Summary
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 ≥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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References
Aiken LS, West SG (1991) Multiple Regression: Testing and interpreting interactions. Sage, California.
BE Ainsworth WL Haskell AS Leon DR Jacobs SuffixJr HJ Montoye JF Sallis RS Paffenbarger SuffixJr (1993) ArticleTitleCompendium of physical activities: Classification of energy costs of human physical activities. Med Sci Sports Exer 25 71–80 Occurrence Handle1:STN:280:ByyC2c%2FmtFU%3D
American College of Sports Medicine (1993) Resource manual for guidelines for exercise testing and prescription, 2nd edn. Lea & Febiger, Philadelphia.
American College of Sports Medicine (1995) American College of Sports Medicine’s guidelines for exercise testing and prescription, 5th edn. Williams & Wilkins, Philadelphia.
L Artazcoz C Borrell J Benach I Cortes I Rohlfs (2004) ArticleTitleWomen, family demands and health: the importance of employment status and socio-economic position. Soc Sci Med 59 263–274 Occurrence Handle10.1016/j.socscimed.2003.10.029 Occurrence Handle15110418
NE Avis SF Assmann HM Kravitz PA Ganz M Ory (2004) ArticleTitleQuality of life in diverse groups of midlife women: assessing the influence of menopause, health status and psychosocial and demographic factors. Qual Life Res 13 933–946 Occurrence Handle10.1023/B:QURE.0000025582.91310.9f Occurrence Handle1:STN:280:DC%2BD2czjtFajsw%3D%3D Occurrence Handle15233507
Beck AT (1979) Cognitive therapy for depression. Guilford Press, New York.
CT Beck (2001) ArticleTitlePredictors of postpartum depression: an update. Nurs Res 50 275–285 Occurrence Handle1:STN:280:DC%2BD3MritlymsA%3D%3D Occurrence Handle11570712
RM Benca WH Obermeyer RA Thisted JC Gillin (1992) ArticleTitleSleep and psychiatric disorders. A meta-analysis. Arch Gen Psychiatry 49 651–670 Occurrence Handle1:STN:280:By2A2cvltFc%3D Occurrence Handle1386215
KM Beusterien B Steinwald JE Ware (1996) ArticleTitleUsefulness of the SF-36 health survey in measuring health outcomes in depressed elderly. J Geriatr Psychiatry Neurol 9 13–21 Occurrence Handle1:STN:280:BymB28fpvFQ%3D Occurrence Handle8679058
PM Boyce SJ Johnstone AR Hickey AD Morris Yates MG Harris T Strachan (2000) ArticleTitleFunctioning and well-being at 24 weeks postpartum of women with postnatal depression. Arch Womens Ment Health 3 91–97 Occurrence Handle10.1007/s007370070002
N Breslau T Roth L Rosenthal P Andreski (1996) ArticleTitleSleep disturbance and psychiatric disorders: a longitudinal epidemiological study of young adults. Biol Psychiatry 39 411–418 Occurrence Handle1:STN:280:BymB2Mvntlc%3D Occurrence Handle8679786
RA Bruce F Kusumi D Hosmer (1973) ArticleTitleMaximal oxygen uptake and nomographic assessment of functional aerobic impairment in cardiovascular disease. Am Heart J 85 546–562 Occurrence Handle10.1016/0002-8703(73)90502-4 Occurrence Handle1:STN:280:CSyC3s%2FpvVI%3D Occurrence Handle4632004
DJ Buysse CF Reynolds TH Monk SR Berman DJ Kupfer (1989) ArticleTitleThe Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Res 28 193–213 Occurrence Handle10.1016/0165-1781(89)90047-4 Occurrence Handle1:STN:280:BiaA3MnhsFQ%3D Occurrence Handle2748771
Cohen J, Cohen P (1983) Applied multiple regression: Correlation analysis for the behavioral sciences. Erblaum, New Jersey.
InstitutionalAuthorNameCooper Institute for Aerobics Research (1997) ArticleTitleThe Aerobics Center Longitudinal Physical Activity Questionnaire (ACLS-PAQ). Med Sci Sports Exer 29 IssueIDSuppl 6 S10–S14
JL Cox JM Holden R Sagovsky (1987) ArticleTitleDetection of postnatal depression: Development of the 10-item Edinburgh postnatal depression scale. Br J Psychiatry 150 782–786 Occurrence Handle1:STN:280:BieD3c7it1E%3D Occurrence Handle3651732
D Da Costa J Larouche M Dritsa W Brender (2000) ArticleTitlePsychosocial correlates of prepartum and postpartum depressed mood. J Affect Disord 59 31–40 Occurrence Handle10.1016/S0165-0327(99)00128-7 Occurrence Handle1:STN:280:DC%2BD3c3nsFOjtQ%3D%3D Occurrence Handle10814768
CL Dennis (2004) ArticleTitleInfluence of depressive symptomatology on maternal health service utilization and general health. Arch Womens Ment Health 7 183–191 Occurrence Handle10.1007/s00737-004-0053-9
CL Dennis PA Janssen J Singer (2004) ArticleTitleIdentifying women at-risk for postpartum depression in the immediate postpartum period. Acta Psychiatr Scand 110 338–346 Occurrence Handle10.1111/j.1600-0447.2004.00337.x Occurrence Handle15458557
MK Dinger J Massie L Ransdell (2000) ArticleTitlePhysical activity certified health education specialists. J Health Educ 31 98–104
KF Duggan R Churchill M Dewey C Chilvers (1999) ArticleTitleHow disabling is depression? Evidence from a primary care sample. British J Gen Pract 49 95–98
M Gulati DK Pandey MF Arnsdorf DS Lauderdale RA Thisted RH Wicklund AJ Al-Hani HR Black (2003) ArticleTitleExercise capacity and the risk of death in women: The St James Women Take Heart Project. Circulation 108 1554–1559 Occurrence Handle12975254
B Harris P Huckle R Thomas S Johns H Fung (1989) ArticleTitleThe use of rating scales to identify post-natal depression. Br J Psychiatry 154 813–817 Occurrence Handle1:STN:280:By%2BD1cbot1E%3D Occurrence Handle2597888
RD Hays KB Wells CD Sherbourne W Rogers K Spritzer (1995) ArticleTitleFunctioning and well-being outcomes of patients with depression compared with chronic general medical illnesses. Arch Gen Psychiatry 52 11–19 Occurrence Handle1:STN:280:ByqC3M%2FitFY%3D Occurrence Handle7811158
WM Hopman T Towheed T Anastassiades A Tenenhouse S Poliquin C Berger L Joseph JP Brown TM Murray JD Adachi DA Hanley E Papadimitropoulos (2000) ArticleTitleThe Canadain Multicentre Osteoporosis Study Research Group. Canadian normative data for the SF-36 health survey. CMAJ 163 265–271 Occurrence Handle1:STN:280:DC%2BD3cvhvVyhsA%3D%3D Occurrence Handle10951722
MW Hurst CD Jenkins RM Rose (1978) ArticleTitleThe assessment of life change stress: a comparative and methodological inquiry. Psychosom Med 40 126–141 Occurrence Handle1:STN:280:CSeC2sbkslQ%3D Occurrence Handle652916
LL Judd PJ Schettler HS Akiskal (2002) ArticleTitleThe prevalence, clinical relevance, and public health significance of subthreshold depressions. Psychiatr Clin N Am 25 685–698 Occurrence Handle10.1016/S0193-953X(02)00026-6
HW Kohl SN Blair RS Paffenbarger CA Macera JJ Kronenfeld (1988) ArticleTitleA mail survey of physical activity habits as related to measured physical fitness. Am J Epi 127 1228–1239 Occurrence Handle1:STN:280:BieB38%2FjtVc%3D
ER Lenz PL Parks LS Jenkins GE Jarrett (1986) ArticleTitleLife changes and instrumental support as predictors of illness in mothers of 6-month-olds. Res Nurs Health 9 17–24 Occurrence Handle1:STN:280:BimC2sflsl0%3D Occurrence Handle3634414
D Leger K Scheuermaier P Philip M Paillard C Guilleminault (2001) ArticleTitleSF-36: evaluation of quality of life in severe and mild insomniacs compared with good sleepers. Psychosom Med 63 49–55 Occurrence Handle1:STN:280:DC%2BD3M3ht1Kmug%3D%3D Occurrence Handle11211064
MT Lydon-Rochelle VL Holt DP Martin (2001) ArticleTitleDelivery method and self-reported postpartum general health status among primiparous women. Paediatr Perinat Epidemiol 15 232–240 Occurrence Handle10.1046/j.1365-3016.2001.00345.x Occurrence Handle1:STN:280:DC%2BD3MvksVaisg%3D%3D Occurrence Handle11489150
LJ Mayberry DD Affonso (1993) ArticleTitleInfant temperament and postpartum depression a review. Health Care Women Int 14 201–211 Occurrence Handle1:STN:280:ByyB1crpvVQ%3D Occurrence Handle8509323
AR Miller RG Barr WO Eaton (1993) ArticleTitleCrying and motor behavior of six-week-old infants and postpartum maternal mood. Pediatrics 92 551–558 Occurrence Handle1:STN:280:ByuD387hvV0%3D Occurrence Handle8414826
L Murray (1992) ArticleTitleThe impact of postnatal depression on infant development. J Child Psychol Psychiatry 33 543–561 Occurrence Handle1:STN:280:By2B2M%2FnslA%3D Occurrence Handle1577898
L Murray AD Carothers (1990) ArticleTitleThe validation of the Edinburgh Postnatal Depression Scale on a community sample. Br J Psychiatry 157 288–290 Occurrence Handle1:STN:280:By6D38fltlA%3D Occurrence Handle2224383
L Murray A Fiori-Cowley R Hooper P Cooper (1996) ArticleTitleThe impact of postnatal depression and associated adversity on early mother – infant interactions and later outcomes. Child Devel 67 2512–2526 Occurrence Handle1:STN:280:ByiC2svlt1E%3D
Nieman DC (1995) Fitness and sports medicine: A health related approach, 3rd edn. Bull publishing, California.
O’Hara MW (1997) The nature of postpartum depressive disorders. In: Murray L, Cooper PJ (eds), Postpartum depression and child development. Guilford Press, New York, pp 3–31.
MM Ohayon T Roth (2003) ArticleTitlePlace of chronic insomnia in the course of depressive and anxiety disorders. J Psychiatr Res 37 9–15 Occurrence Handle10.1016/S0022-3956(02)00052-3 Occurrence Handle12482465
SA Oliveria HW Kohl D Trichopoulos S Blair (1996) ArticleTitleThe association between cardiorespiratory fitness and prostate cancer. Med Sci Sports Exer 28 97–104 Occurrence Handle1:STN:280:BymA2s7lt1w%3D
JM Pyne TL Patterson RM Kaplan JC Gillin WL Koch I Grant (1997) ArticleTitleAssessment of the quality of life of patients with major depression. Psychiatr Serv 48 224–230 Occurrence Handle1:STN:280:ByiC2szpvVw%3D Occurrence Handle9021855
CR Schubert KJ Cruickshanks DS Dalton BE Klein R Klein DM Nondahl (2002) ArticleTitlePrevalence of sleep problems and quality of life in an older population. Sleep 25 889–893 Occurrence Handle12489896
CD Sherbourne AL Stewart (1991) ArticleTitleThe MOS Social Support Survey. Soc Sci Med 32 705–714 Occurrence Handle10.1016/0277-9536(91)90150-B Occurrence Handle1:STN:280:By6B2c%2FjtVE%3D Occurrence Handle2035047
KJ Stewart KL Turner AC Bacher JR DeRegis J Sung M Tayback P Ouyang (2003) ArticleTitleAre fitness, activity, and fatness associated with health-related quality of life and mood in older persons? J Cardiopulm Rehabil 23 115–121 Occurrence Handle12668934
JR Stofan L DiPietro D Davis HW Kohl Suffix3rd SN Blair (1998) ArticleTitlePhysical activity patterns associated with cardiorespiratory fitness and reduced mortality: the Aerobics Center Longitudinal Study. Am J Public Health 88 1807–1813 Occurrence Handle1:STN:280:DyaK1M%2FlvVGiug%3D%3D Occurrence Handle9842378
Tabachnick BG, Fidell LS (1989) Using multivariate statistics, 2nd edn. Harper and Row, New York.
JE Ware CD Sherbourne (1992) ArticleTitleThe MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 30 473–483 Occurrence Handle1593914
Ware JE, Kosinski M, Keller S (1994) SF-36 physical and mental health summary scales: a user’s manual. The Health Institute, Boston MA.
KB Wells A Stewart RD Hays A Burman W Rogers M Daniels S Berry S Greenfield J Ware (1989) ArticleTitleThe functioning and well-being of depressed patients. Results from the medical outcomes study. JAMA 262 914–919 Occurrence Handle1:STN:280:BiaA38bht1w%3D Occurrence Handle2754791
KB Wells CD Sherbourne (1999) ArticleTitleFunctioning and utility for current health of patients with depression or chronic medical conditions in managed, primary care practices. Arch Gen Psychiatry 56 897–904 Occurrence Handle1:STN:280:DyaK1MvlvVaitg%3D%3D Occurrence Handle10530631
KL Wisner JM Perel KS Peindl BH Hanusa RL Findling D Rapport (2001) ArticleTitlePrevention of recurrent postpartum depression: a randomized clinical trial. J Clin Psychiatry 62 82–86 Occurrence Handle1:CAS:528:DC%2BD3MXit1eltrw%3D Occurrence Handle11247106
P Zelkowitz TH Milet (1995) ArticleTitleScreening for postpartum depression: a community sample. Can J Psychiatry 40 80–86 Occurrence Handle1:STN:280:ByqA3cfktlI%3D Occurrence Handle7788622
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Da Costa, D., Dritsa, M., Rippen, N. et al. Health-related quality of life in postpartum depressed women. Arch Womens Ment Health 9, 95–102 (2006). https://doi.org/10.1007/s00737-005-0108-6
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DOI: https://doi.org/10.1007/s00737-005-0108-6