Cited by 144Maternal Mental Health During Pregnancy and PostpartumChild and Adolescent Psychosocial and Emotional DevelopmentMaternal and Neonatal Healthcare

Trajectories of mothers’ and fathers’ depressive symptoms from pregnancy to 24 months postpartum

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Kiviruusu, Olli, Pietikäinen, Johanna T., Kylliäinen, Anneli, Pölkki, Pirjo, Saarenpää-Heikkilä, Outi, Marttunen, Mauri, Paunio, Tiina, Paavonen, E. Juulia·2020·Journal of Affective Disorders

Abstract

OBJECTIVES: This study investigated trajectories of mothers' and fathers' depressive symptoms from prenatal to 24 months postpartum. Prenatal correlates of the trajectories were also examined. METHODS: Mothers (N = 1670) and fathers (N = 1604) from the Finnish CHILD-SLEEP birth cohort, reported depressive symptoms at 32nd pregnancy week and 3, 8, and 24 months postpartum using the Center for Epidemiologic Studies Depression Scale (CES-D, 10-item). Profile analysis was used to group participants according to their longitudinal patterns of depressive symptoms. Prenatal predictors (sociodemographic, health, substance use, sleep, and stress related factors, family atmosphere) of depressive symptom trajectories as well as association between parents' trajectories were analyzed using multinomial logistic regression. RESULTS: For both mothers and fathers, a solution with three stable depressive symptom trajectories (low: 63.1% mothers and 74.9% fathers; moderate: 28.1% and 22.6%; high: 8.8% and 2.6%) was considered the best fitting and most informative. Insomnia, earlier depression, anxiousness, stressfulness, and poor family atmosphere predicted the moderate and high (compared to low) depressive symptom trajectories among both mothers and fathers in multivariate analyses. Mother's higher depressive symptom trajectory was significantly associated with father's higher symptom trajectory (p < 0.001). LIMITATIONS: Number of cases in the high depressive symptom trajectory group among fathers was low. CONCLUSIONS: Maternal and paternal depressive symptom trajectories from prenatal period up to two years postpartum seem stable, indicating the chronic nature of perinatal depressive symptoms. Mothers' and fathers' trajectories are associated with each other and their strongest predictors are common to both.

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Authors
Kiviruusu, O., Pietikäinen, J. T., Kylliäinen, A., Pölkki, P., Saarenpää-Heikkilä, O., Marttunen, M., Paunio, T., & Paavonen, E. J.
Affiliations
  • University of Helsinki (FI)
  • Tampere University (FI)
  • University of Eastern Finland (FI)
Corresponding author
Kiviruusu, Olli
Venue
Journal of Affective Disorders
Publisher
Elsevier BV
Published
2020-01
Volume
260
Pages
629-637
ISSN
0165-0327 (ISSN-L)
OpenAlex
W2972737000
Cited by
143
References
52
Citations by year
2026: 15 · 2025: 17 · 2024: 31 · 2023: 31 · 2022: 20 · 2021: 14 · 2020: 14 · 2019: 1
FWCI
11.34
Type
journal article
Language
en
Open access
Locations
  • Journal of Affective Disorders (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • Työväentutkimus Vuosikirja (submittedVersion)
  • STM:n Hallinnonalan avoin julkaisuarkisto (Julkari) (submittedVersion, other-oa)
Funders
  • Yrjö Jahnssonin Säätiö
  • Signe ja Ane Gyllenbergin Säätiö
  • Suomen Kulttuurirahasto
  • Lastentautien Tutkimussäätiö
  • Emil Aaltosen Säätiö
  • Academy of Finland (308588, 309117, 134880, 277557, 253346, 317080 AK)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
  • Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
Keywords
perinatal depression, maternal depressive symptoms, paternal depressive symptoms, depressive symptom trajectories, prenatal predictors, insomnia, anxiety, stress, family climate, postpartum depression
MeSH terms
Adult, Depression, Fathers, Female, Finland, Gestational Age, Humans, Male, Mothers, Pregnancy, Risk Factors, Stress, Psychological, Cohort Studies, Depression, Postpartum

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