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Pathways between Risk/Protective Factors and Maternal Postnatal Depressive Symptoms: The ELFE Cohort

dc.rights.licenseopenen_US
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorBALES, Melanie
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorPAMBRUN, Elodie
dc.contributor.authorMAGUET, Charlotte
dc.contributor.authorVAN DER WAERDEN, Judith
dc.contributor.authorGLANGEAUD-FREUDENTHAL, Nine
dc.contributor.authorCHARLES, Marie-Aline
dc.contributor.authorBOIS, Corinne
dc.contributor.authorMELCHIOR, Maria
dc.contributor.authorMILGROM, Jeannette
dc.contributor.authorFALISSARD, Bruno
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorVERDOUX, Helene
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorSUTTER-DALLAY, Anne-Laure
dc.date.accessioned2023-06-23T13:30:43Z
dc.date.available2023-06-23T13:30:43Z
dc.date.issued2023-04-29
dc.identifier.issn2077-0383en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/182795
dc.description.abstractEnOBJECTIVE: The risk factors for postnatal depressive symptoms (PNDS) are numerous, but little is known about the protective factors or the interactions between different exposures. The present study explored the pathways between maternal, infant and parenthood vulnerabilities or risk/protective factors and PNDS at 2 months postpartum (PP) in a large sample of women from the general population. METHODS: We used data from the French ELFE cohort, a nationally representative cohort of children followed-up from birth. The available information about vulnerabilities or risk/protective factors for PNDS was collected during the maternity ward stay (mother or medical records) and at 2 months PP (mother by phone). PNDS were evaluated with the Edinburgh Postnatal Depression Scale (EPDS) at 2 months. A measurement model was built based on the psychosocial model for PNDS of Milgrom and colleagues using exploratory factor analysis. The Structural Equation Model was used to investigate the pathways between vulnerability, risk/protective factors and PNDS at 2 months PP. RESULTS: In the study sample (n = 11,583), a lack of a partner's perceived antenatal emotional support, consultation with a mental health specialist before pregnancy, family financial difficulties, prenatal psychological distress and a difficult pregnancy experience were directly associated with the severity of maternal PNDS at 2 months PP, as well as lack of perceived postnatal support. Family financial difficulties and consultation with a mental health specialist before pregnancy were also indirectly associated with the intensity of PNDS through a lack of perceived antenatal emotional support, a difficult pregnancy experience, prenatal psychological distress and a lack of perceived postnatal support. Regarding infant and parenthood characteristics, infant self-regulation difficulties, maternal difficulty in understanding infant crying and infant hospitalisation were directly associated with PNDS severity at 2 months PP, while maternal difficulty in understanding an infant's cries was also indirectly associated with infant self-regulation difficulties. CONCLUSIONS: Perinatal professional support should begin antenatally and target the couple's prenatal functioning, with particular attention to women presenting a history of psychiatric disorders, especially those of low socioeconomic status. After delivery, addressing infant and parenthood characteristics is also recommended.
dc.description.sponsorshipDéterminants sociaux des trajectoires de santé mentale depuis la petite enfance. - ANR-12-DSSA-0002en_US
dc.language.isoENen_US
dc.rightsAttribution 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/us/*
dc.subject.enMaternal mood disorders
dc.subject.enPathways
dc.subject.enRisk and protective factors
dc.title.enPathways between Risk/Protective Factors and Maternal Postnatal Depressive Symptoms: The ELFE Cohort
dc.title.alternativeJ Clin Meden_US
dc.typeArticle de revueen_US
dc.identifier.doi10.3390/jcm12093204en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed37176644en_US
bordeaux.journalJournal of Clinical Medicineen_US
bordeaux.volume12en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.issue9en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamAHEAD_BPHen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.exportfalse
dc.rights.ccPas de Licence CCen_US
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Journal%20of%20Clinical%20Medicine&rft.date=2023-04-29&rft.volume=12&rft.issue=9&rft.eissn=2077-0383&rft.issn=2077-0383&rft.au=BALES,%20Melanie&PAMBRUN,%20Elodie&MAGUET,%20Charlotte&VAN%20DER%20WAERDEN,%20Judith&GLANGEAUD-FREUDENTHAL,%20Nine&rft.genre=article


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