Original Paper

Social Psychiatry and Psychiatric Epidemiology

, Volume 46, Issue 5, pp 413-423

Social dynamics of postpartum depression: a population-based screening in South-Eastern Hungary

  • Zoltan KozinszkyAffiliated withWomen and Children’s Division, Department of Obstetrics and Gynaecology, Oslo University Hospital, Ullevaal Email author 
  • , Robert B. DudasAffiliated withDepartment of Psychiatry, University of Cambridge, Box 189, Level 4, Addenbrooke’s Hospital
  • , Sarolta CsatordaiAffiliated withFaculty of Health Sciences, University of Szeged
  • , Iván DevosaAffiliated withSection of Behaviour Science, University of Szeged
  • , Éva TóthAffiliated withFaculty of Arts and Sciences, Institute of Psychology, University of Pécs
  • , Dávid SzabóAffiliated withDepartment of Obstetrics and Gynaecology, University of Szeged
  • , János SikovanyeczAffiliated withDepartment of Obstetrics and Gynaecology, University of Szeged
  • , János ZádoriAffiliated withCentre for Assisted Reproduction, Kaáli Institute, University of Szeged
  • , Katalin BarabásAffiliated withSection of Behaviour Science, University of Szeged
    • , Attila PálAffiliated withDepartment of Obstetrics and Gynaecology, University of SzegedCentre for Assisted Reproduction, Kaáli Institute, University of Szeged

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Abstract

Purpose

To determine contributing psychosocial factors to postnatal depression (PND) in Hungary in 1996 and in 2006.

Methods

In 1996 and 2006, a total of 2,333 and 1,619 women, respectively, were screened for PND in South-Eastern Hungary, based on a Leverton questionnaire (LQ) score of ≥12 at 6–10 weeks after delivery.

Results

The LQ scores indicated an increase in PND from 15.0% in 1996 to 17.4% in 2006. The best predictors for PND in a multiple regression analysis were living in an urban environment [adjusted odds ratio (AOR) = 11.26], unstable relationship (AOR = 3.1) and a perceived lack of social support from partner (AOR = 3.65) in 1996, and recent major life events (AOR = 3.38), unstable relationship (AOR = 3.84), self-reported low income (AOR = 1.82), and intention to return to work soon after delivery (AOR = 0.47) in 2006.

Conclusions

A self-defined low socioeconomic status and an intention to return to work have become significant factors in the development of PND. Besides the family factors recognized as salient variables in 1996, economic features came into prominence as newly identified main predictive factors for PND in 2006.

Keywords

Leverton questionnaire Postpartum depression Multiple logistic regression Effects of social changes Hungary