Psychiatric Quarterly

, Volume 87, Issue 1, pp 129–154 | Cite as

Cross-Cultural Approach of Postpartum Depression: Manifestation, Practices Applied, Risk Factors and Therapeutic Interventions

  • Olympia Evagorou
  • Aikaterini Arvaniti
  • Maria Samakouri
Original Paper


It is a well known fact that postpartum depression (PPD) is a global phenomenon that women may experience, regardless of cultural identity and beliefs. This literature review presents the cultural beliefs and postnatal practices around the world, in each continent and people’s origins, looking through the extent to which they contribute positively or negatively to the onset of the disease. 106 articles were used in this research, through a systematic electronic search of Pubmed (Medline) and Scopus. Comparison is also made between the prevalence, the risk factors and the different ways of appearance of the disease around the world and among immigrants. Finally, the initiatives and interventions made so far by the governments and institutions with a view to prevent and address this global problem are presented. The results showed (a) that different cultures share the same risk factors towards the disease (b) significant differences in the prevalence of the disease among both Western and non Western cultures and between the cultures themselves (c) more tendencies for somatization of depressive symptoms in non—Western cultures, (d) different postnatal practices between cultures, which are not always effective (e) the more non-West a culture is, the less interventions concern on mental health; the same phenomenon is observed on populations burdened by immigration. The beliefs held by culture should be taken seriously in detecting of PPD, as well as the assessment of the needs of women who have recently given birth.


Postpartum depression Transcultural Cross-cultural Interventions 



Postpartum depression




United Arab Emirates


Program for improving mental health care


Mother–baby unit


Postnatal depression support association of South Africa


Perinatal mental health project


Mental health america


Perinatal mood disorders


Family health strategy


  1. 1.
    Cox JL. The life event of childbirth: sociocultural aspects ofpostnatal depression. In: Kumar R, Brockington IF (eds), Motherhood and mental illness. John Wright: London; 1988.Google Scholar
  2. 2.
    Halbreich U, Karkun S. Cross-cultural and social diversity of prevalence of postpartum depression and depressive symptoms. Journal of Affective Disorders 91(2–3):97–111, 2006.PubMedCrossRefGoogle Scholar
  3. 3.
    Ambrosini A, Stanghellini G. Myths of motherhood. The role of culture in the development of postpartum depression. Annali dell’Istituto superiore di sanità 48(3):277–286, 2012.PubMedCrossRefGoogle Scholar
  4. 4.
    Mohammad KI, Gamble J, Creedy DK. Prevalence and factors associated with the development of antenatal and postnatal depression among Jordanian women. Midwifery 27(6):e238–e245. doi: 10.1016/j.midw.2010.10.008.d, 2011.PubMedCrossRefGoogle Scholar
  5. 5.
    Cotichelli G, Barbadoro P, Chiatti C, Marigliano A, Prospero E, Di Stanislao F. Regional distribution of postpartum depressive symptoms in Italy. In: The 15Th Emerging New Researchers in the Geography of Health and Impairment Conference. 2010. Accessed 05 April 2014.
  6. 6.
    Miller LJ. Postpartum Depression. JAMA 287(6):762–765, 2002.PubMedCrossRefGoogle Scholar
  7. 7.
    Baker L, Cross S, Greaver L, Wei G, Lewis R. Prevalence of postpartum depression in a native American population. Maternal and Child Health Journal 9(1):21–25, 2005.PubMedCrossRefGoogle Scholar
  8. 8.
    Grussu P, Quatraro RM. Prevalence and risk factors for a high level of postnatal depression symptomatology in Italian women: A sample drawn from ante-natal classes. European Psychiatry 24(5):327–333, 2009. doi: 10.1016/j.eurpsy.2009.01.006.PubMedCrossRefGoogle Scholar
  9. 9.
    Born L, Zinga D, Steiner M. Challenges in identifying and diagnosing postpartum disorders. Primary Psychiatry 1:29e36, 2004.Google Scholar
  10. 10.
    Brockington I. Postpartum psychiatric disorders Lancet 363(9405):303–310, 2004.PubMedCrossRefGoogle Scholar
  11. 11.
    Horowitz JA, Goodman JH. Identifying and treating postpartum depression. Journal of Obstetric, Gynecologic, & Neonatal Nursing 34(2):264–273, 2005.PubMedCrossRefGoogle Scholar
  12. 12.
    Sichel D, Driscoll JD. Women’s Moods: What Every Woman Must Know About Hormones, the Brain, and Emotional Health. New York: Harper Paperbacks: 1999.Google Scholar
  13. 13.
    Kelly RH, Russo J, Katon W. Somatic complaints among pregnant women cared for in obstetrics: normal pregnancy or depressive and anxiety symptom amplification revisited? General Hospital Psychiatry 23(3):107–113, 2001.PubMedCrossRefGoogle Scholar
  14. 14.
    Gulamani SS, Premji SS, Kanji Z, Azam SI. A review of postpartum depression, preterm birth, and culture. The Journal of perinatal & neonatal nursing 27(1):52–9; quiz 60-1, 2013. doi: 10.1097/JPN.0b013e31827fcf24.
  15. 15.
    Hammen C, Brennan PA. Severity, chronicity, and timing of maternal depression and risk for adolescent offspring diagnoses in a community sample. Archives of general psychiatry 60(3):253–258, 2003.PubMedCrossRefGoogle Scholar
  16. 16.
    Posmontier B, Horowitz JA. Postpartum practices and depression prevalences: Technocentric and ethnokinship cultural perspectives. Journal of Transcultural Nursing 15(1):34–43, 2004.PubMedCrossRefGoogle Scholar
  17. 17.
    O’Hara, MH. Postpartum Depression and Child Development. New York, Guilford, 1997.Google Scholar
  18. 18.
    Nahas V, Amasheh N. Culture care meanings and experiences of postpartum depression among Jordanian Australian women: A transcultural study. Journal of Transcultural Nursing 10(1):37–45, 1999.PubMedCrossRefGoogle Scholar
  19. 19.
    Cooper P, Murray L. Prediction, detection, and treatment of postnatal depression. Archives of disease in childhood 77(2):97–99, 1997.PubMedCentralPubMedCrossRefGoogle Scholar
  20. 20.
    Ross LE, Sellers EM, Gilbert Evan SE, Romach MK. Mood changes during pregnancy and the postpartum period: developmen of a biopsychosocial model. Acta Psychiatrica Scandinavica 109(6):457–466, 2004.PubMedCrossRefGoogle Scholar
  21. 21.
    Klainin P, Arthur DG. Postpartum depression in Asian cultures: A literature review. International journal of nursing studies 46(10):1355–1373, 2009.PubMedCrossRefGoogle Scholar
  22. 22.
    Saleh ES, El-Bahei W, El-Hadidy MA, Zayed A. Predictors of postpartum depression in a sample of Egyptian women. Neuropsychiatric disease and treatment 9:15–24, 2013. doi: 10.2147/NDT.S37156.PubMedCentralGoogle Scholar
  23. 23.
    Romito P, Saurel-Cubizolles MJ, Lelong N. What makes new mothers unhappy: psychological distress one year after birth in Italy and France. Social Science and Medicine 49(12):1651–1661, 1999.CrossRefGoogle Scholar
  24. 24.
    Sawyer A, Ayers S, Smith H. Pre- and postnatal psychological wellbeing in Africa: a systematic review. Journal of affective disorders 123(1–3):17–29, 2010. doi: 10.1016/j.jad.2009.06.027.PubMedCrossRefGoogle Scholar
  25. 25.
    Chojenta C, Loxton D, Lucke J. 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(2):145–150, 2012. doi: 10.1111/j.1542-2011.2011.00140.x.PubMedCrossRefGoogle Scholar
  26. 26.
    Boyce PM. Risk factors for postnatal depression: a review and risk factors in Australian populations. Archives of Women’s Mental Health 6 Suppl 2:S43–S50, 2003.PubMedCrossRefGoogle Scholar
  27. 27.
    Bashiri N, Spielvogel AM. Postpartum depression: A cross cultural perspective. Primary Care Update for OB/GYNS 6 (3) 82–87, 1999. doi: 10.1016/S1068-607X(99)00003-7.CrossRefGoogle Scholar
  28. 28.
    Callister LC,Beckstrand RL, Corbett C. Postpartum depression and culture: Pesado Corazon. MCN: The American Journal of Maternal/Child Nursing 35(5):254–261; quiz 261-3, 2010. doi: 10.1097/NMC.0b013e3181e597bf.
  29. 29.
    O’hara MW, Swain AM. Rates and risk of postpartum depression—a meta-analysis. International Review of Psychiatry 8: 37–54, 1996.Google Scholar
  30. 30.
    Beck CT. Predictors of postpartum depression: an update. Nursing Research 50: 275–285, 2001.PubMedCrossRefGoogle Scholar
  31. 31.
    Kok LP, Chan PS, Ratnam SS. Postnatal depression in Singapore women. Singapore Medical Journal 35(1):33–35, 1994.PubMedGoogle Scholar
  32. 32.
    Roomruangwong C, Epperson CN. Perinatal depression in Asian women: prevalence, associated factors, and cultural aspects. Asian Biomedicine 5(2), 179–193, 2011.CrossRefGoogle Scholar
  33. 33.
    Hayes MJ, Roberts S, Davare A. Transactional conflict between psychobiology and culture in the etiology of postpartum depression. Medical Hypotheses 55(3):266–276, 2000.PubMedCrossRefGoogle Scholar
  34. 34.
    Abdollahi F, Lye M-S, Zain AM, Ghazali SS, Zarghami M. Postnatal depression and its associated factors in women from different cultures. Iranian Journal of Psychiatry and Behavioral Sciences 5(2):5–11, 2011.PubMedCentralPubMedGoogle Scholar
  35. 35.
    Lauber C, Rössler W. Stigma towards people with mental illness in developing countries in Asia. International Review of Psychiatry 19(2):157–178, 2007.PubMedCrossRefGoogle Scholar
  36. 36.
    Hitchcock J, Schubert P, Thomas S. Spiritual and Cultural Perspectives. In: Community Health Nursing: Caring in Action. 2002. Second Edition, Chapter 8, pp 175–185.Google Scholar
  37. 37.
    Yeoun SKG. Postpartum beliefs and practices among non-Western cultures. MCN: The American Journal of Maternal/Child Nursing 28(2):74–78; quiz 79–80, 2003.Google Scholar
  38. 38.
    Dennis CL, Fung K, Grigoriadis S, Robinson GE, Romans S, Ross L. Traditional postpartum practices and rituals: A qualitative systematic review. Womens Health (Lond Engl). 3(4):487–502, 2007. doi: 10.2217/17455057.3.4.487.PubMedCrossRefGoogle Scholar
  39. 39.
    Bina R. The impact of cultural factors upon postpartum depression: a literature review. Health Care for Women International 29(6):568–592, 2008. doi: 10.1080/07399330802089149.PubMedCrossRefGoogle Scholar
  40. 40.
    Yamashita H, Yoshida K. Nakano H, Tashiro N. Postnatal depression in Japanese women: detecting the early onset of postnatal depression by closely monitoring the postpartum mood. Journal of Affective Disorders 58(2):145–154, 2000.PubMedCrossRefGoogle Scholar
  41. 41.
    Yoshida K, Yamashita H, Ueda M, Tashiro N. Postnatal depression in Japanese mothers and the reconsideration of ‘Satogaeri bunben’. Pediatrics International 43(2):189–193, 2001.PubMedCrossRefGoogle Scholar
  42. 42.
    Kitamura T, Yoshida K, Okano T, Kinoshita K, Hayashi M, Toyoda N et al. Multicentre prospective study of perinatal depression in Japan: Incidence and correlates of antenatal and postnatal depression. Archives of Women’s Mental Health 9(3):121–130, 2006.PubMedCrossRefGoogle Scholar
  43. 43.
    Park E, Dimigen G. A cross-cultural comparison: Postnatal depression in Korean and Scottish mothers. Psychologia. 38(3):199–207, 1995.Google Scholar
  44. 44.
    Shin S. Postpartum Psychoeducation and Group Work Curriculum for Korean Immigrant Mothers. California State University, Long Beach; 2009.Google Scholar
  45. 45.
    Liamputtong P. Yu Duan practices as embodying tradition, modernity and social change in Chiang Mai, Northern Thailand. Women Health 40(1):79–99, 2004.PubMedCrossRefGoogle Scholar
  46. 46.
    Goyal D, Murphy SO, Cohen J. Immigrant Asian Indian women and postpartum depression. Journal of Obstetric, Gynecologic, and Neonatal Nursing 35(1):98–104, 2006.PubMedCrossRefGoogle Scholar
  47. 47.
    Adams V, Miller S, Chertow J, Craig S, Samen A, Varner M. Having a “safe delivery”: conflicting views from Tibet. Health Care for Women International 26(9):821–851, 2005.PubMedCrossRefGoogle Scholar
  48. 48.
    Cheon-Klessig Y, Dorothy DC, Beverly JM, Virginia O. “Folk medicine in the Health Practice of Hmong Refugees.” Western Journal of Nursing Research 10(5):647–660, 1988.PubMedCrossRefGoogle Scholar
  49. 49.
    Affonso DD, De AK, Horowitz JA, Mayberry LJ. An international study exploring levels of postpartum depressive synptomatology. Journal of Psychosomatic Research 49(3):207–216, 2000.PubMedCrossRefGoogle Scholar
  50. 50.
    Edwards GD, Shinfuku N, Gittelman M, Ghozali EW, Haniman F, Wibisono S, et al., 2006. Postnatal depression in Surabaya, Indonesia. International Journal of Mental Health 35 (1), 62–74, 2006.Google Scholar
  51. 51.
    Wang SY, Jiang XY, Jan WC, Chen CH. A comparative study of postnatal depression and its predictors in Taiwan and mainland China. American Journal of Obstetrics and Gynecolog 189(5):1407–1412, 2003.CrossRefGoogle Scholar
  52. 52.
    Chee CYI, Lee DTS, Chong YS, Tan LK, Ng TP, Fones CSL. Confinement and other psychosocial factors in perinatal depression: a transcultural study in Singapore. Journal of Affective Disorders 89(1):157–166, 2005.PubMedCrossRefGoogle Scholar
  53. 53.
    Limlomwongse N, Liabsuetrakul T. Cohort study of depressive moods in Thai women during late pregnancy and 6–8 weeks of postpartum using the Edinburgh Postnatal Depression Scale (EPDS). Archives of Women’s Mental Health 9 (3):131–138, 2006.PubMedCrossRefGoogle Scholar
  54. 54.
    Ho-Yen SD, Bondevik GT, Eberhard-Gran M, Bjorvatn B. Factors associated with depressive symptoms among postnatal women in Nepal. Acta Obstetricia et Gynecologica Scandinavica 86(3):291–297, 2007.PubMedCrossRefGoogle Scholar
  55. 55.
    Grace J, Lee KK, Ballard C, Herbert M. The relationship between post-natal depression, somatisation, and behaviour in Malaysian Women. Transcultural Psychiatry 38 (1):27–34, 2001.CrossRefGoogle Scholar
  56. 56.
    Mahmud WMRW, Shariff S, Yaacob MJ. Postpartum depression: a survey of the incidence and associated risk factors among Malay women in Beris Kubor Besar, Bachok, Kelantan. The Malaysian Journal of Medical Sciences 9 (1):41–48, 2002.Google Scholar
  57. 57.
    Savarimuthu RJS, Ezhilarasu P, Charles H, Antonisamy B, Kurian S, Jacob KS Post partum depression in the community: A qualitative study from rural south India. International Journal of Social Psychiatry 56(1):94–102, 2010. doi: 10.1177/0020764008097756.PubMedCrossRefGoogle Scholar
  58. 58.
    Chan S, Levy V. Postnatal depression: A qualitative study of the experiences of a group of Hong Kong Chinese women. Journal of Clinical Nursing 13(1):120–123, 2004.PubMedCrossRefGoogle Scholar
  59. 59.
    Chan SW, Williamson V, McCutcheon H. A comparative study of the experiences of a group of Hong Kong Chinese and Australian women diagnosed with postnatal depression. Perspectives in Psychiatric Care 45(2):108–118, 2009. doi: 10.1111/j.1744-6163.2009.00211.x.PubMedCrossRefGoogle Scholar
  60. 60.
    Rahman A, Iqbal Z, Harrington R. Life events, social support and depression in childbirth: perspectives from a rural community in the developing world. Psychological Medicine 33(7):1161–1167, 2003.PubMedCrossRefGoogle Scholar
  61. 61.
    Kalyani GHS, Saeed K, Rehman IU, Mubbashar MH. Incidence of depressive illness in Pakistani women during postnatal period. Journal-College of Physicians and Surgeons of Pakistan 11(4):246–248, 2001.Google Scholar
  62. 62.
    Kheirabadi GR, Maracy MR. Perinatal depression in a cohort study on Iranian women. Journal of Research in Medical Sciences 15(1):41–49, 2010.PubMedCentralPubMedGoogle Scholar
  63. 63.
    Jablensky A, Sartorius N, Gulbiant W, Ernberg G. Characteristics of depressive patients contacting psychiatric services in four cultures. Acta Psychiatrica Scandinavica 63(4):367–383, 1981.PubMedCrossRefGoogle Scholar
  64. 64.
    Glasser S. Postpartum depression: A chronicle of health policy development. Israel Journal of Psychiatry and Related Sciences 47(4):254–259, 2010.PubMedGoogle Scholar
  65. 65.
    Lund C, Tomlinson M, de Silva M, Fekadu A, Shidhaye R, Jordans M et al. PRIME: A Programme to Reduce the Treatment Gap for Mental Disorders in Five Low- and Middle-Income Countries. PLoS Medicine 9(12):e1001359, 2012. doi: 10.1371/journal.pmed.1001359.PubMedCentralPubMedCrossRefGoogle Scholar
  66. 66.
    Thara R, Patel V. Role of non-governmental organizations in mental health in India. Indian Journal of Psychiatry 52(Suppl 1):S389–S395, 2010. doi: 10.4103/0019-5545.69276.PubMedCentralPubMedCrossRefGoogle Scholar
  67. 67.
    Sinha SK, Kaur J. National mental health programme: Manpower development scheme of eleventh five-year plan. Indian Journal of Psychiatry Jul;53(3):261–265, 2011. doi: 10.4103/0019-5545.86821.PubMedCentralPubMedCrossRefGoogle Scholar
  68. 68.
    Chandra P, Desai G, Thippeswamy H. An inpatient Mother baby psychiatric unit in India: A three year experience. Archives of Women’s Mental Health 16 (suppl):s88, 2013.Google Scholar
  69. 69.
    Glasser S, Tanous M, Shihab S, Goldman N, Ziv A, Kaplan G. Perinatal depressive symptoms among Arab women in Northern Israel. Maternal and Child Health Journal 16(6):1197–1205, 2012. doi: 10.1007/s10995-011-0845-2.PubMedCrossRefGoogle Scholar
  70. 70.
    Kakyo TA, Muliira JK, Mbalinda SN, Kizza IB, Muliira RS. Factors associated with depressive symptoms among postpartum mothers in a rural district in Uganda. Midwifery 28(3):374–379, 2012. doi: 10.1016/j.midw.2011.05.001.PubMedCrossRefGoogle Scholar
  71. 71.
    Baggett S. Cultural Diversities in Pregnancy and Childbirth. Cultural Influences on Pregnancy. Prezi. Available at: Accessed April 1, 2014.
  72. 72.
    Lois L, Loffman N (2010) African American Populations. In: Multicultural Health [book on line], 1st edn. Jones and Barlett Publishers; 2010:405. pp 264-268 Available at:
  73. 73.
    Lori JR, Boyle JS. Cultural childbirth practices, beliefs, and traditions in postconflict Liberia. Health Care for Women International Jun;32(6):454–473, 2011. doi: 10.1080/07399332.2011.555831.PubMedCrossRefGoogle Scholar
  74. 74.
    Kelly J. The influence of native costums on obstetrics in Nigeria. Obstetrics and Gynecology 30(4):608–612, 1967.PubMedGoogle Scholar
  75. 75.
    Awosa-Omorodion, F. Women’s perceptions of the complications of pregnancy and childbirth in two Esan communities, Edo state, Nigeria. Social Science and Medicine 44(12):1817–1824, 1997.CrossRefGoogle Scholar
  76. 76.
    Amooti-Kaguna B, Nuwaha F. Factors influencing choice of delivery sites in Rakai district of Uganda. Social Science and Medicine 50(2):203–213, 2000.PubMedCrossRefGoogle Scholar
  77. 77.
    Ramchandani PG, Richter LM, Stein A, Norris SA. Predictors of postnatal depression in an urban South African cohort. Journal of Affective Disorders 113(3):279–284, 2009. doi: 10.1016/j.jad.2008.05.007.PubMedCrossRefGoogle Scholar
  78. 78.
    Halbreich U, Alarcon RD, Calil H, Douki S, Gaszner P, Jadresic E, et al. Culturally-sensitive complaints of depression and anxieties in women. Journal of Affective Disorders 102(1-3):159–176, 2007.PubMedCrossRefGoogle Scholar
  79. 79.
    Jinadu MK, Daramola SM. Emotional changes in pregnancy and early puerperium among the Yoruba women of Nigeria. International Journal of Social Psychiatry 36(2):93–98, 1990.PubMedCrossRefGoogle Scholar
  80. 80.
    Kleinman A, Good B. Culture and depression. London: University of California Press: 1985.Google Scholar
  81. 81.
    Nakku JEM, Nakasi G, Mirembe F. Postpartum major depression at six weeks in primary health care: prevalence and associated factors. African Health Sciences 6(4):207–214, 2006.PubMedCentralPubMedGoogle Scholar
  82. 82.
    Honikman S, van Heyningen T, Field S, Baron E, Tomlinson M. Stepped care for maternal mental health: a case study of the perinatal mental health project in South Africa. PLoS Medicine 9(5):e1001222, 2012. doi: 10.1371/journal.pmed.1001222.PubMedCentralPubMedCrossRefGoogle Scholar
  83. 83.
    History of PNDSA. PNDSA, Postnatal Depression Support Association South Africa. Available at: Accessed 05 April 2014.
  84. 84.
    Oates MR, Cox JL, Neema S, Asten P, Glangeaud-Freudenthal N, Figueiredo B, et al. Postnatal depression across countries and cultures: A qualitative study. The British Journal of Psychiatry 46:s10–s16, 2004.PubMedCrossRefGoogle Scholar
  85. 85.
    Huang YC, Mathers N. Postnatal depression – Biological or cultural? A comparative study of postnatal women in the UK and Taiwan. Journal of Advanced Nursing 33(3):279–287, 2001.PubMedCrossRefGoogle Scholar
  86. 86.
    Gonidakis F, Rabavilas AD, Varsou E, Kreatsas G, Christodoulou GN A 6-month study of postpartum depression and related factors in Athens Greece. Comprehensive Psychiatry 49(3):275–282, 2008. doi: 10.1016/j.comppsych.PubMedCrossRefGoogle Scholar
  87. 87.
    Gonidakis F, Leonardou A. Maternity Blues and Post-partum Depression – Findings from Greece. European Psychiatric Review 1(2):21–23, 2008.Google Scholar
  88. 88.
    Rubertsson C, Wickberg B, Gustavsson P, Rådestad I. Depressive symptoms in early pregnancy, two months and one year postpartum – Prevalence and psychosocial risk factors in a national Swedish sample. Archives of Women’s Mental Health 8(2):97–104, 2005.PubMedCrossRefGoogle Scholar
  89. 89.
    Felice E, Saliba J, Grech V, Cox J. Prevalence rates and psychosocail characteristics associated with depression in pregnancy and postpartum in Maltese women. Journal of Affective Disorders 82(2):297–301, 2004.PubMedCrossRefGoogle Scholar
  90. 90.
    De Tychey C, Spitz E, Briançon S, Lighezzolo J, Girvan F, Rosati A, Thockler A, Vincent S. Pre- and postnatal depression and coping: A comparative approach. Journal of Affective Disorders 85(3):323–326, 2005.PubMedCrossRefGoogle Scholar
  91. 91.
    Ballestrem C-LV, Strauß M, Kachele H. Contribution to the epidemiology of postnatal depression in Germany - Implications for the utilization of treatment. Archives of Women’s Mental Health 8(1):29–35, 2005.Google Scholar
  92. 92.
    Richards JP. Postnatal depression: a review of recent literature. British Journal of General Practice 40(340):472–476, 1990.PubMedCentralPubMedGoogle Scholar
  93. 93.
    Nagy E, Molnar P, Pal A, Orvos H. Prevalence rates and socioeconomic characteristics of post-partum depression in Hungary. Psychiatry Research 185(1–2):113–120, 2011. doi: 10.1016/j.psychres.2010.05.005.PubMedCrossRefGoogle Scholar
  94. 94.
    Glangeaud-Freudenthal NM. Channi Kumar and the history of the Marcé Society. Archives of Women’s Mental Health 6 Suppl 2:S79–S82, 2003.PubMedCrossRefGoogle Scholar
  95. 95.
    Regional Groups. The Marce Society for Perinatal Mental Health. Available at: Αccessed 31 March 2014.
  96. 96.
    Cazas O, Glangeaud-Freudenthal NM. The history of Mother–Baby Units (MBUs) in France and Belgium and of the French version of the Marcé checklist. Archives of Women’s Mental Health 7(1):53–58, 2004.PubMedCentralPubMedCrossRefGoogle Scholar
  97. 97.
    Glangeaud-Freudenthal NM, Howard LM, Sutter-Dallay AL. Treatment - Mother-infant inpatient units. Best Practice and Research Clinical Obstetrics and Gynaecology 28(1):147–157, 2014. doi: 10.1016/j.bpobgyn.PubMedCrossRefGoogle Scholar
  98. 98.
    Matijasevich A, Golding J, Smith GD, Santos IS, Barros AJD, Victora CG. Differentials and income-related inequalities in maternal depression during the first two years after childbirth: birth cohort studies from Brazil and the UK. Clinical Practice and Epidemiology in Mental Health 5:12, 2009. doi: 10.1186/1745-0179-5-12.PubMedCentralPubMedCrossRefGoogle Scholar
  99. 99.
    NHMRC. Postnatal Depression: A Systematic Review of Published Scientific Literature to 1999. In Australian government national health and medical research council. 2000. Αccessed 31 March 2014.
  100. 100.
    Bilszta J, Ericksen J, Buist A, Milgrom J. Women’s experience of postnatal depression – beliefs and attitudes as barriers to care. Australian Jurnal of Advances Nursing 27(3): 44–54, 2010.Google Scholar
  101. 101.
    Buultjens M, Liamputtong P. When giving life starts to take the life out of you: Women’s experiences of depression after childbirth. Midwifery 23(1):77–91, 2007.PubMedCrossRefGoogle Scholar
  102. 102.
    Ingmarsdotter Rudman A. Women’s Evaluations of Intrapartum and Postpartum Care. In: Deparment of Woman and Child Health, Karolinska Institutet, Stockholm, Sweden. (2007). Αccessed March 31, 2014.
  103. 103.
    Australia Government – Department of Health. National Perinatal Depression Initiative. Available at: Accessed 24 November 2013.
  104. 104.
    Eberhard-Gran M, Garthus-Niegel S, Garthus-Niegel K, Eskild A. Postnatal care: a cross-cultural and historical perspective. Archives of Women’s Mental Health 13(6):459–466, 2010. doi: 10.1007/s00737-010-0175-1.PubMedCrossRefGoogle Scholar
  105. 105.
    Tatano Beck C, Gable RK, Sakala C, Declercq ER. Postpartum Depressive Symptomatology Results from a Two-Stage US National Survey. J Midwifery Womens Health. 2011;56(5):427-435. doi: 10.1111/j.1542-2011.2011.00090.x.
  106. 106.
    Goyal D, Wang, EJ, Shen J, Wong EC, Palaniappan LP. Clinically Identified Postpartum Depression in Asian American Mothers. Journal of Obstetric, Gynecologic, and Neonatal Nursing 41(3):408–416, 2012. doi: 10.1111/j.1552-6909.2012.01352.x.PubMedCentralPubMedCrossRefGoogle Scholar
  107. 107.
    Liu CH, Tronick E. Rates and Predictors of Postpartum Depression by Race and Ethnicity: Results from the 2004 to 2007 New York City PRAMS Survey (Pregnancy Risk Assessment Monitoring System). Maternal and Child Health Journal 17(9):1599–1610, 2013. doi: 10.1007/s10995-012-1171-z.PubMedCrossRefGoogle Scholar
  108. 108.
    Hutto HF, Kim-Godwin Y, Pollard D, Kemppainen J. Postpartum Depression Among White, African American,and Hispanic Low-Income Mothers in Rural Southeastern North Carolina. Journal of Community Health Nursing 28(1):41–53, 2011. doi: 10.1080/07370016.2011.539088.PubMedCrossRefGoogle Scholar
  109. 109.
    Dolbier CL, Rush TE, Sahadeo LS, Shaffer ML, Thorp J. Relationships of Race and Socioeconomic Status to Postpartum Depressive Symptoms in Rural African American and Non-Hispanic White Women. Maternal and Child Health Journal 17(7):1277–1287, 2012. doi: 10.1007/s10995-012-1123-7.CrossRefGoogle Scholar
  110. 110.
    Amankwaa LC. Postpartum depression among African-American women. Issues in Mental Health Nursing 24(3):297–316, 2003.PubMedCrossRefGoogle Scholar
  111. 111.
    Leis JA, Mendelson T, Perry DF, Tandon SD. Perceptions of Mental Health Services among Low-Income, Perinatal African-American Women. Womens Health Issues 21(4):314–319, 2011. doi: 10.1016/j.whi.2011.03.005.PubMedCrossRefGoogle Scholar
  112. 112.
    Mental Health America, Position Statement 38 Perinatal Mental Health. Available at: Accessed 08 December 2013.
  113. 113.
    UNC Center For Women’s Mood Disorders. Available at: Accessed 08 December 2013.
  114. 114.
    Howard M, Battle CL, Pearlstein T, Rosene-Montella K. A psychiatric mother–baby day hospital for pregnant and postpartum women. Archives of Women’s Mental Health 9(4):213–218, 2006.PubMedCrossRefGoogle Scholar
  115. 115.
    Davey HL, Tough SC, Adair CE, Benzies KM. Risk Factors for Sub-Clinical and Major Postpartum Depression Among a Community Cohort of Canadian Women. Maternal and Child Health Journal 15(7):866–875, 2011. doi: 10.1007/s10995-008-0314-8.PubMedCrossRefGoogle Scholar
  116. 116.
    Lanes A, Kuk J.L, Tamim H. Prevalence and characteristics of Postpartum Depression symptomatology among Canadian women: A cross-sectional study. BMC Public Health 11:302, 2011. doi: 10.1186/1471-2458-11-302.PubMedCentralPubMedCrossRefGoogle Scholar
  117. 117.
    Dennis CL, Heaman M, Vigod S. Epidemiology of postpartum depressive symptoms among Canadian women. Regional and national results from a cross-sectional survey. Canadian Journal of Psychiatry 57(9):537–546, 2012.PubMedGoogle Scholar
  118. 118.
    Sword W, Busser D, Ganann R, McMillan T, Swinton M. Women’s Care-Seeking Experiences After Referral for Postpartum Depression. Qualitative Health Research 18(9):1161–1167, 2008. doi: 10.1177/1049732308321736.PubMedCrossRefGoogle Scholar
  119. 119.
    Letourneau N, Duffett-Leger L, Stewart M, Hegadoren K, Dennis CL, Rinaldi CM, Stoppard J. Canadian mothers’ perceived support needs during postpartum depression. Journal of Obstetric, Gynecologic, and Neonatal Nursing 36(5):441–449, 2007.PubMedCrossRefGoogle Scholar
  120. 120.
    Stone K. Postpartum Depression Support Organizations. Available at: Accessed 05 April 2014.
  121. 121.
    Quelopana AM, Champion JD,Reyes-Rubilar T. Factors associated with postpartum depression in chilean women. Health Care for Women International 32(10):939–949, 2011. doi: 10.1080/07399332.2011.603866.PubMedCrossRefGoogle Scholar
  122. 122.
    Canaval GE, González MC, Martínez-Schallmoser L, Tovar MC, Valencia C. Depresión postparto, apoyo social y calidad de vida en mujeres de Cali, Colombia. Colombia Medica 31(1):4–10, 2000.Google Scholar
  123. 123.
    José UM, Ana RS, José GI, Mery GV, Nasser BZ, Alfi CB. Risk factors of postpartum depression in postpartum Venezuelan evaluated via the Edinburgh postnatal depression scale. Revista Chilena de Obstetricia y Ginecologia 76 (2): 102–112, 2011.CrossRefGoogle Scholar
  124. 124.
    Santos Junior HPO, Rosa Gualda DM, de Fátima Araújo Silveira M, Hall WA. Postpartum depression: The (in) experience of Brazilian primary healthcare professionals. Journal of Advanced Nursing 69(6):1248–1258, 2013. doi: 10.1111/j.1365-2648.2012.06112.x.CrossRefGoogle Scholar
  125. 125.
    Latorre-Latorre JF, Contreras-Pezzotti LM, Herrán-Falla OF. Postnatal depression in a Colombian city. Risk Factors. Atencion Primaria 37(6):332–338, 2006.PubMedCrossRefGoogle Scholar
  126. 126.
    Jadresic E, Nguyen D.N, Halbreich U. What does Chilean research tell us about postpartum depression (PPD)?. Journal of Affective Disorders 102(1–3):237–243, 2007.PubMedCrossRefGoogle Scholar
  127. 127.
    Santos Junior HP, Silveira MF, Gualda DM. Postpartum depression: a latent problem. Revista Gaúcha de Enfermagem 30(3):516–24, 2009.Google Scholar
  128. 128.
    Robertson E, Malmstrom M, Sundquist J, Johansson SE. Impact of country of birth on hospital admission for women of childbearing age in Sweden: a five year follow up study. Journal of Epidemiology & Community Health 57(11):877–882, 2003.CrossRefGoogle Scholar
  129. 129.
    Templeton L, Velleman R, Persaud A, Milner P (2003) The Experiences of Postnatal Depression in Women from Black and Minority Ethnic Communities in Wiltshire, UK. Ethnicity and Health 8(3):207–221, 2003.PubMedCrossRefGoogle Scholar
  130. 130.
    Edge D. Ethnicity, psychosocial risk, and perinatal depression. A comparative study among inner-city women in the United Kingdom. Journal of Psychosomatic Research 63(3):291–295, 2007.PubMedCrossRefGoogle Scholar
  131. 131.
    O’Mahony JM, Donnelly TT, Raffin Bouchal S, Este D. Barriers and facilitators of social supports for immigrant and refugee women coping with postpartum depression. Advances in Nursing Science 35(3):E42–E56, 2012. doi: 10.1097/ANS.0b013e3182626137.PubMedCrossRefGoogle Scholar
  132. 132.
    O’Mahony JM, Donnelly TT, Raffin Bouchal S, Este D. Cultural Background and Socioeconomic Influence of Immigrant and Refugee Women Coping with Postpartum Depression. Journal of Immigrant and Minority Health 15(2):300–314, 2013. doi: 10.1007/s10903-012-9663-x.PubMedCrossRefGoogle Scholar
  133. 133.
    Lucero NB, Beckstrand RL, Callister LC, Sanchez Birkhead AC. Prevalence of postpartum depression among Hispanic immigrant women. Journal of the American Association of Nurse Practitioners 24(12):726–734, 2012. doi: 10.1111/j.1745-7599.2012.00744.x.CrossRefGoogle Scholar
  134. 134.
    Beck CT, Froman RD, Bernal H (2005) Acculturation Level and Postpartum Depression in in Hispanic mothers. MCN: The American Journal of Maternal/Child Nursing 30(5):299–304, 2005.Google Scholar
  135. 135.
    Diaz MA, Cooper BA, Mun˜ oz, RF, Le HN. Interpersonal factors and perinatal depressive symptomatology in a low-income Latina sample. Cultural Diversity and Ethnic Minority Psychology 13(4):328–336, 2007.Google Scholar
  136. 136.
    Gaviria M, Stern G, Schensul S. Sociocultural factors and perinatal health in a Mexican-American community. Journal of the National Medical Association 74(10):983–989, 1982.PubMedCentralPubMedGoogle Scholar
  137. 137.
    Barclay L, Kent D. Recent immigration and the misery of motherhood: a discussion of pertinent issues. Midwifery 14(1):4–9, 1998.PubMedCrossRefGoogle Scholar
  138. 138.
    Reitmanova S, Gustafson DL. ‘‘They can’t understand it’’: maternity health and care needs of immigrant Muslim women in St. John’s, Newfoundland. Maternal and Child Health Journal 12(1):101–111, 2008.PubMedCrossRefGoogle Scholar
  139. 139.
    Ghubash, R., Abou-Saleh, M.T.. Postpartum psychiatric illness in Arab culture: prevalence and psychosocial correlates. The British Journal of Psychiatry 171, 65–68, 1997.PubMedCrossRefGoogle Scholar
  140. 140.
    Lobato G, Moraes CL, Dias AS, Reichenheim ME. Postpartum depression according to time frames and sub-groups: A survey in primary health care settings in Rio de Janeiro, Brazil. Archives of Women’s Mental Health 14(3):187–193, 2011. doi: 10.1007/s00737-011-0206-6.PubMedCrossRefGoogle Scholar
  141. 141.
    Figueira PG, Diniz LM, Filho HCS. Demographic and psychosocial characteristics associated with postpartum depression in a sample from Belo Horizonte. Revista de Psiquiatria do Rio Grande do Sul 33 (2): 71–75, 2011. doi: 10.1590/S0101-81082011005000009.CrossRefGoogle Scholar
  142. 142.
    Dankner, R., Goldberg, R.P., Fisch, R.Z., Crum, R.M. Cultural elements of postpartum depression: a study of 327 Jewish Jerusalem women. The Journal of Reproductive Medicine 45(2):97–104, 2000.PubMedGoogle Scholar
  143. 143.
    Leonardou AA, Zervas YM, Papageorgiou CC, Marks MN, Tsartsara EC. Validation of the Edinburgh Postnatal Depression Scale and prevalence of postnatal depression at two months postpartum in a sample of Greek mothers. Journal of Reproductive and Infant Psychology, 27(1):28–39, 2009. doi: 10.1080/02646830802004909.Google Scholar
  144. 144.
    Jadresic E, Araya R. Prevalence of postpartum depression and associated factors in Santiago, Chile. Revista médica de Chile 123(6):694–699, 1995.PubMedGoogle Scholar
  145. 145.
    Bilszta JL, Gu YZ, Meyer D, Buist A.E. A geographic comparison of the prevalence and risk factors for postnatal depression in an Australian Population. Australian and New Zealand Journal of Public Health 32(5):424–430, 2008. doi: 10.1111/j.1753-6405.2008.00274.x.
  146. 146.
    Bernazzani O, Conroy S, Marks MN, Siddle KA, Guedeney N, Bifulco A et al. Contextual Assessment of the Maternity Experience: development of an instrument for cross-cultural research. The British Journal of Psychiatry 184(Suppl.46):s24–30, 2004.CrossRefGoogle Scholar
  147. 147.
    Glasser, S., Barell, V., Boyko, V., Ziv, A., Lusky, A., Shoham, A., Hart, S. Postpartum depression in an Israeli cohort: demographic, psychoso- cial and medical risk factors. Journal of Psychosomatic Obstetrics & Gynecology 21 (2), 99–108, 2000.CrossRefGoogle Scholar
  148. 148.
    Sabuncuoğlu O, Berkem M. Relationship between attachment style and depressive symptoms in postpartum women: findings from Turkey. Turk Psikiyatri Derg 17(4):252–258, 2006.PubMedGoogle Scholar
  149. 149.
    Wolf AW, De Andraca I, Lozoff B. Maternal depression in three Latin American samples. Social Psychiatry and Psychiatric Epidemiology 37(4):169–176, 2002.PubMedCrossRefGoogle Scholar
  150. 150.
    Yelland J, Sutherland G, Brown SJ. Postpartum anxiety, depression and social health findings from a population-based survey of Australian women. BMC Public Health 10:771, 2010. doi: 10.1186/1471-2458-10-771.PubMedCentralPubMedCrossRefGoogle Scholar
  151. 151.
    Moraes IG, Pinheiro RT, Silva RA, Horta BL, Sousa PL, Faria AD. Prevalence of postpartum depression and associated factors. Revista de Saúde Pública 40(1):65–70, 2006.PubMedCrossRefGoogle Scholar
  152. 152.
    Goldbort J. Transcultural analysis of postpartum depression. MCN: The American Journal of Maternal/Child Nursing 31(2):121–126, 2006.Google Scholar
  153. 153.
    Burt VK, Stein K. Epidemiology of depression throughout the female life cycle. The Journal of clinical psychiatry 63 Suppl 7:9–15, 2002.PubMedGoogle Scholar
  154. 154.
    Zubaran C, Schumacher M, Roxo MR, Foresti K. Screening tools for postpartum depression: validity and cultural dimensions. African journal of psychiatry (Johannesbg) 13(5):357–365, 2010.PubMedGoogle Scholar
  155. 155.
    Yoshida K, Marks MN, Kibe N, Kumar R, Nakano H, Tashiro N. Postnatal depression in Japanese women w ho have given birth in England. Journal of Affective Disorders 43(1):69–77, 1997.PubMedCrossRefGoogle Scholar
  156. 156.
    Rodrigues M, Patel V, Jaswal S, de Souza N. Listening to mothers: qualitative studies on motherhood and depression from Goa, India. Social Science & Medicine 57(10):1797–1806, 2003.CrossRefGoogle Scholar
  157. 157.
    Dubey C, Gupta N, Bhasin S, Muthal RA, Arora R. Prevalence and associated risk factors for postpartum depression in women attending a tertiary hospital, Delhi, India. International Journal of Social Psychiatry 58(6):577–580, 2012. doi: 10.1177/0020764011415210.PubMedCrossRefGoogle Scholar
  158. 158.
    Stern G, Kruckman L. Multi-disciplinary perspectives on post-partum depression: an anthropological critique. Social Science & Medicine 17(15):1027–1041, 1983.CrossRefGoogle Scholar
  159. 159.
    Matthey S, Panasetis P, Barnett B. Adherence to cultural practices following childbirth in migrant Chinese women and relation to postpartum mood. Health Care for Women International 23(6–7):567–575, 2002.PubMedCrossRefGoogle Scholar
  160. 160.
    Stern DN, Bruschweiler-Stern N, Freeland A. Birth of a mother: how the motherhood experience changes you forever. New York: Perseus Books: 1999.Google Scholar
  161. 161.
    Lara MA, Navarro C, Navarrete L. Outcome results of a psycho-educational intervention in pregnancy to prevent PPD: A randomized control trial. Journal of Affective Disorders 122(1–2):109–117, 2010. doi: 10.1016/j.jad.2009.06.024.PubMedCrossRefGoogle Scholar
  162. 162.
    Moshki M, Beydokhti TB, Cheravi K. The effect of educational intervention on prevention of postpartum depression: an application of health locus of control. Journal of Clinical Nursing 23(15–16):2256–2263, 2014. doi: 10.1111/jocn.12505.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Department of Psychiatry, Medicine SchoolDemocritus University of Thrace, University General Hospital of AlexandroupolisAlexandroupolis-DraganaGreece

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