The association between diabetes and postpartum depression
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- 作者：Emily S. Miller ; Marisa R. Peri ; Dana R. Gossett
- 关键词：Diabetes ; Gestational diabetes ; Depression ; Postpartum depression
- 刊名：Archives of Women's Mental Health
- 出版年：2016
- 出版时间：February 2016
- 年：2016
- 卷：19
- 期：1
- 页码：183-186
- 全文大小：253 KB
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Marisa R. Peri (1)
Dana R. Gossett (1) (2)
1. Northwestern University Feinberg School of Medicine, Chicago, IL, USA
2. Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA - 刊物类别：Medicine
- 刊物主题：Medicine & Public Health
Psychiatry
Psychotherapy - 出版者：Springer Wien
- ISSN：1435-1102
文摘
This study aims to estimate if diabetic women were more likely to experience postpartum depression symptoms than women without diabetes. This was a prospective cohort of women who received prenatal care at a hospital-affiliated prenatal clinic serving low-income women in Chicago, Illinois. For the primary analysis, women were divided by diabetes status (i.e., no diabetes or either gestational diabetes or pre-pregnancy diabetes). Postpartum depression was defined as a positive screen on the Patient Health Questionnaire-9. Rates of postpartum depression were compared, stratified by diabetic status. A multivariable logistic regression was performed to control for potential confounders. A planned secondary analysis compared women with pre-pregnancy diabetes to those without pre-pre-pregnancy diabetes. Three hundred and five women consented to participate of whom 100 (30.5 %) had gestational diabetes mellitus (GDM) and 33 (10.8 %) had pre-pregnancy diabetes. Compared to women without any diabetes, women with diabetes (either GDM or pre-pregnancy diabetes) had similar rates of antenatal [(OR) 0.69, 95 % CI) 0.44–1.08] and postpartum depression (OR 0.74, 95 % CI 0.33–1.66). However, postpartum depression was more common among women with pre-pregnancy diabetes (34.8 %) compared to non-diabetic women (16.7 %) (OR 2.67, 95 % CI 1.05–6.78). This association persisted even after adjusting for potential confounders (aOR 2.67, 95 % CI 1.05–9.79). Gestational diabetes was not associated with increased rates of depression. However, women with pre-pregnancy diabetes are more likely to experience postpartum depression compared to women without pre-pregnancy diabetes, even after adjusting for related comorbidities. Keywords Diabetes Gestational diabetes Depression Postpartum depression