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

  • Zoltan Kozinszky
  • Robert B. Dudas
  • Sarolta Csatordai
  • Iván Devosa
  • Éva Tóth
  • Dávid Szabó
  • János Sikovanyecz
  • János Zádori
  • Katalin Barabás
  • Attila Pál
Original Paper

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 

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Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Zoltan Kozinszky
    • 1
  • Robert B. Dudas
    • 2
  • Sarolta Csatordai
    • 3
  • Iván Devosa
    • 4
  • Éva Tóth
    • 5
  • Dávid Szabó
    • 6
  • János Sikovanyecz
    • 6
  • János Zádori
    • 7
  • Katalin Barabás
    • 4
  • Attila Pál
    • 6
    • 7
  1. 1.Women and Children’s Division, Department of Obstetrics and GynaecologyOslo University Hospital, UllevaalOsloNorway
  2. 2.Department of PsychiatryUniversity of Cambridge, Box 189, Level 4, Addenbrooke’s HospitalCambridgeUK
  3. 3.Faculty of Health SciencesUniversity of SzegedSzegedHungary
  4. 4.Section of Behaviour ScienceUniversity of SzegedSzegedHungary
  5. 5.Faculty of Arts and Sciences, Institute of PsychologyUniversity of PécsPécsHungary
  6. 6.Department of Obstetrics and GynaecologyUniversity of SzegedSzegedHungary
  7. 7.Centre for Assisted Reproduction, Kaáli InstituteUniversity of SzegedSzegedHungary

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