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Postnatal Depression - Myth and Reality: Maternal Depression Before and After the Birth of a Child

Najman, J. M., Andersen, M. J., Bor, W., O'Callaghan, M. J. and Williams, G. M. (2000-02) Postnatal Depression - Myth and Reality: Maternal Depression Before and After the Birth of a Child. Social Psychiatry and Psychiatric Epidemiology, 35 1: 19-27.

Document type: Journal Article
Collection: School of Population Health Publications  
 
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Author(s) Najman, J. M.
Andersen, M. J.
Bor, W.
O'Callaghan, M. J.
Williams, G. M.
Title Postnatal Depression - Myth and Reality: Maternal Depression Before and After the Birth of a Child
Journal name Social Psychiatry and Psychiatric Epidemiology
Publication date 2000-02
Volume number 35
Issue number 1
ISSN 0933-7954; 1433-9285
Start page 19
End page 27
Total pages 9
Place of publication Berlin
Publisher Springer International
Collection year 2000
Language eng
Subject 321204 Mental Health
C1
379999 Studies in Human Society not elsewhere classified
759999 Other social development and community services
Abstract Background Much has been written about postnatal depression as a clinical condition. There is some evidence to suggest that a substantial proportion of women who give birth experience a depression in the postnatal period. This paper reports the results of a longitudinal study of the mental health of a large sample of women who were in the early stages of pregnancy at entry to the study. Methods Each participant was assessed for symptoms of depression at the first clinic visit (entry to the study), and reassessed at various intervals - at 3-5 days, at 6 months, and again at 5 years after the birth of the child - using the DSSI-D (Delusions-Symptoms-States Inventory). Results Retrospective recall questions indicate that shortly after the birth the majority of women experienced some depressed mood. Of those who experienced depressed mood, the data suggest that the symptoms were not severe, nor did these symptoms generally continue beyond a few weeks. The longitudinal data indicate that levels of depression in our sample are highest either at the firrst clinic visit or at the 5-year follow-up. Rates of depression at the 6-month follow-up are relatively low by comparison. Conclusion While most mothers experience periods of depressed mood after the birth of their baby, these periods are generally of short duration and of lesser intensity than a major depression. Mothers appear to experience increasing levels of symptoms of depression as their child grows up. Many of the "cases" of depression experienced at the 5-year follow-up represent a recurrence of a previous experience of depression.
Keyword(s) postnatal depression
baby blues
longitudinal survey
mothers
Additional Notes Originally published as J. M. Najman, M. J. Andersen, W. Bor, M. J. O’Callaghan, G. M. Williams (2000) Postnatal Depression - Myth and Reality: Maternal Depression Before and After the Birth of a Child, Social Psychiatry and Psychiatric Epidemiology, (2000) 35 (1): 19-27. DOI: 10.1007/s001270050004 Copyright 2000 Springer-Verlag. All rights reserved. The original publication is available at www.springerlink.com.
 
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