Afektif Mizaçlar Postpartum Depresyonu Öngörebilir: Bir Ön Çalışma

Amaç: Postpartum depresyon (PPD) anne, bebek ve eşleri etkileyen ciddi bir klinik durumdur. PPD, duygudurum bozukluğu olarak kabul edilmekle birlikte, PPD ve gebelikte afektif mizaçları araştıran sınırlı sayıda çalışma vardır. Ayrıca, gebelikte afektif mizaçların PPD’yi yordayıp yordayamayacağını araştıran herhangi bir çalışma bulunmamaktadır. Gereç ve Yöntem: Alınma ve dışlanma kriterlerine göre 114 gebe çalışmaya dahil edildi. Hastalar, gebeliğin üçüncü trimesterinde Memphis, Pisa, Paris ve San Diego’nun Mizaç Değerlendirmesi anketi ile ve sosyo-demografik formlarla değerlendirildi. Doğumu takip eden ilk dört haftada, hastaların PPD’ye eğilimi olup olmadığını değerlendirmek için Edinburgh Doğum Sonrası Depresyon Ölçeği uygulandı. Bulgular: PPD eğilimi olan hastaların hipertimik mizaç dışındaki tüm afektif mizaç puanlarında anlamlı olarak daha yüksek puanları vardı. Lojistik regresyon analizinde, yüksek siklotimik mizaç ve anksiyete mizaç (AT) puanlarının doğum sonrası depresyona yatkınlıkla ilişkili olduğu bulunmuştur (Odds oranı: 1,26 ve 1,47). Sonuç: Siklotimik ve AT, doğum sonrası depresyon eğilimini yordamak için aday olabilirler. Özellikle siklotimik ve AT puanları yüksek olan gebeler afektif bozukluklar açısından değerlendirilmelidir.

Affective Temperaments May Predict Postpartum Depression: A Preliminary Study

Aim: Postpartum depression (PPD) is a serious clinical condition, which affects both mother and baby as well as partners. Although PPD is accepted as a mood disorder, there have been limited numbers of studies that investigated affective temperaments in PPD and pregnancy. Moreover, no study has been carried out on the subject of whether affective temperaments assessed during pregnancy can predict PPD. Materials and Methods: One hundred-fourteen pregnant women were included in present study considering specific criteria. Patients were assessed with the Temperament Evaluation of Memphis, Pisa, Paris and San Diego auto-questionnaire and socio-demographic forms during the third trimester of pregnancy. In the following four weeks of delivery, patients were assessed with the Edinburgh Postpartum Depression Scale for evaluating the presence of tendency to PPD. Results: The patients who had a tendency to PPD had significantly higher scores on all affective temperament scores except hyperthymic temperament. In logistic regression analysis, it was found that higher scores of cyclothymic temperament and anxious temperament (AT) were associated with tendency to PPD (Odds ratio: 1.26 and 1.47). Conclusion: Cyclothymic and anxious temperaments are candidates for predicting tendency to PPD. Pregnant women, who have higher scores specifically for cyclothymic and ATs should be considered in terms of affective disorders.

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