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Coping Strategies and Postpartum Depressive Symptoms: a Structural Equation Modelling Approach

Published online by Cambridge University Press:  30 June 2015

A. Gutiérrez-Zotes*
Affiliation:
Hospital Universitari Institut Pere Mata, IISPV, Universitat Rovira i Virgili, CIBERSAM, Reus, Spain
J. Labad
Affiliation:
Hospital Universitari Institut Pere Mata, IISPV, Universitat Rovira i Virgili, CIBERSAM, Reus, Spain
R. Martín-Santos
Affiliation:
Psychiatry Department, Neuroscience Institute, Hospital Clinic, IDIBAPS, CIBERSAM and Department of Psychiatry and Clinical Psychobiology, University of Barcelona, Barcelona, Spain Neuroscience Program, IMIM-Parc de Salut Mar, Autonomous University of Barcelona, RTA, Barcelona, Spain
L. García-Esteve
Affiliation:
Psychiatry Department, Neuroscience Institute, Hospital Clinic, IDIBAPS, CIBERSAM and Department of Psychiatry and Clinical Psychobiology, University of Barcelona, Barcelona, Spain
E. Gelabert
Affiliation:
Neuroscience Program, IMIM-Parc de Salut Mar, Autonomous University of Barcelona, RTA, Barcelona, Spain Department of Clinical and Health Psychology, Autonomous University of Barcelona, Bellaterra, Barcelona, Spain
M. Jover
Affiliation:
Hospital Clínico, University of Valencia, CIBERSAM, Valencia, Spain
R. Guillamat
Affiliation:
Corporación Sanitaria Parc Taulí, Sabadell, Autonomous University of Barcelona, Barcelona, Spain
F. Mayoral
Affiliation:
Unidad de Gestión Clínica de Salud Mental, Instituto de Investigación Biomédica de Málaga (IBIMA), Complejo Hospitalario de Málaga, Universidad de Málaga, Spain
I. Gornemann
Affiliation:
Unidad de Gestión Clínica de Salud Mental, Instituto de Investigación Biomédica de Málaga (IBIMA), Complejo Hospitalario de Málaga, Universidad de Málaga, Spain
F. Canellas
Affiliation:
Hospital de Son Dureta, Palma de Mallorca, Spain
M. Gratacós
Affiliation:
Centre for Genomic Regulation (CRG) and UPF, Barcelona, Spain Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain
M. Guitart
Affiliation:
Corporación Sanitaria Parc Taulí, Sabadell, Autonomous University of Barcelona, Barcelona, Spain
M. Roca
Affiliation:
Institut Universitari d’Investigació en Ciències de la Salut, RediAPP, Palma de Mallorca, Spain
J. Costas
Affiliation:
Instituto de Investigación Sanitaria de Santiago de Compostela (IDIS) Servizo Galego de Saúde (SERGAS), Complexo Hospitalario Universitario de Santiago (CHUS), Santiago de Compostela, Spain
J. Luis Ivorra
Affiliation:
Hospital Clínico, University of Valencia, CIBERSAM, Valencia, Spain
R. Navinés
Affiliation:
Psychiatry Department, Neuroscience Institute, Hospital Clinic, IDIBAPS, CIBERSAM and Department of Psychiatry and Clinical Psychobiology, University of Barcelona, Barcelona, Spain Neuroscience Program, IMIM-Parc de Salut Mar, Autonomous University of Barcelona, RTA, Barcelona, Spain
Y. de Diego-Otero
Affiliation:
Unidad de Gestión Clínica de Salud Mental, Instituto de Investigación Biomédica de Málaga (IBIMA), Complejo Hospitalario de Málaga, Universidad de Málaga, Spain
E. Vilella
Affiliation:
Hospital Universitari Institut Pere Mata, IISPV, Universitat Rovira i Virgili, CIBERSAM, Reus, Spain
J. Sanjuan
Affiliation:
Hospital Clínico, University of Valencia, CIBERSAM, Valencia, Spain
*
*Corresponding author at: Clínica Psiquiátrica Universitaria - Research Department, Hospital Universitari Institut Pere Mata, Ctra, De l'Institut Pere Mata s/n, 43206 Reus, Spain. Tel.: +00 34 977338565; fax: +00 34 977310021. E-mail address: gutierreza@peremata.com (A. GutiÕrrez-Zotes).
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Abstract

Background

Variables such as the mother's personality, social support, coping strategies and stressful events have been described as risk factors for postpartum depression. Structural Equation Modelling (SEM) analysis was used to examine whether neuroticism, perceived social support, perceived life events, and coping strategies are associated with postpartum depressive symptoms at the 8th and 32nd weeks.

Methods

A total of 1626 pregnant women participated in a longitudinal study. Different evaluations were performed 8 and 32 weeks after delivery. Several measures were used: the Edinburgh Postnatal Depression Scale (EPDS), the Diagnostic Interview for Genetic Studies (DIGS), the Eysenck Personality Questionnaire (EPQ-RS), the St. Paul Ramsey life events scale and the Duke-UNC Functional Social Support Questionnaire. The brief COPE scale was used to measure coping strategies. SEM analysis was conducted for all women and in those women with a clinical diagnosis of postpartum depression.

Results

Passive coping strategies were associated with postpartum depressive symptoms at both visits (8th and 32nd weeks). Neuroticism was associated with more passive coping strategies and less active coping strategies. Neuroticism and life stress were positively correlated, and social support was negatively correlated with life stress and neuroticism.

Conclusions

Early identification of potential risk for symptomatology of depression postpartum should include assessment of neuroticism, life events, social support and coping strategies.

Type
Original article
Copyright
Copyright © Elsevier Masson SAS 2015

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