Abstract
Ultra-Orthodox society in Israel is characterized by a higher birth rate than Israeli Jewish society. This study investigated the association of reproductive experiences among different sects of 254 ultra-Orthodox women with symptoms of postpartum depression (PPD) and general depression, controlling for demographic features. PPD symptoms were found among 22% of the participants, with Sephardic women with higher rates of symptoms (34%) than women from the Lithuanian sect (16%) and Hasidic women (14%), and those who were formerly secular also had higher rates of PPD (33%) compared to 19% among those born ultra-Orthodox. Implications for health care practitioners are discussed.
Similar content being viewed by others
References
Adams, L. B., Gottfredson, N., Lightfoot, A. F., Corbie-Smith, G., Golin, C., & Powell, W. (2019). Factor analysis of the CES-D 12 among a community sample of Black men. American Journal of Men’s Health, 13(2), 1–9. https://doi.org/10.1177/1557988319834105
Adler, N. E., & Stewart, J. (2010). Preface to the biology of disadvantage: Socioeconomic status and health. Annals of the New York Academy of Sciences, 1186(1), 1–4. https://doi.org/10.1111/j.1749-6632.2009.05385.x
Aldrighi, J. D., Wall, M. L., & Souza, S. R. R. K. (2018). Experience of pregnant women at an advanced age. Revista Gaucha De Enfermagem, 39, 1–9.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). USA: American Psychiatric Association.
Arbiv, R. (2015). Sense of community coherence and openness to the other: A comparison between three circles in ultra-orthodox society in Israel. Master’s thesis, Ben-Gurion University of the Negev, Be’er Sheva (Hebrew).
Beyth-Marom, R., Gordoni, G., Zemach, M. (2009). Research methods in social sciences: Research principles and styles (2nd edition, Unit 5). The Open University of Israel (Hebrew).
Bina, R. (2008). The impact of cultural factors upon postpartum depression: A literature review. Health Care for Women International, 29(6), 568–592. https://doi.org/10.1080/07399330802089149
Bina, R. (2014). Seeking help for postpartum depression in the Israeli Jewish orthodox community: Factors associated with use of professional and informal help. Women & Health, 54(5), 455–473. https://doi.org/10.1080/03630242.2014.897675
Bina, R., & Glasser, S. (2018). Factors associated with attitudes toward seeking mental health treatment postpartum. Women & Health, 59(1), 1–12. https://doi.org/10.1080/03630242.2017.1421286
Bina, R., & Harrington, D. (2016). The Edinburgh postnatal depression scale: Screening tool for postpartum anxiety as well? Findings from a confirmatory factor analysis of the Hebrew version. Maternal and Child Health Journal, 20(4), 904–914. https://doi.org/10.1007/s10995-015-1879-7
Brown, B. (2017). A guide to ultra-orthodox society: Beliefs and sects. Am Oved Publishing and the Israel Democracy Institute (Hebrew).
Cahaner, L., Yozgof-Orbach, N., & Sofer, A. (2012). Ultra-orthodox Jews in Israel: Space, society, community. University of Haifa (Hebrew).
Cooperman, A., Sahgal, N., & Schiller, A. (2016). Israel’s religiously divided society (pp. 1–35). Pew Research Center.
Cox, J. L., Holden, J. M., & Sagovsky, R. (1987). Detection of postnatal depression: Development of the 10-item Edinburgh postnatal depression scale. The British Journal of Psychiatry, 150(2), 782–786. https://doi.org/10.1192/bjp.150.6.782
Dennis, C. L., & Dowswell, T. (2013). Psychosocial and psychological interventions for preventing postpartum depression. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.cd001134.pub3
Doron, S. (2012). Identity and exclusion barriers in the process of Sephardi-Mizrahis becoming religious. In K. Kaplan & N. Shtedler (Eds.), From survival to becoming established: Changes in ultra-orthodox society and how it is researched (pp. 195–214). Hakibbutz Hameuchad Publishing and the Van Leer Institute. (Hebrew).
Doron, S. (2013). Walking between worlds: Becoming religious and becoming secular in Israeli society. Hakibbutz Hameuchad Publishing. (Hebrew).
Engelsman, S. P., Huss, E., & Cwikel, J. (2018). How ultra-orthodox (Haredi) Israeli women cope with normative and difficult pregnancy and childbirth experiences. Nashim: A Journal of Jewish Women’s Studies & Gender Issues, 33, 136–157. https://doi.org/10.2979/nashim.33.1.07
Friedman, Y. (2020). Sampling in education and social studies: Principles, strategies, and execution processes. The Henrietta Szold Institute; The National Institute for Research in Behavioral Sciences. (Hebrew).
Gabbay, E., McCarthy, M. W., & Fins, J. J. (2017). The care of the ultra-orthodox Jewish patient. Journal of Religion and Health, 56(2), 545–560. https://doi.org/10.1007/s10943-017-0356-6
Glasser, S., & Barel, V. (1999). An applicable tool for researching and identifying postpartum depression. Harefuah, 136(10), 764–768.
Glasser, S., Hadad, L., Bina, R., Boyko, V., & Magnezi, R. (2016). Rate, risk, factors and assessment of a counselling intervention for antenatal depression by public health nurses in an Israeli ultra-orthodox community. Journal of Advanced Nursing, 72(7), 1602–1615. https://doi.org/10.1111/jan.12938
Grinstein-Cohen, O., Katz, A., & Sarid, O. (2017). Religiosity: Its impact on coping styles among women undergoing fertility treatment. Journal of Religion and Health, 56(3), 1032–1041. https://doi.org/10.1007/s10943-016-0344-2
Halbreich, U., & Karkun, S. (2006). Cross-cultural and social diversity of prevalence of postpartum depression and depressive symptoms. Journal of Affective Disorders, 91(2–3), 97–111. https://doi.org/10.1016/j.jad.2005.12.051
Halihel, A. (2011). Working paper series no. 60: The fertility of Jewish and Muslim women in Israel by degree of religiosity during 1979–2009. Jerusalem: Central Bureau of Statistics. (Hebrew).
Kahveci, G., Kahveci, B., Aslanhan, H., & ErtenBucaktepe, P. G. (2021). Evaluation of prevalence and risk factors for postpartum depression using the Edinburgh Postpartum Depression Scale: A cross-sectional analytic study. Gynecology Obstetrics & Reproductive Medicine, 27(3), 227–233. https://doi.org/10.21613/GORM.2020.1109
Layosh, B. (2014). Women of the threshold: Ultra-orthodox women confronting modern change. Resling Publishing. (Hebrew)
Leon, N. (2013). Visions of identity: Pictures of rabbis in Haredi (ultra-Orthodox) private homes in Israel. Journal of Israeli History, 32(1), 87–108. https://doi.org/10.1080/13531042.2013.768035
Letourneau, N. L., Dennis, C. L., Cosic, N., & Linder, J. (2017). The effect of perinatal depression treatment for mothers on parenting and child development: A systematic review. Depression and Anxiety, 34(10), 928–966. https://doi.org/10.1002/da.22687
Louck Shemer, N. (2009). The experience of motherhood and the relationship between the parents after the birth of the first child among secular and ultra-orthodox women. Master’s thesis, Hebrew University of Jerusalem. (Hebrew).
Malach, G., & Cahaner, L. (2020). The yearbook of ultra-orthodox society in Israel in 2020. The Israel Democracy Institute. (Hebrew).
Malchi, A. (2016). Becoming religious and making a living. Employment characteristics among Jews who have become ultra-orthodox. The Jerusalem Institute for the Research of Israel; The Center for the Research of Ultra-Orthodox Society. (Hebrew).
O’Hara, M. W., & McCabe, J. E. (2013). Postpartum depression: Current status and future directions. Annual Review of Clinical Psychology, 9, 379–407. https://doi.org/10.1146/annurev-clinpsy-050212-185612
Peng, C. Y. J., Lee, K. L., & Ingersoll, G. M. (2002). An introduction to logistic regression analysis and reporting. The Journal of Educational Research, 96(1), 3–14. https://doi.org/10.1080/00220670209598786
Prins-Engelsman, S. (2018). Health-promoting behaviors and subjective experiences of pregnancy and childbirth and their effect on postpartum depression among ultra-orthodox women in Israel: A mixed-method study. Doctoral essay, Ben-Gurion University of the Negev. (Hebrew).
Qi, W., Zhao, F., Liu, Y., Li, Q., & Hu, J. (2021). Psychosocial risk factors for postpartum depression in Chinese women: A meta-analysis. BMC Pregnancy and Childbirth, 21(1), 1–15. https://doi.org/10.1186/s12884-021-03657-0
Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401. https://doi.org/10.1177/014662167700100306
Rania, N. (2019). Giving voice to my childbirth experiences and making peace with the birth event: The effects of the first childbirth on the second pregnancy and childbirth. Health Psychology Open. https://doi.org/10.1177/2055102919844492
Regev, E. (2017). Assimilation patterns of ultra-orthodox Jews in the labor market: An intra-Haredi analysis and multi-sectorial comparison (Report on the State of the Country in 2017). The Taub Center for Social Policy Studies in Israel. (Hebrew).
Rieder Indursky, E. (2018). Invisible women: Ultra-orthodox feminism—The case of the “No Voice, No Vote” campaign. Pardes Publishing. (Hebrew).
Sarid, O., Segal-Engelchin, D., & Cwikel, J. (2010). Risk factors for traumatic birth and its significance from the women’s perspective. In O. Sarid., D. Segal-Engelchin & J. Cwikel (Eds.), Mind-body mosaic: Women’s health in Israel (pp. 67–87). Ben-Gurion University of the Negev. (Hebrew).
Sarid, O., Segal-Engelchin, D., & Cwikel, J. (2012). The contribution of negative reproductive experiences and chronic medical conditions to depression and pain among Israeli women. Psychology, Health & Medicine, 17(1), 82–94. https://doi.org/10.1080/13548506.2011.579987
Sherbourne, C. D., Dwight-Johnson, M., & Klap, R. (2001). Psychological distress, unmet need, and barriers to mental health care for women. Women’s Health Issues, 11(3), 231–243. https://doi.org/10.1016/s1049-3867(01)00086-x
Shorey, S., Chee, C. Y. I., Ng, E. D., Chan, Y. H., San Tam, W. W., & Chong, Y. S. (2018). Prevalence and incidence of postpartum depression among healthy mothers: A systematic review and meta-analysis. Journal of Psychiatric Research, 104, 235–248. https://doi.org/10.1016/j.jpsychires.2018.08.001
Shwartz, N., Shoham-Vardi, I., & Daoud, N. (2019). Postpartum depression among Arab and Jewish women in Israel: Ethnic inequalities and risk factors. Midwifery, 70, 54–63. https://doi.org/10.1016/j.midw.2018.12.011
Simhi, M., Sarid, O., & Cwikel, J. (2019). Preferences for mental health treatment for post-partum depression among new mothers. Israel Journal of Health Policy Research, 8(84), 1–8. https://doi.org/10.1186/s13584-019-0354-0
Smorti, M., Ponti, L., & Pancetti, F. A. (2019). comprehensive analysis of post-partum depression risk factors: The role of socio-demographic, individual, relational, and delivery characteristics. Frontiers in Public Health, 7(295), 1–10. https://doi.org/10.3389/fpubh.2019.00295
Funding
The authors declare that no funds, grants, or other support were received during the preparation of this manuscript.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The authors have not disclosed any competing interests.
Ethical standards
This study was performed in line with the principles by the Ethics Committee of Ben-Gurion University with the permission issued on 15.8.2014. The authors affirm that human research participants provided informed consent for publication.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
An earlier version of this paper was published in Hebrew in the limited circulation journal "Society and Welfare" (Prins-Engelsman, S. and Cwikel, J. (2021). Pregnancy and childbirth experiences and their relationship to postpartum depression among different subgroups of ultra-Orthodox women in Israel, Society and Welfare, 41 (2), 277–294. (Hebrew). We received permission to translate the article on 12.10.2021 and have attached the permission file.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Prins-Engelsman, S., Cwikel, J. Postpartum Depression Symptoms in Various Sects of Ultra-Orthodox Society in Israel. J Relig Health 62, 3327–3346 (2023). https://doi.org/10.1007/s10943-023-01745-3
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10943-023-01745-3