Health-related quality of life in postpartum depressed women
Abstract
The objectives of this study were a) to evaluate health-related quality of life (HRQoL) among women with postpartum depression, b) examine the association between severity of depressive symptoms and level of impairment in physical and mental HRQoL and c) to identify contributors to physical and mental HRQoL. Seventy-eight women scoring > or =10 on the Edinburgh Postnatal Depression Scale completed the questionnaires measuring: HRQoL (Medical Outcomes Study 36-item short form SF-36), sleep quality, life stress, and social support. All women underwent a cardiovascular stress test to determine aerobic capacity. Compared to Canadian normative data, women experiencing postpartum depressed mood scored significantly lower on all SF-36 domains, as well as on the SF-36 physical and mental component summary score. Severity of depressed mood was not associated to worse physical health status, while poorer aerobic capacity emerged as a significant independent contributor of physical health status. Severity of depressed mood contributed to worse mental health status. After controlling for severity of depressed mood, the occurrence of pregnancy complications, cesarean delivery, poorer sleep quality, life stress, and less social support predicted poorer mental health status.
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Compared to the general population of women, depressed mothers scored significantly lower on the SF-36 physical component summary score.
“One study found that compared to the general population of women, depressed mothers scored significantly lower on the 36-Item Short Form Health Survey (SF-36) physical component summary score (assessed based on physical functioning, role limitations due to physical health, bodily pain, and general health perceptions).88”
From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [88]
The severity of depressed mood was not associated with worse physical health status.
“However, this study indicated that the severity of the depressed mood was not associated with a worse physical health status, whereas a worse aerobic capacity emerged as a significant independent contributor to physical health status.”
From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [88]
Worse aerobic capacity emerged as a significant independent contributor to physical health status.
“However, this study indicated that the severity of the depressed mood was not associated with a worse physical health status, whereas a worse aerobic capacity emerged as a significant independent contributor to physical health status.”
From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [88]
Compared to the general population of women, depressed mothers scored significantly lower on the SF-36 mental component summary score.
“One study highlighted that compared to the general population of women, depressed mothers scored significantly lower on the SF-36 mental component summary score (based on vitality, social functioning, role limitations due to emotional problems, and mental health).88”
From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [88]
Women who were depressed during postpartum scored significantly lower on all eight SF-36 dimensions and on both summary component scores compared to age-appropriate normative means.
“Women who were depressed during postpartum scored significantly lower on all eight SF-36 dimensions and on both summary component scores compared to age-appropriate normative means.”
From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [88]
Depressed mood was a significant predictor of mental health status in the future, explaining 18% of its variance.
“This study also showed that depressed mood was a significant predictor of mental health status in the future (explaining 18% of its variance).88”
From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [88]
Three studies demonstrated a significantly negative association between maternal depressive symptoms and quality of life.
“Three studies48,86,88 demonstrated a significantly negative association between maternal depressive symptoms and quality of life.”
From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [88]
Women with PPD had lower scores on all dimensions of quality of life than women without PPD.
“Women with PPD had lower scores on all dimensions of quality of life (e.g. SF-36 or a generic Health-Related Quality of Life (HRQoL) questionnaire) than women without PPD.”
From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [88]
Depressed mothers presented more postpartum weight retention (PPWR) and lower scores on all SF-36 domains.
“Only three studies included in the present systematic review showed that depressed mothers presented more PPWR35,67 and lower scores on all SF-36 domains,88”
From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [88]
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Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes
Slomian, J., Honvo, G., Emonts, P., Reginster, J.-Y., & Bruyère, O. (2019) · Women's Health · doi:10.1177/1745506519844044 · Cited by 1,496 · see citing works
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- Authors
- Da Costa, D., Dritsa, M., Rippen, N., Lowensteyn, I., & Khalifé, S.
- Affiliations
- Université du Québec à Montréal (CA)
- Montreal General Hospital (CA)
- McGill University Health Centre (CA)
- Venue
- Archives of Women's Mental Health
- Published
- 2005-10-18
- Volume
- 9
- Issue
- 2
- Pages
- 95-102
- ISSN
- 1434-1816 (ISSN-L)
- 1435-1102
- OpenAlex
- W2031190566
- Cited by
- 195
- References
- 56
- Citations by year
- 2026: 6 · 2025: 8 · 2024: 14 · 2023: 8 · 2022: 13 · 2021: 11 · 2020: 8 · 2019: 9 · 2018: 9 · 2017: 8 · 2016: 10 · 2015: 9 · 2014: 18 · 2013: 10 · 2012: 10
- FWCI
- 4.18
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Archives of Women s Mental Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Keywords
- postpartum depression, health-related quality of life, depression severity, physical health status, mental health status, cardiorespiratory fitness, sleep quality, life events, social support, pregnancy complications, cesarean section
- MeSH terms
- Activities of Daily Living, Adult, Affect, Anxiety, Female, Health Status, Humans, Infant, Newborn, Mothers, Postnatal Care, Pregnancy, Quality of Life, Quebec, Surveys and Questionnaires, Sleep Wake Disorders, Social Support, Comorbidity, Depression, Postpartum
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