Environmental Health and Preventive Medicine

, Volume 14, Issue 5, pp 255–260

Relationship between the Noto-Peninsula earthquake and maternal postnatal depression and child-rearing

Authors

    • Department of Environmental and Preventive Medicine, Graduate School of Medical ScienceKanazawa University
  • Jiro Takaki
    • Department of Public HealthOkayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
  • Yasuhiro Kambayashi
    • Department of Environmental and Preventive Medicine, Graduate School of Medical ScienceKanazawa University
  • Yoshiaki Hitomi
    • Department of Environmental and Preventive Medicine, Graduate School of Medical ScienceKanazawa University
  • Akemi Sakai
    • Department of Health Science, Graduate School of Medical ScienceKanazawa University
  • Naomi Sekizuka
    • Department of Health Science, Graduate School of Medical ScienceKanazawa University
  • Keiki Ogino
    • Department of Public HealthOkayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
  • Hiroyuki Nakamura
    • Department of Environmental and Preventive Medicine, Graduate School of Medical ScienceKanazawa University
Regular Article

DOI: 10.1007/s12199-009-0090-0

Cite this article as:
Hibino, Y., Takaki, J., Kambayashi, Y. et al. Environ Health Prev Med (2009) 14: 255. doi:10.1007/s12199-009-0090-0

Abstract

Objective

The aim of our study was to explore the relationship between a medium-scale earthquake and maternal depression and child-rearing in a depopulated community in the Noto Peninsula of Japan.

Methods

Three months after a major earthquake, self-rating questionnaires were distributed to women who were pregnant at the time of the earthquake or who became pregnant immediately thereafter, and who were receiving care at any of four major hospitals in the most devastated area. A total of 155 women who had given birth returned the completed questionnaire for analysis. Maternal postnatal depression among the participants was assessed using the Edinburgh Postnatal Depression Scale (EPDS).

Results

The EPDS score was significantly associated with decreased “satisfaction with delivery” (β = −0.28, p = 0.01), increased artificial “lactation” (β = 0.31, p = 0.002), and increased “trouble with infant care” (β = 0.47, p < 0.001) in multivariate analysis. It was also significantly associated with increased “anxiety about earthquakes” (β = 0.30, p = 0.001), and “anxiety about earthquakes” was significantly associated with increased “fear of the earthquake” (β = 0.20, p = 0.04).

Conclusions

Earthquake-related factors such as “anxiety about earthquakes” and “fear of the earthquake” did not have a direct effect on child-rearing factors; however, they did have a significant relationship with increased EPDS. Based on these results, we conclude that screening strategies for maternal depression in peri- and postnatal women under emergency circumstances are necessary.

Keywords

Child-rearingDepopulatedEarthquakeMaternal postnatal depression

Copyright information

© The Japanese Society for Hygiene 2009