The authors have stated explicitly that there are no conflicts of interest in connection with this article.
Main Research Article
Premenstrual syndrome and dysphoric disorder as risk factors for postpartum depression
Article first published online: 14 DEC 2012
© 2012 The Authors Acta Obstetricia et Gynecologica Scandinavica © 2012 Nordic Federation of Societies of Obstetrics and Gynecology
Acta Obstetricia et Gynecologica Scandinavica
Volume 92, Issue 2, pages 178–184, February 2013
How to Cite
Premenstrual syndrome and dysphoric disorder as risk factors for postpartum depression. Acta Obstet Gynecol Scand 2012; DOI: 10.1111/aogs.12041, , , .
- Issue published online: 23 JAN 2013
- Article first published online: 14 DEC 2012
- Accepted manuscript online: 16 NOV 2012 04:30AM EST
- Manuscript Accepted: 18 OCT 2012
- Manuscript Received: 25 MAY 2012
To investigate a possible association between postpartum depression and premenstrual symptoms.
University Hospital, Sweden.
During one year, May 2006 to June 2007, all delivering women in the hospital were asked to participate.
The participating women answered three questionnaires, at five days, six weeks and six months postpartum, containing the Edinburgh Postnatal Depression Scale (EPDS) and questions assessing previous premenstrual symptoms, medical history and life style.
Main outcome measures
The woman's self-reported depressive case/control status, women with 12 or more points on the EPDS being considered as cases.
Among the 2318 participating women, 7.1% had a history of premenstrual syndrome and 2.9% a history of premenstrual dysphoric disorder. Previous premenstrual syndrome/premenstrual dysphoric disorder was associated with self-reported postpartum depression at five days, six weeks and six months postpartum. After stratification for parity, the associations remained significant solely among multiparas.
There appears to be an association between a history of premenstrual symptoms and development of self-reported postpartum depression. Parity was identified as effect modifier. This finding is clinically important for health care professionals working in maternity care.