Postpartum depression in adolescent women from Bucaramanga, Colombia
DOI:
https://doi.org/10.18597/rcog.482Keywords:
depression, postpartum, incidence, ageAbstract
Background: depression, which occurs very frequently in women, is a worldwide problem and the likelihood of suffering from it increases during puerperium. Postpartum depression rates are highly variable; however, some reports from Latin-American communities have shown more than a 20% incidence rate. Increased incidence during adolescence has been reported. There is no readily available data concerning adolescent mothers in Colombia.
Objective: establishing the incidence of postpartum depression in adolescent women and comparing it with incidence reported in older women.
Methods: a cohort was assembled between May 2003 and April 2004 involving puerperal women from 11 health centres located in Bucaramanga’s metropolitan area. Women were followed-up for six week. Information was obtained for socio-demographic, obstetric and psychiatric antecedents as well as characteristics regarding their newborn, delivery data and breast feeding pattern. Postpartum depression was established by a psychiatrist according to DSM IV criteria.
Incidence rates were calculated by age group, incidence rate ratio was established and risk adjusted by Cox regression.
Results: postpartum depression incidence rate in adolescent women was 0.6 cases/1,000 people – day (0.07–2.2 CI95%), 1 case/1,000 people – day in 21 to 34 year-old-women (0.3–2.0 CI95%) and 1.9 cases/1,000 people – day (0.3–5.4 CI95%) in women aged 34 and older. When adjustment was made, hazard ratio was 3.0 (0.3–29.9 CI95%) in 21 to 34 year-old women and 7.4 (0.6–95.6 CI95%) in women aged 34 and older compared to adolescent women.
Conclusions: Postpartum depression is a frequent health problem in Bucaramanga’s metropolitan area. Adolescent mothers are at no more risk than other women.
Author Biographies
José Fidel Latorre-Latorre
Leddy Marina Contreras-Pezzotti
Susana García-Rueda
Juan Arteaga-Medina
References
Demyttenaere K, Bruffaerts R, Posada-Villa J, Gasquet I, Kovess V, Lepine JP, et al; WHO World Mental Health Survey Consortium. Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. JAMA 2004;291:2581-90.
Murray CJ, Lopez AD. Evidence-based health policy: lessons from The Global Burden of Disease Study. Science 1996;274:740-3.
Torres Y, Montoya ID. Segundo estudio nacional de salud mental y consumo de sustancias psicoactivas. Colombia 1997. Bogotá: Ministerio de Salud; 1998.
Gater R, Tansella M, Korten A, Tiemens BG, Mavreas VG, Olatawura MO. Sex differences in the prevalence and detection of depressive and anxiety disorders in general health care settings: report from the World Health Organization Collaborative Study on Psychological Problems in General Health Care. Arch Gen Psychiatry 1998;55:405-13.
Gale S, Harlow BL. Postpartum mood disorders: a review of clinical and epidemiological factors. J Psychosom Obstet Gynaecol 2003;24:257-66.
Bryan TL, Georgiopoulos AM, Harms RW, Huxsahl JE, Larson DR, Yawn BP. Incidence of postpartum depression in Olmsted County, Minnesota. A population-based, retrospective study. J Reprod Med 1999;44:351-8.
Alvarado R, Rojas M, Monardes J, Perucca E, Neves E, Olea E, et al. Cuadros depresivos en el postparto en una cohorte de embarazadas: construcción de un modelo causal. Rev Chil Neuro-Psiquiatr 2000;38:84-93.
Johnstone SJ, Boyce PM, Hickey AR, Morris-Yates AD, Harris MG. Obstetric risk factors for postnatal depression in urban and rural community samples. Aust NZJ Psychiatry 2001;35:69-74.
Romero S, Lodo M, Blázquez M, Raja MI, Izquierdo MJ, Valles N, et al. Depresión Posparto en el Área de salud de Toledo. Aten Primaria 1999; 24:215-9.
Risco L, Jadresic E, Galleguillos T, Garay JL, González M, Hasbun J. Depresión posparto: alta frecuencia en puérperas chilenas, detección precoz, seguimiento y factores de riesgo. Psiquiatría y Salud Integral 2002;2:61-6.
Cooper PJ, Murray L. Curse and recurrence of postnatal depression. Evidence for the specificity of the diagnostic concept. Br J Psychiatry 1995;166:191-5.
Murray L, Flori-Cowley A, Hooper R, Cooper P. The impact of posnatal depression and associated adversity on early mother-infant interactions and later infant outcome. Child Dev 1996;67:2512-26.
Cooper PJ, Tomlinson M, Swartz L, Woolgar M, Murray L, Molteno C. Post-partum depression and the mother infant relationship in South African peri-urban settlement. Br J Psychiatry 1999;175:554-8.
Murray L, Stanley C, Hooper R, King F, Fiori-Cowley A. The role of infant factors in posnatal depression and mother-infant interactions. Dev Med Child Neurol 1996;38:109-19.
Hay DF, Kumar R. Interpreting the effects of mothers’ posnatal depression on children’s intelligence: a critique and re-analysis. Child Psychiatry Hum Dev 1995;25:165-81.
Brennan PA, Hammen C, Andersen MJ, Bor W, Najman JM, Williams GM. Chronicity, severity, and timing of maternal depressive symptoms: relationships with child outcomes at age 5. Dev Psychol 2000;36:759- 66.
Beck CT. The effects of postpartum depression on child development: a meta-analysis. Arch Psychiatr Nurs 1998;12:12-20.
Logsdon MC, Cross R, Williams B, Simpson T. Prediction of postpartum social support and symptoms of depression in pregnant adolescents: a pilot study. J Sch Nurs 2004;20:36-42.
Vega-Dienstmainer JM, Mazzotti G, Stucchi-Portocarrero S, Campos M. Prevalencia y factores de riesgo para depresión en mujeres posparto. Actas Esp Psiquiatr 1999;27:299-303.
Troutman BR, Cutrona CE. Nonpsychotic postpartum depression among adolescent mothers. J Abnorm Psychol 1990;99:69-78.
Latorre J, Contreras P, Herrán O. Depresión posparto en una ciudad Colombiana. Factores de riesgo. Aten Primaria 2006;37:332-8.
American Psychiatric Association. Manual diagnóstico y estadístico de los trastornos mentales. DSM-IV, criterios diagnósticos. Barcelona: Masson; 1995.
Cox JL, Holden JM, Sagovsky R. Detection of posnatal depression. Development of the 10-item Edinburgh Posnatal Depression Scale. Br J Psychiatry 1987;150:782-6
Machado F, García T, Moya N, Bernabeu N, Cerdá R. Depresión puerperal. Factores relacionados. Aten Primaria 1997;20:161-6.
Inandi T, Elci OC, Ozturk A, Egri M, Polat A, Sahin TK. Risk factors for depression in posnatal first year, in eastern Turkey. Int J Epidemiol 2002;31:1201-7.
Wilson LM, Reid AJ, Midmer DK, Biringer A, Carroll JC, Stewart DE. Antenatal psychosocial risk factors associated with adverse postpartum family outcomes. CMAJ 1996;154:785-99.
Da-Silva V, Moraes-Santos AR, Carvalho MS, Martins MR, Teixeira NA. Prenatal and posnatal depression among low income Brazilian women. Braz J Med Biol Res 1998;31:799-804.
Beck CT. Predictors of postpartum depression: an update. Nurs Res 2001;50:275-85.
Seguin L, Potvin L, St-Denis M, Loiselle J. Depressive symptoms in the late postpartum among low socioeconomic status women. Birth 1999;26:157-63.
Piyasil V. Anxiety and depression in teenage mothers: a comparative study. J Med Assoc Thai 1998;81:125-9.
Eaton WW, Anthony JC, Gallo J, Cai G, Tien A, Romanosky A, et al. Natural history of Diagnostics Interview Schedule/DSM-IV major depression, the Baltimore Epidemiologic Catchment Area follow-up. Arch Gen Psychiatry 1997;54:993-9.
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