The role of some psychological, psychosocial and obstetrical factors in the intensity of postpartum blues

AIM: Within days following birth, most women show signs of mood changes, commonly named baby blues. Baby blues can result in postpartum depression. Hence it appears important to explore in more details the clinical background related to the intensity of postpartum blues. The aim of this study is to investigate the contribution of psychological, psychosocial and obstetrical factors to the intensity of postpartum blues. METHOD: One hundred and forty-eight women participated in the study and completed questionnaires three days after delivery. A questionnaire was built to collect information on psychosocial and obstetrical factors. The Maternity Blues (Kennerley and Gath, 1989) was used to assess postpartum blues. Psychological factors were measured with the Maternal Self-Report Inventory (Shea et Tronick, 1988), the Perceived Stress Scale (Cohen, Kamarch et Mermelstein, 1983) and the Sarason's Social Support Questionnaire (1983). RESULTS: Four multiple regression analyses were conducted to predict the intensity of postpartum blues by entering psychosocial factors, history of depression, obstetrical factors and psychological and relational factors. Significant predictors (maternal self-esteem, marital status, previous psychotherapeutic treatment, previous antidepressant treatment) were entered in a multiple regression analysis predicting the intensity of postpartum blues. This model accounted for 31% of the variance in the intensity of postpartum blues (F(4, 143)=17.9; P<0.001). Maternal self-esteem (beta=-0.37; P<0.001), marital situation (beta=-0.16; P=0.02) were significant predictors. Previous antidepressant treatment (beta=0.13; P=0.05) was almost a significant predictor. CONCLUSION: The preventive implication of this study is important. Some psychological and psychosocial variables predicted the intensity of postpartum blues and may be used in order to detect women who exhibit risk factors.