TY - JOUR
T1 - Partner relationship quality predicts later postpartum depression independently of the chronicity of depressive symptoms
AU - Faisal-Cury, Alexandre
AU - Tabb, Karen
AU - Matijasevich, Alicia
N1 - Funding Information:
The study was funded by Fundac¸ão de Amparo à Pesquisa do Estado de São Paulo (FAPESP), funding number 2013/03267-8. AM was supported by Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq). KT was supported by the National Institutes of Minority Health Disparities, award number L60 MD008481.
PY - 2021/1/1
Y1 - 2021/1/1
N2 - Objective: Given the lifelong implications of extended postpartum depression (PPD), research is needed to examine the social factors implicated in its development (such as relationship quality) and associated predictors. This study sought to examine the association of partner relationship quality (PRQ) and decline of sexual life (DSL) with maternal PPD at 12-15 months after childbirth. Methods: Prospective study of 294 low-income postpartum women. A structured questionnaire and the Patient Health Questionnaire-9 (PHQ-9) captured responses for the main outcome variable and covariates. Results: The prevalence of the main outcome (PPD at 12-15 months) was 19.1%. Using logistic regression models, low PRQ (risk ratio [RR] = 1.58, 95%CI 1.01-2.49) and DSL (RR = 1.97, 95%CI 1.23-3.15) were associated with PPD at 12-15 months even after controlling for perinatal depression. Conclusions: Late PPD (12 to 15 months after giving birth) is very common among low-income women, and is independently associated with different aspects of the couple’s relationship. Improving PRQ may prevent late PPD. Future investigations are warranted.
AB - Objective: Given the lifelong implications of extended postpartum depression (PPD), research is needed to examine the social factors implicated in its development (such as relationship quality) and associated predictors. This study sought to examine the association of partner relationship quality (PRQ) and decline of sexual life (DSL) with maternal PPD at 12-15 months after childbirth. Methods: Prospective study of 294 low-income postpartum women. A structured questionnaire and the Patient Health Questionnaire-9 (PHQ-9) captured responses for the main outcome variable and covariates. Results: The prevalence of the main outcome (PPD at 12-15 months) was 19.1%. Using logistic regression models, low PRQ (risk ratio [RR] = 1.58, 95%CI 1.01-2.49) and DSL (RR = 1.97, 95%CI 1.23-3.15) were associated with PPD at 12-15 months even after controlling for perinatal depression. Conclusions: Late PPD (12 to 15 months after giving birth) is very common among low-income women, and is independently associated with different aspects of the couple’s relationship. Improving PRQ may prevent late PPD. Future investigations are warranted.
KW - Marital dissatisfaction
KW - Marital relationship
KW - Partner relationship quality
KW - Perinatal depression
KW - Postpartum depression
KW - Sexual functioning
UR - http://www.scopus.com/inward/record.url?scp=85100864032&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85100864032&partnerID=8YFLogxK
U2 - 10.1590/1516-4446-2019-0764
DO - 10.1590/1516-4446-2019-0764
M3 - Article
C2 - 32725101
VL - 43
SP - 12
EP - 21
JO - Brazilian Journal of Psychiatry
JF - Brazilian Journal of Psychiatry
IS - 1
ER -