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Multicentre prospective study of perinatal depression in Japan: incidence and correlates of antenatal and postnatal depression
Authors:T. Kitamura  K. Yoshida  T. Okano  K. Kinoshita  M. Hayashi  N. Toyoda  M. Ito  N. Kudo  K. Tada  K. Kanazawa  K. Sakumoto  S. Satoh  T. Furukawa  H. Nakano
Affiliation:(1) Department of Clinical Behavioural Sciences, Kumamoto University Graduate School of Medical Sciences, Kumamoto, Japan;(2) Department of Neuropsychiatry, Kyushu University Hospital, Fukuoka, Japan;(3) Centre for Health Mie University, Tsu, Japan;(4) Department of Obstetrics and Gynecology, Juntendo University School of Medicine, Juntendo, Japan;(5) Center for Maternal, Fetal and Neonatal Medicine, Saitama Medical Center, Saitama Medical School, Koshigawa, Japan;(6) Mie University, Tsu, Japan;(7) Department of Obstetrics and Gynecology, Mie University School of Medicine, Tsu, Japan;(8) Department of Obstetrics and Gynecology, Okayama University Graduate School of Medical Sciences, Okayama, Japan;(9) Department of Obstetrics and Gynecology, National Hospital Organization Okayama Medical Center, Okayama, Japan;(10) Department of Obstetrics and Gynecology, Faculty of Medicine, University of the Ryukyus, Okinawa, Japan;(11) Maternity and Perinatal Care Unit, Kyushu University Hospital, Kyushu, Japan;(12) Department of Psychiatry and Cognitive-Behavioral Medicine, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan;(13) Department of Obstetrics and Gynecology, Graduate School of Medical Sciences, Kyushu University, Kyushu, Japan
Abstract:Summary A multicentre study on the epidemiology of perinatal depression was conducted among Japanese women expecting the first baby (N = 290). The incidence rate of the onset of the DSM-III-R Major Depressive Episode during pregnancy (antenatal depression) and within 3 months after delivery (postnatal depression) were 5.6% and 5.0%, respectively. Women with antenatal depression were characterised by young age and negative attitude towards the current pregnancy, whereas women with postnatal depression were characterised by poor accommodation, dissatisfaction with sex of the newborn baby and with the emotional undermining. Antenatal depression was a major risk factor for postnatal depression.
Keywords:: Antenatal depression   postnatal depression   epidemiology.
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