Is positive affect in pregnancy protective of postpartum depression?

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Abstract

Objective: To investigate the predictive/protective role of negative affect/positive affect in late pregnancy on the outcome of postpartum depression. Methods: A total of 491 pregnant women participated in the study. The participants were asked to fill out a series of questionnaires, which included the Profile of Mood States, the Beck Depression Inventory-II, psychosocial variables and socio-demographic characteristics and were asked to participate in a psychiatric interview. After delivery, 272 mothers participated again in the study and filled out a similar series of questionnaires. Results: Negative affect was associated with more intense depressive symptomatology, more self-perceived stress, lower self-reported social support, lower quality of life and perception of having a more difficult infant. By contrast, positive affect was negatively associated with these variables. Negative affect in late pregnancy increased the likelihood of experiencing postpartum depression (DSM-IV/OR = 2.1, 95%CI = 1.3-3.4, p =.003; ICD-10/OR = 2.1, 95%CI = 1.5-3.0, p

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Bos, S. C., Macedo, A., Marques, M., Pereira, A. T., Maia, B. R., Soares, M. J., … Azevedo, M. H. (2013). Is positive affect in pregnancy protective of postpartum depression? Revista Brasileira de Psiquiatria, 35(1), 5–12. https://doi.org/10.1016/j.rbp.2011.11.002

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