The Course of Depression from Pregnancy through One Year Postpartum : Predictors and Moderators

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  • Ando Satoko
    Graduate School of Humanities and Sciences, Ochanomizu University
  • Muto Takashi
    Department of Child Study, Shiraume-Gakuen University

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Other Title
  • 妊娠期から産後1年までの抑うつとその変化 : 縦断研究による関連要因の検討
  • ニンシンキ カラ サンゴ 1ネン マデノ ヨクウツ ト ソノ ヘンカ ジュウダン ケンキュウ ニ ヨル カンレン ヨウイン ノ ケントウ

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The purpose of this study was to clarify the length of postpartum depression and the factors which affect the onset and recovery from it. 407 primiparous women provided longitudinal data five times: during pregnancy, at 5 weeks, and 3, 6, and 12 months postpartum. The factor that significantly affected depression at all five time points was one's score on the Edinburgh Postnatal Depression Scale (EPDS) at pregnancy. Self-preoccupation, as an indicator of vulnerability to depression, showed no significant influence on depression at 5 weeks and 3 months postpartum, which suggested that early postpartum depression was mostly affected by physiological factors. Latent growth curve modeling analysis revealed that factors which influenced the slope were the EPDS score at pregnancy, self-esteem and attachment safety, negative affection toward the infant and parenting attitude at 3 months. It was evident that about 3 months postpartum was the turning point for recovery.

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