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Socioeconomic status and maternal postpartum depression: a PRISMA-compliant systematic review

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Abstract

Postpartum depression (PPD) affects nearly 20% of postpartum women and has severe short- and long-term detrimental effects on their mental health. While there is ample evidence linking depression-related outcomes and individuals’ socioeconomic status (SES), the examination of differences in PPD as a function of SES has received relatively little empirical attention, resulting in inconsistent empirical evidence. There are also no well-established systematic reviews on the linkage between SES and PPD. Thus, we conducted A PRISMA-compliant systematic review to comprehensively analyze the association of SES (as measured by long-established objective [e.g., income or education] and subjective measures) with PPD (as measured by widely validated scales). We performed a bibliographic search on CINAHL Complete, MEDLINE complete, and EBSCO Psychology and Behavioral Sciences Collection. Among the 201 articles retrieved, 16 met the eligibility criteria. Our results reveal that mothers with lower income and education levels (objective indicators of SES) were more likely to experience PPD. Notably, we also found that subjective SES, compared to objective SES, was more strongly associated with PPD. Overall, these findings indicate that low-SES mothers may be at increased risk of PPD compared to high-SES mothers, reflecting the need for more efficient early detection programs for PPD among low-SES mothers.

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References

  • Acuña Alvarado, A., Ramírez Zumbado, E., & Azofeifa Zumbado, M. (2021). Depresión postparto. Revista Médica Sinergia, 6(9), e712. https://doi.org/10.31434/rms.v6i9.712

    Article  Google Scholar 

  • Adler, N. E., Epel, E. S., Castellazzo, G., & Ickovics, J. R. (2000). Relationship of subjective and objective social status with psychological and physiological functioning: Preliminary data in healthy white women. Health Psychology, 19(6), 586–592. https://doi.org/10.1037/0278-6133.19.6.586

    Article  CAS  PubMed  Google Scholar 

  • American Psychiatric Association (APA). (2014). Manual diagnóstico y estadístico de los Trastornos mentales DSM-5 (5a. ed.). Editorial Médica Panamericana.

  • Bahk, J., Yun, S. C., Kim, Y., & Khang, Y. H. (2015). Changes in the relationship between socioeconomic position and maternal depressive symptoms: Results from the panel study on Korean Children (PSKC). Maternal and Child Health Journal, 19(9), 2057–2065. https://doi.org/10.1007/s10995-015-1718-x

  • Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571.

    Article  CAS  PubMed  Google Scholar 

  • Bergant, A. M., Nguyen, T., Heim, K., Ulmer, H., & Dapunt, O. (1998). German language version and validation of the Edinburgh postnatal depression scale. Deutsche Medizinische Wochenschrift, 123(3), 35–40. https://doi.org/10.1055/s-2007-1023895

    Article  CAS  PubMed  Google Scholar 

  • Beeghly, M., Olson, K. L., Weinberg, M. K., Pierre, S. C., Downey, N., & Tronick, E. Z. (2003). Prevalence, stability, and socio-demographic correlates of depressive symptoms in black mothers during the first 18 months postpartum. Maternal and Child Health Journal, 7(3), 157–168. https://doi.org/10.1023/a:1025132320321

  • Cena, L., Mirabella, F., Palumbo, G., Gigantesco, A., Trainini, A., & Stefana, A. (2021). Prevalence of maternal antenatal and postnatal depression and their association with sociodemographic and socioeconomic factors: A multicentre study in Italy. Journal of Affective Disorders, 279, 217–221. https://doi.org/10.1016/j.jad.2020.09.136

    Article  PubMed  Google Scholar 

  • Cox, J. L., Holden, J. M., & Sagovsky, R. (1987). Detection of postnatal depression: Development of the 10-item Edinburgh postnatal depression scale. British Journal of Psychiatry, 150, 782–786.

    Article  CAS  Google Scholar 

  • Dearing, E., Taylor, B. A., & McCartney, K. (2004). Implications of family income dynamics for women’s depressive symptoms during the first 3 years after childbirth. American Journal of Public Health, 94(8), 1372–1377. https://doi.org/10.2105/ajph.94.8.1372

  • Dennis, E. F., Webb, D. A., Lorch, S. A., Mathew, L., Bloch, J. R., & Culhane, J. F. (2012). Subjective social status and maternal health in a low-income urban population. Maternal and Child Health Journal, 16(4), 834–843. https://doi.org/10.1007/s10995-011-0791-z

  • Dolbier, C., Rush, T., Sahadeo, L., Shaffer, M., & Thorp, J. (2013). Relationships of race and socioeconomic status to postpartum depressive symptoms in rural African American and non-hispanic white women. Maternal & Child Health Journal, 17(7), 1277–1287. https://doi.org/10.1007/s10995-012-1123-7

  • Gausia, K., Fisher, C., Algin, S., & Oosthuizen, J. (2007). Validation of the Bangla version of the Edinburgh postnatal depression scale for a Bangladeshi sample. Journal of Reproductive and Infant Psychology, 25(4), 308–315.

    Article  Google Scholar 

  • Goyal, D., Gay, C., & Lee, K. A. (2010). How much does low socioeconomic status increase the risk of prenatal and postpartum depressive symptoms in first-time mothers? Women’s Health Issues: Official Publication of the Jacobs Institute of Women’s Health, 20(2), 96–104. https://doi.org/10.1016/j.whi.2009.11.003

  • Hahn-Holbrook, J., Cornwell-Hinrichs, T., & Anaya, I. (2018). Economic and health predictors of national postpartum depression prevalence: A systematic review, meta-analysis, and meta-regression of 291 studies from 56 countries. Frontiers In Psychiatry, 8. https://doi.org/10.3389/fpsyt.2017.00248

  • Hein, A., Rauh, C., Engel, A., Häberle, L., Dammer, U., Voigt, F., Fasching, P. A., Faschingbauer, F., Burger, P., Beckmann, M. W., Kornhuber, J., & Goecke, T. W. (2014). Socioeconomic status and depression during and after pregnancy in the franconian maternal health evaluation studies (FRAMES). Archives of Gynecology and Obstetrics, 289(4), 755–763. https://doi.org/10.1007/s00404-013-3046-ywe

  • Kessler, R. C., Barker, P. R., Colpe, L. J., Epstein, J. F., Gfroerer, J. C., Hiripi, E., Howes, M. J., Normand, S. L. T., Manderscheid, R. W., Walters, E. E., & Zaslavsky, A. M. (2003). Screening for serious mental illness in the general population. Archives of General Psychiatry, 60(2), 184–189.

    Article  PubMed  Google Scholar 

  • Lara, M., Navarrete, L., & Nieto, L. (2016). Prenatal predictors of postpartum depression and postpartum depressive symptoms in Mexican mothers: A longitudinal study. Archives of Women’s Mental Health, 19(5), 825–834. https://doi.org/10.1007/s00737-016-0623-7

    Article  PubMed  Google Scholar 

  • Matsumura, K., Hamazaki, K., Tsuchida, A., Kasamatsu, H., & Inadera, H. (2019). Education level and risk of postpartum depression: Results from the Japan Environment and Children’s Study (JECS). BMC Psychiatry, 19(1), 419. https://doi.org/10.1186/s12888-019-2401-3

  • Mayberry, L. J., Horowitz, J. A., & Declercq, E. (2007). Depression symptom prevalence and demographic risk factors among U.S. women during the first 2 years postpartum. Journal of Obstetric Gynecologic and Neonatal Nursing: JOGNN, 36(6), 542–549. https://doi.org/10.1111/j.1552-6909.2007.00191.x

  • Melchior, M., Chastang, J. F., de Lauzon, B., Galéra, C., Saurel-Cubizolles, M. J., Larroque, B., & EDEN Mother–Child Cohort Study Group. (2012). Maternal depression, socioeconomic position, and temperament in early childhood: The EDEN Mother-Child Cohort. Journal of Affective Disorders, 137(1–3), 165–169. https://doi.org/10.1016/j.jad.2011.09.018

  • Melnyk, B. M., & Fineout-Overholt, E. (2023). Evidence-based practice in nursing and healthcare: A guide to best practice (5th ed.). Wolters Kluwer.

    Google Scholar 

  • Miyake, Y., Tanaka, K., Sasaki, S., & Hirota, Y. (2011). Employment, income, and education and risk of postpartum depression: The Osaka Maternal and Child Health Study. Journal of Affective Disorders, 130(1–2), 133–137. https://doi.org/10.1016/j.jad.2010.10.024

  • Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & PRISMA Group. (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. BMJ (Clinical research ed.), 339, b2535. https://doi.org/10.1136/bmj.b2535

  • Navarro-Carrillo, G., Alonso-Ferres, M., Moya, M., & Valor-Segura, I. (2020). Socioeconomic status and psychological well-being: Revisiting the role of subjective socioeconomic status. Frontiers in Psychology, 11, 1303. https://doi.org/10.3389/fpsyg.2020.01303

    Article  PubMed Central  PubMed  Google Scholar 

  • Navarro-Carrillo, G., Valor-Segura, I., & Moya, M. (2021). The consequences of the perceived impact of the Spanish economic crisis on subjective well-being: The explanatory role of personal uncertainty. Current Psychology, 40, 5286–5300. https://doi.org/10.1007/s12144-019-00506-4

    Article  Google Scholar 

  • O’Hara, M., & McCabe, J. (2013). Postpartum depression: current status and future directions. Annual Review of Clinical Psychology, 9(1), 379–407. https://doi.org/10.1146/annurev-clinpsy-050212-185612

    Article  PubMed  Google Scholar 

  • Okano, T., Murata, M., Masuji, F., Tamaki, R., Nomura, J., Miyaoka, H., & Kitamura, T. (1996). Validation and reliability of Japanese version of the EPDS. Archives of Psychiatry and Diagnosis in Clinical Evaluation, 7, 525–533.

    Google Scholar 

  • Oztora, S., Arslan, A., Caylan, A., & Dagdeviren, H. N. (2019). Postpartum depression and affecting factors in primary care. Nigerian Journal of Clinical Practice, 22(1), 85–91. https://doi.org/10.4103/njcp.njcp_193_17

    Article  CAS  PubMed  Google Scholar 

  • Radloff, L. S. (1977). The CES-D scale: a self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401. https://doi.org/10.1177/014662167700100306

    Article  Google Scholar 

  • Ridley, M., Rao, G., Schilbach, F., & Patel, V. (2020). Poverty, depression, and anxiety: Causal evidence and mechanisms. Science, 370(6522), eaay0214. https://doi.org/10.1126/science.aay0214

    Article  CAS  PubMed  Google Scholar 

  • Rubertsson, C., Wickberg, B., Gustavsson, P., & Rådestad, I. (2005). 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. https://doi.org/10.1007/s00737-005-0078-8

  • Santos, M. F. S., Martins, F. C., & Pasquali, L. (1999). Escalas De auto-avaliação de depressão pós-parto: Um estudo no Brasil. Revista De Psiquiatria Clínica, 26(2), 32–40.

    Google Scholar 

  • SéAguin, L., Potvin, L., St-Denis, M. & Loiselle, J. (1999). Socio-environmental factors and postnatal depressive symptomatology: A longitudinal study. Women & Health, 29(1), 57–72. https://doi.org/10.1300/j013v29n01_05

  • Segre, L. S., O’Hara, M. W., Arndt, S., & Stuart, S. (2007). The prevalence of postpartum depression: The relative significance of three social status indices. Social Psychiatry and Psychiatric Epidemiology, 42(4), 316–321. https://doi.org/10.1007/s00127-007-0168-1

  • Slomian, J., Honvo, G., Emonts, P., Reginster, J. Y., & Bruyère, O. (2019). Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes. Women’s Health, 15, 1745506519844044. https://doi.org/10.1177/1745506519844044

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Tannous, L., Gigante, L. P., Fuchs, S. C., & Busnello, E. D. (2008). Postnatal depression in Southern Brazil: Prevalence and its demographic and socioeconomic determinants. Bmc Psychiatry, 8(1). https://doi.org/10.1186/1471-244X-8-1

  • Tariq, N., Naeem, H., Tariq, A., & Naseem, S. (2021). Maternal depression and its correlates – a longitudinal study. Journal of the Pakistan Medical Association, 1–13. https://doi.org/10.47391/jpma.352

  • Valdes, V., Berens, A. E., & Nelson, C. A. (2021). Socioeconomic and psychological correlates of postpartum depression at 6 months in Dhaka, Bangladesh. International Journal of Psychology, 56(5), 729–738. https://doi.org/10.1002/ijop.12735

  • Van Niel, M. S., & Payne, J. L. (2020). Perinatal depression: A review. Cleveland Clinic Journal of Medicine, 87(5), 273–277. https://doi.org/10.3949/ccjm.87a.19054

    Article  PubMed  Google Scholar 

  • Wang, Z., Liu, J., Shuai, H., Cai, Z., Fu, X., Liu, Y., et al. (2021). Mapping global prevalence of depression among postpartum women. Translational Psychiatry, 11(1). https://doi.org/10.1038/s41398-021-01663-6

  • Werner, E., Miller, M., Osborne, L. M., Kuzava, S., & Monk, C. (2015). Preventing postpartum depression: Review and recommendations. Archives of Women’s Mental Health, 18(1), 41–60. https://doi.org/10.1007/s00737-014-0475-y

    Article  PubMed  Google Scholar 

  • Zhao, X., & Zhang, Z. (2020). Risk factors for postpartum depression: An evidence-based systematic review of systematic reviews and meta-analyses. Asian Journal of Psychiatry, 53, 102353. https://doi.org/10.1016/j.ajp.2020.102353

    Article  PubMed  Google Scholar 

  • Zimmerman, M., Coryell, W., Corenthal, C., & Wilson, S. (1986). A self-report scale to diagnose major depressive disorder. Archives of General Psychiatry, 43(11), 1076–1081. https://doi.org/10.1001/archpsyc.1986.01800110062008

    Article  CAS  PubMed  Google Scholar 

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Funding

This research was supported by the Project PID2020-114464RB-I00 funded by MCIN/AEI/10.13039/501100011033. It was also supported by the Grant SCIA-ANID CIE160009 from the Agencia Nacional de Investigación y Desarrollo de Chile.This research was supported by the Project PID2020-114464RB-I00 funded by MCIN/AEI/https://doi.org/10.13039/501100011033 . It was also supported by the Grant SCIA-ANID CIE160009 from the Agencia Nacional de Investigación y Desarrollo de Chile.

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Correspondence to Dolores Villalobos.

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Szurek-Cabanas, R., Navarro-Carrillo, G., Martínez-Sánchez, C.A. et al. Socioeconomic status and maternal postpartum depression: a PRISMA-compliant systematic review. Curr Psychol (2024). https://doi.org/10.1007/s12144-024-05774-3

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