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Cited by 46Maternal Mental Health During Pregnancy and PostpartumSexual function and dysfunction studiesMaternal and Perinatal Health Interventions

The Relationship Between Depressive/Anxiety Symptoms During Pregnancy/Postpartum and Sexual Life Decline After Delivery

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Faisal-Cury, Alexandre, Huang, Hsiang, Chan, Ya-Fen, Menezes, Paulo Rossi·2013·The Journal of Sexual Medicine
DOI 10.1111/jsm.12092PMC PMC3727156
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Abstract

INTRODUCTION: Several factors have been found to be independently associated with decline in sexual activity after delivery. However, the association between depression in pregnancy/postpartum and sexual problems is less clear. AIM: To prospectively evaluate the relationship between depressive/anxiety symptoms (DAS) during the perinatal period and sexual life in the postpartum period. METHODS: A prospective cohort study conducted between May 2005 and March 2007 included 831 pregnant women recruited from primary care clinics of the public sector in São Paulo, Brazil. Four groups with DAS during antenatal and postpartum periods were identified using the Self Report Questionnaire (SRQ-20): absence of both antenatal and postpartum DAS; presence of antenatal DAS only; presence of postpartum DAS only; and presence of both antenatal and postpartum DAS. The primary outcome was perception of sexual life decline (SLD) before and after pregnancy/delivery. Crude and adjusted risk ratios (RR), with 95% confidence intervals (95% CI), were calculated using Poisson regression to examine the associations between DAS and SLD. MAIN OUTCOME MEASURE: The main outcome measure of this study is the perception of SLD before and after pregnancy/delivery. RESULTS: SLD occurred in 21.1% of the cohort. In the multivariable analysis, the following variables were independently associated with SLD: DAS during both pregnancy and postpartum (RR: 3.17 [95% CI: 2.18-4.59]); DAS during only the postpartum period (RR: 3.45 [95% CI: 2.39-4.98]); a previous miscarriage (RR: 1.54 [95% CI: 1.06-2.23]); and maternal age (RR: 2.11 [95% CI: 1.22-3.65]). CONCLUSIONS: Postpartum women with DAS have an increased likelihood for SLD up to 18 months after delivery. Efforts to improve the rates of recognition and treatment of perinatal depression/anxiety in primary care settings have the potential to preserve sexual functioning for low-income mothers.

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  • Mothers who had resumed sexual activity had lower depression scores than mothers who did not resume sexual activity during the postpartum period.

    “Regarding sexual life during the first year after childbirth, mothers who had resumed sexual activity had lower depression scores than mothers who did not resume sexual activity during the postpartum period.38”

    From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [38]

    The Results report that women who resumed sexual activity had fewer depressive/anxiety symptoms (DAS) than a comparison group. But that group combined women who had not resumed sexual activity with women who did not return for postpartum follow-up; the Methods also describe a depression/anxiety screening measure, not separate depression scores. The reported comparison therefore does not establish the claim exactly as stated. (LLM, conf=0.88)

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Authors
Faisal-Cury, A., Huang, H., Chan, Y.-F., & Menezes, P. R.
Affiliations
  • Preventive Medicine Department   , São Paulo , Brazil
  • Cambridge Health Alliance (US)
  • University of Washington (US)
  • Universidade de São Paulo (BR)
ORCID
Venue
The Journal of Sexual Medicine
Publisher
Oxford University Press (OUP)
Published
2013-05-01
Volume
10
Issue
5
Pages
1343-1349
ISSN
  • 1743-6095 (ISSN-L)
  • 1743-6109
DOI
10.1111/jsm.12092
PMC
PMC3727156
OpenAlex
W2127351497
Cited by
46
References
46
Citations by year
2026: 3 · 2025: 2 · 2024: 5 · 2023: 4 · 2022: 3 · 2021: 5 · 2020: 5 · 2019: 3 · 2018: 3 · 2017: 3 · 2016: 5 · 2015: 3 · 2014: 2
FWCI
3.40
Type
journal article
Language
en
Open access
Licence
academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
Locations
  • The Journal of Sexual Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • FAPESP
  • CNPq-Brazil
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
Keywords
perinatal depression, perinatal anxiety, postpartum depression, sexual dysfunction, pregnancy, postpartum period, miscarriage, maternal age, primary care, low-income mothers
MeSH terms
Adult, Anxiety, Brazil, Cross-Sectional Studies, Depression, Female, Humans, Pregnancy, Prospective Studies, Surveys and Questionnaires, Sexual Behavior, Odds Ratio, Depression, Postpartum, Sexual Dysfunctions, Psychological, Delivery, Obstetric, Young Adult

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