Mother's higher depressive symptom trajectory was significantly associated with father's higher symptom trajectory (p<0.001). LimitationsNumber of cases in the high depressive symptom trajectory group among fathers was low. ConclusionsMaternal and paternal depressive symptom trajectories from prenatal period up to two years postpartum seem stable, indicating the chronic nature of perinatal depressive symptoms. Mothers’ and fathers’ trajectories are associated with each other and their strongest predictors are common to both.
Subject: 3124 Neurology and psychiatry
Perinatal depression
Postpartum depression
Maternal depression
Paternal depression
Depression trajectories
PATERNAL MENTAL-HEALTH
PERINATAL DEPRESSION
MATERNAL DEPRESSION
RISK-FACTORS
SLEEP
CHILD
TRANSITION
HETEROGENEITY
EXPERIENCES
PREVALENCE
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