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Prevalence, Incidence, and Persistence of Postpartum Depression, Anxiety, and Comorbidity among Chinese Immigrant and Nonimmigrant Women: A Longitudinal Cohort Study.
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- Author(s): Dennis, Cindy-Lee; Brown, Hilary K.; Wanigaratne, Susitha; Fung, Kenneth; Vigod, Simone N.; Grigoriadis, Sophie; Marini, Flavia; Brennenstuhl, Sarah
- Source:
Canadian Journal of Psychiatry; Jan2018, Vol. 63 Issue 1, p44-53, 10p, 4 Charts- Subject Terms:
POSTPARTUM depression; WOMEN immigrants; DISEASE prevalence; ANXIETY in women; COMORBIDITY; DISEASE incidence; SYMPTOMS; CHINESE people; PATIENTS; PSYCHOLOGY; ANXIETY; COMPARATIVE studies; IMMIGRANTS; LONGITUDINAL method; RESEARCH methodology; MEDICAL cooperation; RESEARCH; RESEARCH funding; TIME; EVALUATION research; EDINBURGH Postnatal Depression Scale; STATE-Trait Anxiety Inventory - Source:
- Additional Information
- Alternate Title: Prévalence, incidence, et persistance de la dépression du postpartum, de l'anxiété et de la comorbidité chez des femmes chinoises immigrantes et non immigrantes: une étude de cohorte longitudinale. (French)
- Subject Terms:
- Abstract:
Objective: Our objectives were to examine the prevalence and incidence of postpartum depressive, anxiety, and comorbid symptoms over the first postpartum year; the persistence of these symptoms; and the prevalence stratified by immigration status.Method: We conducted a longitudinal cohort study in Ontario, Canada. Participants were 571 Chinese recent immigrant, nonrecent immigrant, and Canadian-born women with live births in 2011 to 2014. Participants were assessed at 4, 12, and 52 weeks postpartum for the presence of possible and high depressive symptomatology (Edinburgh Postnatal Depression Scale [EPDS] >9 and >12, respectively), anxiety symptomatology (State-Trait Anxiety Inventory [STAI] >40), and comorbid symptomatology (EPDS >9 and STAI >40). Prevalence and incidence with 95% confidence intervals were calculated.Results: Prevalence rates were highest at 4 weeks and decreased across time, with possible depressive symptomatology most prevalent at most time points. Incidence rates at 12 and 52 weeks were generally similar. Of those with possible symptomatology at 4 weeks, 42.0% or less continued to have symptomatology at 12 weeks and 17.4% or less at 52 weeks. There were no differences in prevalence of any type of symptomatology between immigrant and Canadian-born Chinese women at 4 weeks, but at 12 and 52 weeks, most types of symptomatology were more common among recent and nonrecent immigrants.Conclusion: Our findings suggest that Chinese immigrant women are a high-risk group for postpartum depressive and anxiety symptomatology. Future research should identify cultural and psychosocial factors associated with immigration that could be addressed in the system of care for postpartum immigrant women. [ABSTRACT FROM AUTHOR] - Abstract: Objectif: Nous avions comme objectifs d'examiner la prévalence et l'incidence des symptômes dépressifs du postpartum, anxieux, et comorbides durant la première année du postpartum, la persistance de ces symptômes; et la prévalence stratifiée selon le statut d'immigration. Méthode: Nous avons mené une étude de cohorte longitudinale en Ontario, Canada. Les participantes étaient 571 femmes chinoises immigrantes récentes, immigrantes non récentes, et nées au Canada qui ont eu des naissances vivantes de 2011 à 2014. Les participantes ont été évaluées à 4, 12, et 52 semaines du postpartum pour la présence d'une symptomatologie dépressive possible et élevée (Edinburgh Postnatal Depression Scale [EPDS] > 9 et > 12, respectivement), d'une symptomatologie d'anxiété (State-Trait Anxiety Inventory [STAI] > 40), et d'une symptomatologie comorbide (EPDS > 9 et STAI > 40). La prévalence et l'incidence ont été calculées avec des intervalles de confiance à 95%. Résultats: Les taux de prévalence étaient les plus élevés à 4 semaines et diminuaient avec le temps, et la symptomatologie dépressive possible était la plus prévalente à la plupart des points du suivi. Les taux d'incidence à 12 et 52 semaines étaient généralement semblables. Parmi celles qui avaient une symptomatologie possible à 4 semaines, 42,0% ou moins ont continué la symptomatologie à 12 semaines et 17,4% ou moins à 52 semaines. Il n'y avait pas de différences de prévalence de tout type de symptomatologie entre les femmes chinoises immigrantes et celles nées au Canada à 4 semaines, mais à 12 et 52 semaines, la plupart des types de symptomatologie étaient plus communs chez les immigrantes récentes et non récentes. Conclusion: Nos résultats suggèrent que les femmes chinoises immigrantes forment un groupe à risque élevé de symptomatologie dépressive et d'anxiété. La future recherche devrait identifier les facteurs culturels et psychosociaux associés à l'immigration qui pourraient être pris en compte dans le système de soins du postpartum chez les femmes immigrantes. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Canadian Journal of Psychiatry is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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