The Impact of Fatigue on the Development of Postpartum Depression
Article first published online: 9 MAR 2006
Journal of Obstetric, Gynecologic, & Neonatal Nursing
Volume 34, Issue 5, pages 577–586, September 2005
How to Cite
Corwin, E. J., Brownstead, J., Barton, N., Heckard, S. and Morin, K. (2005), The Impact of Fatigue on the Development of Postpartum Depression. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 34: 577–586. doi: 10.1177/0884217505279997
- Issue published online: 9 MAR 2006
- Article first published online: 9 MAR 2006
- Accepted: November 2004
- Postpartum depression;
- Theory of unpleasant symptoms
Background: Previous research suggests early postpartum fatigue (PPF) plays a significant role in the development of postpartum depression (PPD). Predicting risk for PPD via early identification of PPF may provide opportunity for intervention.
Objective: To replicate and extend previous studies concerning the impact of PPF on symptoms of PPD and to describe the relationships among PPF, PPD, and other variables using the theory of unpleasant symptoms.
Design: Correlational, longitudinal study.
Setting: Participants’ homes.
Participants: Convenience sample of 42 community-dwelling women recruited before 36 weeks of pregnancy.
Main Outcome Measures: PPF, depressive symptoms, and stress measured during prenatal weeks 36 to 38, and on Days 7, 14, and 28 after childbirth. Salivary cortisol was measured as a physiological marker of stress.
Results: Significant correlations were obtained between PPF and symptoms of PPD on Days 7, 14, and 28, with Day 14 PPF levels predicting future development of PPD symptoms in 10 of 11 women. Perceived stress, but not cortisol, was also correlated with symptoms of PPD on Days 7, 14, and 28. Women with a history of depression had elevated depression scores compared to women without, but no variable was as effective at predicting PPD as PPF.
Conclusions: Fatigue by Day 14 postpartum was the most predictive variable for symptoms of PPD on Day 28 in this population.