DOĞUM SONRASI DÖNEMDE İLK VE İKİNCİ ÇOCUĞU DOĞURAN KADINLARIN DEPRESYON DÜZEYLERİ AÇISINDAN KARŞILAŞTIRILMASI

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Year-Number: 2019-17
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Number of pages: 560-571
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Abstract

Postpartum Depresyon kadınlarda doğum sonrası görülen bir rahatsızlıktır. Fiziksel ve sosyal birçok sebebi bulunmaktadır. Bu çalışmanın temel amacı ilk çoğunu ve ikinci çocuğunu doğuran annelerin postpartum dönemde depresyon düzeylerinin incelenmesi ve karşılaştırılmasıdır. Mevcut çalışma Şişli-Nişantaşı mevkiinde bir özel hastanede Kadın Doğum servisinde doğum yapmış kadınlar üzerinde gerçekleştirilmiştir. Örneklem olarak 100’ü ilk doğum, 100’ü ikinci doğum olmak üzere uygun örnekleme yöntemiyle 200 anne belirlenmiştir. Annelere Beck depresyon ölçeği ve Demografik soru formu uygulanmıştır. Verilerin analizinde iki gruba T- test uygulanıp karşılaştırılmıştır. Yaş, meslek, eğitim düzeyi ve doğum sayısı gibi sürekli değişkenler arasındaki korelasyona bakılmıştır. Bunun yanı sıra demografik formda sorgulanan eğitim düzeyi, bakıcı desteği, gelir düzeyi gibi değişkenlerin depresyon skoru üzerinde etkisi olup olmadığı regresyon analizi uygulanarak belirlenmiştir.Araştırma sonucunda gelir düzeyi ile doğum sayısı arasında anlamlı ilişki bulunmuştur(X2=14,638; p=0,001<0.05). Ayrıca Bakıcı Desteği Olma Durumu ile doğum sayısı arasında anlamlı ilişki tespit edilmiştir(X2=5,152; p=0,024<0.05). Çalışılan T-test sonucunda ise kadınların doğum sayısına göre depresyon puanları anlamlı farklılık göstermektedir(t(112)=5.836; p=0.000<0,05). Araştırmada yapılan T-test sonucuna göre; ilk çocuğunu doğuran kadınların depresyon düzeyi (x̄=22,717), ikinci çocuğunu doğuran kadınların depresyon düzeyinden (x̄=13,463) yüksek bulunmuştur.

Keywords

Abstract

Postpartum Depression is a disorder which appears after giving birth in women. There are many physical and social reasons. The main purpose of this study was to investigate and compare the postpartum depression levels of mothers who had their first and second children. The present study was conducted on women who had given birth in the Obstetrics Department in a private hospital in Şişli-Nisantasi. As a sample, 200 mothers, 100 of which were first birth and 100 of which were second birth, were identified by convenience sampling method. Beck depression scale and Demographic Questionnaire were administered to the mothers. In the analysis of the data, two groups were applied T-test and compared. The correlation between continuous variables such as age, occupation, education level and number of births was examined. In addition, it was determined by using regression analysis whether the variables such as education level, caregiver support, income level questioned in the demographic form had an effect on the depression score. In addition, there was a significant relationship between the number of births and carer support status (X2 = 5,152; p = 0.024 <0.05). As a result of the T-test, depression scores differed significantly according to the number of births of women (t (112) = 5.836; p = 0.000 <0.05). According to T-test results; The depression level of women who gave birth to their first child (x̄ = 22,717) was higher than the depression level of women who gave birth to their second child (x̄ = 13,463).

Keywords


  • Andrade L, Caraveo-Anduaga J, Berglund P, et al. (2003) Epidemiology of major depressive episodes:

  • Andrade L, Caraveo-Anduaga J, Berglund P, et al. (2003) Epidemiology of major depressive episodes:Results from the International Consortium of Psychiatric Epidemiology (ICPE) surveys. International Journal of Methods in Psychiatric Research 12(1): 3–21.

  • Anoop S, Saravanan B, Joseph A, Cherian A, Jacob KS (2004) Maternal depression and low maternalintelligence as risk factors for malnutrition in children: a community based case-control study from South India. Arch Dis Child 89(4):325-9.

  • Atkinson, A. K., & Rickel, A. U. (1984). Postpartum depression in primiparous parents. Journal of Abnormal Psychology, 93(1), 115-119.

  • Beck CT (2001) Predictors of postpartum depression: an update. Nurs Res 50(5):27585.

  • Berle JO, Aarre TF, Mykletun A, Dahl AA, Holsten F (2003) Screening for postnatal depression.Validation of the Norwegian version of the Edinburgh Postnatal Depression Scale, and assessment of risk factors for postnatal depression. J Affect Disord 76(1-3):151-6.

  • Bick DE, MacArthur C, Lancashire RJ (1998) What influences the uptake and early cessation of breast feeding? Midwifery 14(4):242-7.

  • Bloch M, Schmidt PJ, Danaceau M, Murphy J, Nieman L, Rubinow DR (2000) Effects of gonadal steroids in women with a history of postpartum depression. Am J Psychiatry 157(6):924-30.

  • Brockington IF, Margison FR, Schofield E, et al. (1988) The clinical picture of the depressed form of puerperal psychosis. Journal of Affective Disorders 15(1): 29–37.

  • Cadzow SP, Armstrong KL, Fraser JA (1999) Stressed parents with infants: reassessing physical abuse risk factors. Child Abuse Negl 23(9):845-53.

  • Chandran M, Tharyan P, Muliyil J, Abraham S (2002) Post-partum depression in a cohort of women from a rural area of Tamil Nadu, India. Incidence and risk factors. Br J Psychiatry 181:499-504.

  • Cleare A, Pariante C and Young A (2015) Evidence-based guidelines for treating depressive disorderswith antidepressants: A revision of the 2008 British Association for Psychopharmacology guidelines. Journal of Psychopharmacology 29(5): 459–525.

  • Cohen, L.S. & Nonacs, R.M. (2005) Mood and Anxiety Disorders during Pregnancy and Postpartum. American Psychiatric Publishing. Washington.

  • Cooper PJ, Campbell EA, Day A, Kennerley H, Bond A (1988) Non-psychotic psychiatric disorderafter childbirth. A prospective study of prevalence, incidence, course and nature. Br J Psychiatry 152:799-806.

  • Field T, Diego M, Hernandez-Reif M, et al. (2007) Sleep disturbances in depressed pregnant women and their newborns. Infant Behavior and Development 30: 127–133.

  • Forty L, Jones L, Macgregor S, Caesar S, Cooper C, Hough A, Dean L, Dave S, Farmer A, McGuffinP, Brewster S, Craddock N, Jones I (2006) Familiality of postpartum depression in unipolar disorder: results of a family study. Am J Psychiatry 163(9):1549-53.

  • Gavin NI, Gaynes BN, Lorh KN, et al. (2005) Perinatal depression: A systematic review of prevalence and incidence. Obstetrics and Gynecology 106(5): 1071–1083.

  • Greden, J.F. (2001) Treatment of Recurrent Depression. American Psychiatric Publishing. Washington.

  • Groer MW, Morgan K (2007) Immune, health and endocrine characteristics of depressed postpartum mothers. Psychoneuroendocrinology 32(2):133-9.

  • Halbreich U, Karkun S (2006) Cross-cultural and social diversity of prevalence of postpartum depression and depressive symptoms. J Affect Disord 91(2-3):97111.

  • Hagen, E.H. (1999) The Functions of Postpartum Depression. University Of California, Department of Antropology.

  • Harris B (1994) Biological and hormonal aspects of postpartum depressed mood. Br J Psychiatry 164(3):288-92.

  • Heron J, O'Connor TG, Evans J, Golding J, Glover V (2004) The course of anxiety and depression through pregnancy and the postpartum in a community sample. J Affect Disord 80(1):65-73.

  • Hisli, N. (1989). Beck Depresyon Envanterinin üniversite öğrencileri için geçerliği, güvenirliği. Psikoloji dergisi, 7(23), 3-13.

  • Holden C (2005) Sex and the suffering brain. Science 308(5728):1574.

  • Regina Lederman and Karen Weis, Identification with a Motherhood Role, Psychosocial Adaptation to Pregnancy, 10.1007/978-1-4419-0288-7_3, (57-86), (2009).

  • Lépine JP and Briley M (2011) The increasing burden of depression. Neuropsychiatric Disease and Treatment 7(Suppl 1): 3–7.

  • Logsdon MC, Birkimer JC, Usui WM (2000) The link of social support and postpartum depressivesymptoms in African-American women with low incomes. MCN Am J Matern Child Nurs 25(5):262- 6.

  • Murray L, Sinclair D, Cooper P, Ducournau P, Turner P, Stein A (1999) The socioemotionaldevelopment of 5-year-old children of postnatally depressed mothers. J Child Psychol Psychiatry 40(8):1259-71.

  • Nielsen Forman D, Videbech P, Hedegaard M, Dalby Salvig J, Secher NJ (2000) Postpartum depression: identification of women at risk. Bjog 107(10):1210-7.

  • Oates M (2003) Perinatal psychiatric disorders: a leading cause of maternal morbidity and mortality. Br Med Bull 67:219-29.

  • O'Hara MW, Swain AM (1996) Rates and risk of postpartum depression-a metaanalysis. International Review of Psychiatry 8(1):37 - 54.

  • O'Hara, M. W. & Swain, A. M. Rates and risk of postpartum depression- a meta-analysis. Int Rev Psychiatry 1996; 8: 37-54.

  • Osby U, Brandt L, Correia N, et al. (2001) Excess mortality in bipolar and unipolar disorder in Sweden. Archives of General Psychiatry 58(9): 844–50.

  • Özdemir S.(2007). Postpartum Depresyon Sıklıgı Ve İlişkili Sosyodemografik Etmenler Konya Selçuk Üniversitesi Aile Hekimliği Uzmanlık Tezi (Danışman: Prof. Dr. Selma ÇİVİ)

  • Özen, Y. ve Gül, E. (2007) Sosyal ve eğitim bilimleri araştırmalarında evren-örneklem sorunu. Atatürk Üniversitesi.

  • Pariante CM (2014) Depression during pregnancy: molecular regulations of mothers’ and children’s behaviour. Biochemical Society transactions 42(2): 582–6.

  • Patel V, Rodrigues M, DeSouza N (2002) Gender, poverty, and postnatal depression: a study of mothers in Goa, India. Am J Psychiatry 159(1):43-7.

  • Robertson E, Grace S, Wallington T, Stewart DE (2004) Antenatal risk factors for postpartum depression: a synthesis of recent literature. Gen Hosp Psychiatry 26(4):289-95.

  • Sackeim HA (2001) The definition and meaning of treatment-resistant depression. The Journal of Clinical Psychiatry 62(Suppl 16): 10–17.

  • Smith, J. Conceiving selves: a case study of changing identities during the transition to motherhood. J Lang Soc Psychol 1991; 10 (4): 225-243.

  • Stewart, D.E., Robertson, E., Dennis, C-L., Grace, S.L., & Wallington, T. (2003). Postpartum depression: Literature review of risk factors and interventions

  • Stern, D.N. The motherhood constellation: a unified view of parent-infant Psychotherapy 1998, Karnac Books, London.

  • Stone Dowd, S. & Menken, A. E. (2008) Perinatal and Postpartum Mood Disorders : Perspective and Treatment Guide for Health Care Practitioner. Springer Publishing Company, New York.

  • Swain AM, O'Hara MW, Starr KR, Gorman LL (1997) A prospective study of sleep, mood, and cognitive function in postpartum and nonpostpartum women. Obstet Gynecol 90(3):381-6.

  • Teissedre, F. & Chadrol, H. (2004) A study of the Edinburgh Postnatal Depression Scale (EPDS) on859 mothers: detection of mothers at risk for postpartum depression. Journal L’encephale, 30(4):376- 381.

  • Tomfohr LM, Buliga E, Letourneau NL, et al. (2015) Trajectories of sleep quality and associations with mood during the perinatal period. Sleep 38(8): 1237–1245.

  • Treloar SA, Martin NG, Bucholz KK, Madden PA, Heath AC (1999) Genetic influences on post-natal depressive symptoms: findings from an Australian twin sample. Psychol Med 29(3):645-54.

  • Warner R, Appleby L, Whitton A, Faragher B (1996) Demographic and obstetric risk factors for postnatal psychiatric morbidity. Br J Psychiatry 168(5):607-11.

  • Wisner KL, Chambers C, Sit DK (2006) Postpartum depression: a major public health problem. JamaWorld Health Organisation. (1992). ICD-10 Classifications of Mental and Behavioural Disorder: Clinical Descriptions and Diagnostic Guidelines. Geneva. World Health Organization.

  • Yonkers K, Vigod S and Ross L (2011) Diagnosis, pathophysiology, and management of mood disorders in pregnant and postpartum women. Obstetrics & Gynecology 117: 961–977.

                                                                                                                                                                                                        
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