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Social Support and Postpartum Depression Revisited: The Traditional Female Role as Moderator among Mexican Women

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Abstract

Women who lack social support tend to have a higher risk of postpartum depression. The present study examined the traditional female role, understood here as the adoption of passive and submissive traits specific to Mexican women, as another risk factor for postpartum depressive symptomatology that interacts with social support. Using two waves of data from a longitudinal study of 210 adult Mexican women (20–44 years-old, M age = 29.50 years, SD = 6.34), we found that lacking social support during the third trimester of their pregnancy was associated with greater depressive symptoms at 6 months in the postpartum, although this relationship depended on the level of endorsement of the traditional female role during pregnancy. Lower social support during pregnancy predicted greater postpartum depressive symptoms for women with higher endorsement of the traditional female role, even when accounting for prenatal depressive symptoms. These results suggest that Mexican women’s experience of social support may depend on their individual adherence to gender roles. Understanding the association between women’s traditional roles and social support in the risk for postpartum depression can improve prevention and educational programs for women at risk.

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References

  • Abrams, L. S., Dornig, K., & Curran, L. (2009). Barriers to service use for postpartum depression symptoms among low-income ethnic minority mothers in the United States. Qualitative Health Research, 19, 535–551. doi:10.1177/1049732309332794.

    Article  PubMed  Google Scholar 

  • Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions . Newbury Park: Sage.

  • Almanza-Muñoz, J. J., Salas-Cruz, C. L., & Olivares-Morales, A. S. (2011). Prevalencia de depresión posparto y factores asociados en pacientes puérperas de la Clínica de Especialidades de la Mujer [Prevalence and risk factors of postpartum depression among new mothers in the Clínica de Especialidades de la Mujer ]. Revista de Sanidad Militar, 65, 78–86.

    Google Scholar 

  • Alvarado-Esquivel, C., Sifuentes-Alvarez, A., Estrada-Martinez, S., Salas-Martinez, C., Hernandez-Alvarado, A. B., Ortiz-Rocha, S. G., et al. (2010). Prevalencia de depresión posnatal en mujeres atendidas en hospitales públicos de Durango, México [Prevalence of postpartum depression among women in the public hospitals of Durango, Mexico]. Gaceta Médica de México, 146, 1–9.

    PubMed  Google Scholar 

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington: American Psychiatric Publishing, Inc.

  • Austin, M. P. (2014). Marcé international society position statement on psychosocial assessment and depression screening in perinatal women. Best Practice & Research Clinical Obstetrics and Gynaecology, 28, 179–187. doi:10.1016/j.bpobgyn.2013.08.016.

  • Bales, M., Pambrun, E., Melchior, M., Glangeaud-Freudenthal, N. M.-C., Charles, M.-A., Verdoux, H., & Sutter-Dallay, A.-L. (2015). Prenatal psychological distress and access to mental health care in the ELFE cohort. European Psychiatry, 30, 322–328.

    Article  PubMed  Google Scholar 

  • Beck, C. T. (2001). Predictors of postpartum depression: An update. Nursing Research, 50, 275–285. doi:10.1097/00006199-200109000-00004.

    Article  PubMed  Google Scholar 

  • Beck, C. T. (2002). Postpartum depression: A metasynthesis. Qualitative Health Research, 22, 453–472. doi:10.1177/104973202129120016.

    Article  Google Scholar 

  • Beck, C. T. (2008). State of the science on postpartum depression: What nurse researchers have contributed. American Journal of Maternal/Child Nursing, 33, 121–126.

    Article  Google Scholar 

  • Beck, C. T., & Gable, R. K. (2012). Concordance and discordance of the postpartum depression screening scale and the Patient Health Questionniare-9 in an ethnically diverse sample. Journal of Social Service Research, 38, 439–450. doi:10.1080/01488376.2012.680840.

  • Beck, C. T., Records, K., & Rice, M. (2006). Further development of the postpartum depression predictors inventory-revised. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 35, 735–745. doi:10.1111/J.1552-6909.2006.00094.x.

    Article  PubMed  Google Scholar 

  • Bem, S. L. (1974). The measurement of psychological androgyny. Journal of Consulting and Clinical Psychology, 42, 155–162. doi:10.1037/h0036215.

    Article  PubMed  Google Scholar 

  • Bem, S. L. (1993). The lenses of gender: Transforming the debate on sexual inequality. New Haven: Yale University Press.

  • Berthiaume, M., David, H., & Saucier, J. (1996). Correlates of gender role orientation during pregnancy and the postpartum. Sex Roles, 35, 781–800. doi:10.1007/BF01544092.

    Article  Google Scholar 

  • Canaval, G. E., González, M. C., Martínez-Schallmoser, L., Tovar, M. C., & Valencia, C. (2000). Depresión postparto, apoyo social y calidad de vida en mujeres de Cali, Colombia [Postpartum depression, social support, and quality of life of women in Cali, Colombia]. Colombia Médica, 31, 4–10.

    Google Scholar 

  • Choi, P., Henshaw, C., Baker, S., & Tree, J. (2005). Supermum, superwife, supereverything: Performing femininity in the transition to motherhood. Journal of Reproductive and Infant Psychology, 23, 167–180. doi:10.1080/02646830500129487.

    Article  Google Scholar 

  • Chojenta, C., Loxton, D., & Lucke, J. (2012). How do previous mental health, social support, and stressful life events contribute to postnatal depression in a representative sample of Australian women? Journal of Midwifery and Women’s Health, 57, 145–150. doi:10.1111/j.1542-2011.2011.00140.x.

    Article  PubMed  Google Scholar 

  • Clark, L. (2001). La familia: Methodological issues in the assessment of perinatal social support for Mexicanas living in the United States. Social Science and Medicine, 53, 1303–1320.

  • Collins, N. L., Dunkel-Schetter, C., Lobel, M., & Scrimshaw, S. C. (1993). Social support in pregnancy: Psychosocial correlates of birth outcomes and postpartum depression. Journal of Personality and Social Psychology, 65, 1243–1258. doi:10.1037/0022-3514.65.6.1243.

    Article  PubMed  Google Scholar 

  • Consejo Nacional de Evaluación de la Política de Desarrollo Social [CONEVAL] (2014). Medición de pobreza: Distrito Federal [Measurement of poverty: Federal District]. Retrieved from http://www.coneval.org.mx/coordinaion/entidades/DistritoFederal/Paginas/pobreza-2014.aspx.

  • Davila, M., McFall, S. L., & Cheng, D. (2009). Acculturation and depressive symptoms among pregnant and postpartum Latinas. Maternal Child Health Journal, 13, 318–325. doi:10.1007/s10995-008-0385-6.

    Article  PubMed  Google Scholar 

  • Davis, K., Pearlstein, T., Stuart, S., O'Hara, M., & Zlotnick, C. (2013). Analysis of brief screening tools for the detection of postpartum depression: Comparisons of the PRAMS 6-item instrument, PHQ-9, and structured interviews. Archives of Women’s Mental Health, 16, 271–277. doi:10.1007/s00737-013-0345-z.

    Article  PubMed  PubMed Central  Google Scholar 

  • de Castro, F., Hinojosa-Ayala, N., & Hernandez-Prado, B. (2011). Risk and protective factors associated with postnatal depression in Mexican adolescents. Journal of Psychosomatic Obstetrics and Gynecology, 32, 210–217. doi:10.3109/0167482X.2011.626543.

    Article  Google Scholar 

  • de Castro, F., Place, J. M. S., Billings, D. L., Rivera, L., & Frongillo, E. A. (2014). Risk profiles associated with postnatal depressive symptoms among women in a public sector hospital in Mexico: The role of sociodemographic and psychosocial factors. Archives of Women's Mental Health, 18, 463–471. doi:10.1007/s00737-014-0472-1.

    Article  PubMed  Google Scholar 

  • Dennis, C., & Chung-Lee, L. (2006). Postpartum depression help-seeking barriers and maternal treatment preferences: A qualitative systematic review. Birth, 33, 323–331. doi:10.1111/j.1523-536X.2006.00130.x.

    Article  PubMed  Google Scholar 

  • Díaz-Loving, R., Aragón, S. R., & Aragón, R. S. (2001). Rasgos instrumentales (masculinos) y expresivos (femininos), normativos (tipicos e ideales) en Mexico. Revista Latinoamericana de Psicologìa, 33, 131–139.

    Google Scholar 

  • DiGirolamo, A. M., & Salgado de Snyder, V. N. (2008). Women as primary caregivers in Mexico: Challenges to well-being. Salud Publica de Mexico, 50, 516–522. doi:10.1590/S0036-36342008000600013.

    Article  PubMed  Google Scholar 

  • Dimitrovsky, L., Levy-Shiff, R., & Perl, G. (2000). Effect of gender-role orientation of primiparous mothers on their cognitive appraisals, coping strategies, and mood postpartum. Sex Roles, 43, 593–604. doi:10.1023/A:1007156022935.

    Article  Google Scholar 

  • Eagly, A. H., & Wood, W. (1999). The origins of sex differences: Evolution versus social structure. American Psychologist, 54, 408–423. doi:10.1037/0003-066X.54.6.408.

    Article  Google Scholar 

  • Elsenbruch, S., Benson, S., Rucke, M., Rose, M., Dudenhausen, J., Pincus-Knackstedt, M. K., et al. (2007). Social support during pregnancy: Effects on maternal depressive symptoms, smoking and pregnancy outcome. Human Reproduction, 22, 869–877.

    Article  PubMed  Google Scholar 

  • Ennis, S. R., Rios-Vargas, M., & Albert, N. G. (2011). The Hispanic population: 2010. Retrieved from http://www.census.gov/prod/cen2010/briefs/c2010br-04.pdf.

  • Field, T. (2010). Postpartum depression effects on early interactions, parenting, and safety practices: A review. Infant Behavior and Development, 33, 1–9. doi:10.1016/j.infbeh.2009.10.005.

    Article  PubMed  Google Scholar 

  • Fisher, J., Mello, M. C. D., Patel, V., Rahman, A., Tran, T., Holton, S., & Holmes, W. (2012). Prevalence and determinants of common perinatal mental disorders in women in low-and lower-middle-income countries: A systematic review. Bulletin of the World Health Organization, 90, 139–149. doi:10.1590/S0042-96862012000200014.

    Article  Google Scholar 

  • Flynn, H. A., Sexton, M., Ratliff, S., Porter, K., & Zivin, K. (2011). Comparative performance of the Edinburgh postnatal depression scale and the patient health questionnaire-9 in pregnant and postpartum women seeking psychiatric services. Psychiatry Research, 187, 130–134. doi:10.1016/j.psychres.2010.10.022.

    Article  PubMed  Google Scholar 

  • Gaynes B. N., Gavin, N., Meltzer-Brody, S., Lohr, K. N., Swinson, T., Gartlehner, G., … Miller, W. C. (2005). Perinatal depression: Prevalence, screening accuracy, and screening outcomes: Summary. AHRQ publication number 05-E006–1. Rockville: Agency for Healthcare Research and Quality. Retrieved from http://www.ahrq.gov/clinic/epcsums/peridepsum.htm.

  • Genovez, M. G., & Le, H. N. (2011). Identification of Salvadoran pregnant women at risk for postpartum depression. Poster presented at the 25th Annual Conference of Postpartum Support International, Seattle, WA.

  • Gibbons, J. L., Stiles, D. A., & Shkodriani, G. M. (1991). Adolescents’ attitudes toward family and gender roles: An international comparison. Sex Roles, 25, 625–643.

    Article  Google Scholar 

  • Gjerdingen, D., Crow, S., McGovern, P., Miner, M., & Center, B. (2009). Postpartum depression screening at well-child visits: Validity of a 2-question screen and the PHQ-9. Annals of Family Medicine, 7, 63–70. doi:10.1370/afm.933.

    Article  PubMed  PubMed Central  Google Scholar 

  • Gjerdingen, D., Crow, S., McGovern, P., Miner, M., & Center, B. (2011). Changes in depressive symptoms over 0-9 months postpartum. Journal of Women’s Health, 20, 381–386. doi:10.1089/jwh.2010.2355.

    Article  PubMed  PubMed Central  Google Scholar 

  • Gowan, M., & Trevio, M. (1998). An examination of gender differences in Mexican-American attitudes toward family and career roles. Sex Roles, 38, 1079–1093.

    Article  Google Scholar 

  • Goyal, D., Gay, C., & Lee, K. A. (2010). How much does low socioeconomic status increase the risk of prenatal and postpartum depressive symptoms in first time mothers? Women’s Health Issues, 20, 96–104. doi:10.1016/j.whi.2009.11.003.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hietanen, A. E., & Pick, S. (2015). Gender stereotypes, sexuality, and culture in Mexico. In S. Safdar & N. Kosakowska-Berezecka (Eds.), Psychology of gender through the lens of culture (pp. 285–306). New York: Springer International.

    Google Scholar 

  • Instituto Nacional de Estadística y Geografía. (2010). Los hombres y las mujeres en México [Men and women in Mexico]. México City, Mexico: INEGI.

  • Instituto Nacional de Estadística y Geografía. (2013). Encuesta nacional de ingresos y gastos de los hogares [National survey of income and spenditure in homes]. Retrieved from www.inegi.org.mx.

  • Johannesen-Schmidt, M. C., & Eagly, A. H. (2002). Another look at sex differences in preferred mate characteristics: The effects of endorsing the traditional female role. Psychology of Women Quarterly, 26, 322–328. doi:10.1111/1471-6402.t01-2-00071.

    Article  Google Scholar 

  • Kimerling, R., & Baumrind, N. (2005). Access to specialty mental health services among women in California. Psychiatric Services, 56, 729–734. doi:10.1176/appi.ps.56.6.729.

    Article  PubMed  Google Scholar 

  • Knight, G. P., Gonzales, N. A., Saenz, D. S., Bonds, D. D., Germán, M., Deardorff, J., et al. (2010). The Mexican American cultural values scales for adolescents and adults. Journal of Early Adolescence, 30, 444–481. doi:10.1177/0272431609338178.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16, 606–613. doi:10.1046/j.1525-1497.2001.016009606.x.

    Article  PubMed  PubMed Central  Google Scholar 

  • Lam, C. B., McHale, S. M., & Updegraff, K. A. (2012). Gender dynamics in Mexican American families: Connecting mothers’, fathers’, and youths’ experiences. Sex Roles, 67, 17–28. doi:10.1007/s11199-012-0137-3.

    Article  PubMed  PubMed Central  Google Scholar 

  • Lara, M. A. (1989). A sex role inventory with scales for machismo and self-sacrificing woman. Journal of Cross-Cultural Psychology, 20, 386–398. doi:10.1177/0022022189204004.

    Article  Google Scholar 

  • Lara, M. A. (1991). Masculinidad-feminidad y salud mental. Importancia de las características no deseables de los roles de género [masculinity, femininity and mental health: The importance of undesirable traits in gender roles ]. Salud Mental, 14, 12–18 Retrieved from http://www.inprf-cd.gob.mx/revista_sm/.

    Google Scholar 

  • Lara, M. A. (1993). Inventario de masculinidad y feminidad (IMAFE) [Inventory of masculity and femininity] . México, DF: El Manual Moderno.

  • Lara, M. A., & Navarrete, L. (2013). Internal report of “prevalence and risk factors of postpartum depression in perinatal health services” pilot study. México City, Mexico: National Institute of Psychiatry Ramón de la Fuente Muñiz.

  • Lara, M. A., & Navarro, R. (1986). Positive and negative factors in the measurement of sex roles: Findings from a Mexican sample. Hispanic Journal of Behavioral Sciences, 8, 143–155.

    Article  Google Scholar 

  • Lara, M. A., & Navarro, R. (1987). Self-descriptions of Mexican college students in response to the Bem Sex Role Inventory and other sex role ítems. Journal of Cross-Cultural Psychology, 18, 331–344.

  • Lara, M. A., Navarro, C., & Navarrete, L. (2010a). Outcome results of a psycho-educational intervention in pregnancy to prevent PPD: A randomized control trial. Journal of Affective Disorders, 122, 109–117. doi:10.1016/j.jad.2009.06.024.

    Article  PubMed  Google Scholar 

  • Lara, M. A., Navarro, C., Navarrete, L., & Le, H. (2010b). Retention rates and potential predictors in a longitudinal randomized control trial to prevent postpartum depression. Salud Mental, 33, 429–436.

    Google Scholar 

  • Lara, M. A., Navarrete, L., Nieto, L., Martín, J. P. B., Navarro, J. L., & Lara-Tapia, H. (2015). Prevalence and incidence of perinatal depression and depressive symptoms among Mexican women. Journal of Affective Disorders, 175, 18–24. doi:10.1016/j.jad.2014.12.035.

    Article  PubMed  Google Scholar 

  • Lara, M. A., Navarrete, L., & Nieto, L. (2016). Prenatal predictors of postpartum depression and postpartum depressive symptoms in Mexican mothers: A longitudinal study. Archives of Women’s Mental Health, 19, 825–834. doi:10.1007/s00737-016-0623-7.

    Article  PubMed  Google Scholar 

  • Lazarevich, I., Delgadillo-Gutiérrez, H. J., Mora-Carrasco, F., & Martínez-González, A. B. (2013). Depresión, autoestima y características de personalidad asociadas al género en estudiantes rurales de México [Depression, self-esteem, and personality traits associated with gender among students in rural Mexico]. Alternativas en Psicologia, 29, 44–57.

  • Lega, L., & Procel, S. (2013). Acculturation and generational differences in the irrational beliefs about traditional female roles in Ecuadorian mothers and daughters living in Ecuador and the United States. Revista Colombiana de Psicologia, 22, 35–40.

    Google Scholar 

  • Martínez-Gómez, J., Guerrero-Rodríguez, S. M., & Rey-Anacona, C. A. (2012). Assessment of construct validity and reliability of the inventory of masculinity and femininity in adolescents and young Colombian adults. Avances en Psicología Latinoamericana, 30, 170–181.

    Google Scholar 

  • Martinez-Schallmoser, L., Telleen, S., & MacMullen, N. J. (2003). The effects of social support and acculturation on postpartum depression in Mexican American women. Journal of Transcultural Nursing, 14, 329–338. doi:10.1177/1043659603257162.

    Article  PubMed  Google Scholar 

  • Mauthner, N. S. (1999). “Feeling low and feeling really bad about feeling low”: Women’s experiences of motherhood and postpartum depression. Canadian Psychology, 40, 143–161. doi:10.1037/h0086833.

  • Mendez-Luck, C. A., Kennedy, D. P., & Wallace, S. P. (2008). Concepts of burden in giving care to older relatives: A study of female caregivers in a Mexico City neighbourhood. Journal of Cross Cultural Gerontology, 23, 265–282. doi:10.1007/s10823-008-9058-6.

    Article  PubMed  PubMed Central  Google Scholar 

  • Mickelson, K. D. (2001). Perceived stigma, social support, and depression. Personality and Social Psychology Bulletin, 27, 1046–1056.

    Article  Google Scholar 

  • Mickelson, K. D., & Williams, S. L. (2008). Perceived stigma of poverty and depression: Examination of interpersonal and intrapersonal mediators. Journal of Social and Clinical Psychology, 27, 903–930. doi:10.1521/jscp.2008.27.9.903.

    Article  Google Scholar 

  • Mickelson, K. D., Biehle, S. N., Chong, A., & Gordon, A. (2016). Perceived stigma of postpartum depression symptoms in low-risk first-time parents: Gender differences in a dual-pathway model. Sex Roles. Advance online publication. doi: 10.1007/s11199-016-0603-4.

  • Molero, K. L., Urdaneta Machado, J. R., Baabel Zambrano, N., Contreras Benítez, A., Azuaje Quiroz, E., & Baabel Romero, N. (2014). Prevalencia de depresión posparto en puérperas adolescentes y adultas [Prevalence of postpartum depression in new adolescent and adult mothers]. Revista Chilena de Obstetricia y Ginecología, 79, 294–304. doi:10.4067/S0717-75262014000400008.

    Article  Google Scholar 

  • Moradi, B., & Parent, M. C. (2013). Assessment of gender-related traits, attitudes, roles, norms, identity, and experiences. In K. F. Geisinger (Ed.), APA handbook of testing and assessment in psychology: Testing and assessment in clinical and counseling psychology (Vol. 2, pp. 467–488). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  • Muñoz, R. F., Huynh-Nhu, L., Chandra, G. I., Manuela, A. D., Guido, G. U., Soto, J., et al. (2007). Prevention of postpartum depression in low-income women: Development of the mamás y bebés/mothers and babies course. Cognitive and Behavioral Practice, 14, 70–83. doi:10.1016/j.cbpra.2006.04.021.

    Article  Google Scholar 

  • National Institute for Health and Care Excellence. (2007). Antenatal and postnatal mental health: The NICE Guideline on clinical management and service guidance. Retrieved from http://www.nice.org.uk/guidance/cg192.

  • Navarrete, L. E. (2012). La experiencia psicológica del embarazo de alto riesgo en mujeres con sintomatología depresiva [The psychological experience of high risk pregnancy among women with depressive symptoms] (unpublished master’s thesis). México City, Mexico: Universidad Nacional Autónoma de México.

  • Navarrete, L. E., Lara, M. A., Navarro, C., Gómez, M. E., & Morales, F. (2012). Factores psicosociales que predicen síntomas de ansiedad posnatal y su relación con los síntomas depresivos en el posparto [Psychosocial factors predicting postnatal anxiety symptoms and their relation to symptoms of postpartum depression]. Revista de Investigación Clínica, 64, 625–633.

    PubMed  Google Scholar 

  • Negron, R., Martin, A., Almog, M., Balbierz, A., & Howell, E. (2013). Social support during the postpartum period: Mothers’ views on needs, expectations, and mobilization of support. Maternal and Child Health Journal, 17, 616–623. doi:10.1007/s10995-012-1037-4.

    Article  PubMed  PubMed Central  Google Scholar 

  • O’Hara, M. W. (2009). Postpartum depression: What we know. Journal of Clinical Psychology, 65, 1258–1269. doi:10.1002/jclp.20644.

    Article  PubMed  Google Scholar 

  • O'Hara, M. W., & McCabe, J. E. (2013). Postpartum depression: Current status and future directions. Annual Review of Clinical Psychology, 9, 379–407. doi:10.1146/annurev-clinpsy-050212-185612.

    Article  PubMed  Google Scholar 

  • O'Hara, M. W., & Swain, A. M. (1996). Rates and risk of postpartum depression: A meta-analysis. International Review of Psychiatry, 8, 37–54. doi:10.3109/09540269609037816.

    Article  Google Scholar 

  • Özmen, D., Çetinkaya, A., Ulaş, S., & Özmen, E. (2014). Association between perceived social support and postpartum depression in Turkey. British Journal of Medicine and Medical Research, 4, 2025–2036. doi:10.9734/BJMMR/2014/6109#sthash.WC4L4AHY.dpuf.

    Article  Google Scholar 

  • Paulson, J. F., Dauber, S., & Leiferman, J. A. (2006). Individual and combined effects of postpartum depression in mothers and fathers on parenting behavior. Pediatrics, 118, 659–668. doi:10.1542/peds.2005-2948.

    Article  PubMed  Google Scholar 

  • Pawar, G., Wetzker, C., & Gjerdingen, D. (2011). Prevalence of depressive symptoms in the immediate postpartum period. Journal of the American Board Family Medicine, 24, 258–261. doi:10.3122/jabfm.2011.03.100249.

    Article  Google Scholar 

  • Pérez, P., & Gaviña, J. (2014). Affective disorders. In M. Sáenz-Herrero (Ed.), Psychopathology in women: Incorporating gender perspective into descriptive psychopathology (pp. 527–559). New York, NY: Springer International Publishing.

    Google Scholar 

  • Pérez Blasco, J., & Serra Desfilis, E. (1997). Influencia del rol tradicional femenino en la sintomatología ansiosa en una muestra de mujeres adultas [The effect of the traditional female role on anxiety symptoms in a sample of adult women]. Anales de Psicología, 13, 155–161.

  • Pfost, K., Stevens, M., & Lum, C. (1989). Femininity and work plans protect women against postpartum dysphoria. Sex Roles, 21, 423–431. doi:10.1007/bf00289601.

    Article  Google Scholar 

  • Records, K., Rice, M., & Beck, C. T. (2007). Psychometric assessment of the postpartum depression predictors inventory-revised. Journal of Nursing Measurement, 15, 189–202. doi:10.1891/106137407783095775.

    Article  PubMed  Google Scholar 

  • Rey, C. A. (2008). Pro-social skills, gender personality traits and acceptance of violence toward women in adolescents who have witnessed violence in their parents. Acta Colombiana de Psicologia, 11, 107–118.

    Google Scholar 

  • Righetti-Veltema, M., Conne-Perréard, E., Bousquet, A., & Manzano, J. (1998). Risk factors and predictive signs of postpartum depression. Journal of Affective Disorders, 49, 167–180.

    Article  PubMed  Google Scholar 

  • Robertson, E., Grace, S., Wallington, T., & Stewart, D. E. (2004). Antenatal risk factors for postpartum depression: A synthesis of recent literature. General Hospital Psychiatry, 26, 289–295. doi:10.1016/j.genhosppsych.2004.02.006.

    Article  PubMed  Google Scholar 

  • Rocha-Sánchez, T., & Cruz del Castillo, C. (2013). Structural and subjective barriers in the role transition of Mexican women and their emotional distress. Acta Colombiana de Psicologia, 16, 123–135.

    Google Scholar 

  • Rojas, G., Fritsch, R., Guajardo, V., Rojas, F., Barroilhet, S., & Jadresic, E. (2010). Characterization of depressed mothers in the postpartum. Revista Medica de Chile, 138, 536–542. doi:10.4067/S0034-98872010000500002.

    PubMed  Google Scholar 

  • Saunders, K. J., & Kashubeck-West, S. (2006). The relations among feminist identity development, gender-role orientation, and psychological well-being in women. Psychology of Women Quarterly, 30, 199–211. doi:10.1111/j.1471-6402.2006.00282.x.

    Article  Google Scholar 

  • Seedat, S., Scott, K. M., Angermeyer, M. C., Berglund, P., Bromet, E. J., Brugha, T. S., et al. (2009). Cross-national associations between gender and mental disorders in the WHO world mental health surveys. Archives of General Psychiatry, 66, 785–795. doi:10.1001/archgenpsychiatry.2009.36.

    Article  PubMed  PubMed Central  Google Scholar 

  • Segre, L. S., Pollack, L. O., Brock, R. L., Andrew, J. R., & O’Hara, M. W. (2014). Depression screening on a maternity unit: A mixed-methods evaluation of nurses’ view and implementation strategies. Issues in Mental Health Nursing, 35, 444–454. doi:10.3109/01612840.2013.879358.

    Article  PubMed  Google Scholar 

  • Sohr-Preston, S. V. (2006). Implications of timing of maternal depressive symptoms for early cognitive and language development. Clinical Child and Family Psychology Review, 9, 65–83. doi:10.1007/s10567-006-0004-2.

    Article  PubMed  Google Scholar 

  • Spitzer, R. L., Kroenke, K., & Williams, J. B. (1999). Validation and utility of a self-report version of PRIME-MD: The PHQ primary care study. Journal of the American Medical Association, 282, 1737–1744. doi:10.1001/jama.282.18.1737.

  • Stickney, L. T., & Konrad, A. M. (2007). Gender role attitudes and earnings: A multinational study of married women and men. Sex Roles, 57, 801–811. doi:10.1007/s11199-007-9311-4.

    Article  Google Scholar 

  • Surkan, P. J., Peterson, K. E., Hughes, M. D., & Gottlieb, B. R. (2006). The role of social networks and support in postpartum women’s depression: A multi-ethnic urban sample. Maternal and Child Health Journal, 10, 375–383. doi:10.1007/s10995-005-0056-9.

    Article  PubMed  Google Scholar 

  • Tannous, L., Gigante, L. P., Fuchs, S. C., & Busnello, E. D. A. (2008). Postnatal depression in southern Brazil: Prevalence and demographic and socioeconomic determinants. BMC Psychiatry, 8, 1–8. doi:10.1186/1471-244X-8-1.

    Article  PubMed  PubMed Central  Google Scholar 

  • Updegraff, K. A., McHale, S. M., Zeider, K. H., Umaña-Taylor, A. J., Perez-Brena, N. J., Wheeler, L. A., et al. (2014). Mexican-American adolescents’ gender role attitude development: The role of adolescents’ gender and nativity and parents’ gender role attitudes. Journal of Youth and Adolescence, 43, 2041–2053. doi:10.1007/s10964-014-0128-5\.

    Article  PubMed  PubMed Central  Google Scholar 

  • Urdaneta, J., Rivera, A., García, J. I., Guerra, M., Baabel, N. Z., & Contreras, A. B. (2011). Factores de riesgo de depression posparto en puérperas venezolanas volaradas por medio de la escala Edimburgo [Risk factors for postpartum depression in new Venezuelan mothers using the Edinburgh scale]. Revista Chilena de Obstetricia y Ginecología, 76, 102–112. doi:10.4067/S0717-75262011000200007.

  • Urquia, M. L., O’Campo, P. J., & Heaman, M. I. (2012). Revisiting the immigrant paradox in reproductive health: The roles of duration of residence and ethnicity. Social Science & Medicine, 74, 1610–1621. doi:10.1016/j.socscimed.2012.02.013.

    Article  Google Scholar 

  • World Health Organization. (1998). The World Health Report 1998: Life in the twenty-first century. A vision for all. Retrieved from http://www.who.int/whr/1998/en/whr98_en.pdf.

  • Wulsin, L., Somoza, E., & Heck, J. (2002). The feasibility of using the Spanish PHQ-9 to screen for depression in primary care in Honduras. Primary Care Companion to the Journal of Clinical Psychiatry, 4, 191–195. doi:10.4088/pcc.v04n0504.

    Article  PubMed  PubMed Central  Google Scholar 

  • Xie, R., Yang, J., Liao, S., Xie, H., Walker, M., & Wen, S. (2010). Prenatal family support, postnatal family support and postpartum depression. Australian and New Zealand Journal of Obstetrics and Gynecology, 50, 340–345. doi:10.1111/j.1479-828x.2010.01185.x.

    Article  Google Scholar 

  • Yawn, B. P., Pace, W., Wollan, P. C., Bertram, S., Kurland, M., Graham, D., et al. (2009). Concordance of Edinburgh postnatal depression scale (EPDS) and patient health questionnaire (PHQ-9) to assess increased risk of depression among postpartum women. Journal of the American Board of Family Medicine, 22, 483–491. doi:10.3122/jabfm.2009.05.080155.

    Article  PubMed  Google Scholar 

  • Zhong, Q., Gelaye, B., Fann, J. R., Sanchez, S. E., & Williams, M. A. (2014). Cross-cultural validity of the Spanish version of the PHQ-9 among pregnant Peruvian women: A Rasch item response analysis. Journal of Affective Disorders, 158, 148–153. doi:10.1016/j.jad.2014.02.012.

    Article  PubMed  PubMed Central  Google Scholar 

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Acknowledgments

This study was supported by the Consejo Nacional de Ciencia y Tecnología (CONACyT, CB-2009-01 133923) and by the National Institute on Minority Health and Health Disparities (T37 MD003405-06). We are grateful to Dr. José Luis Navarro, Director of the Centro de Salud Dr. Ángel Brioso Vasconcelos and to Dr. Juan Pablo Barba Martín, Coordinator of Obstetrics and Gynecology of the Hospital Regional del ISSSTE Lic. Adolfo López Mateos. Thanks are also due to the research team: Yadira Ramos, Karla Alcántara and Valeria Zempoalteca, and to Ricardo Orozco for his statistical assistance.

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Authors and Affiliations

  1. Department of Psychology, Rutgers University, New Brunswick, NJ, USA

    Analia F. Albuja

  2. Department of Epidemiology and Psychosocial Research, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Calzada México Xochimilco 101, Tlalpan, 14370, México D. F, Mexico

    M. Asunción Lara, Laura Navarrete & Lourdes Nieto

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  1. Analia F. Albuja
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  2. M. Asunción Lara
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  3. Laura Navarrete
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  4. Lourdes Nieto
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Correspondence to M. Asunción Lara.

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Albuja, A.F., Lara, M.A., Navarrete, L. et al. Social Support and Postpartum Depression Revisited: The Traditional Female Role as Moderator among Mexican Women. Sex Roles 77, 209–220 (2017). https://doi.org/10.1007/s11199-016-0705-z

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