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Seasonal patterns in self-reported peripartum depressive symptoms

Published online by Cambridge University Press:  23 March 2020

H.E. Henriksson ,
S.M. Sylvén ,
T.K. Kallak ,
F.C. Papadopoulos  and
A. Skalkidou
H.E. Henriksson*
Affiliation:
Department of Women's and Children's Health, Uppsala University, Uppsala University Hospital, 75185Uppsala, Sweden
S.M. Sylvén
Affiliation:
Department of Women's and Children's Health, Uppsala University, Uppsala University Hospital, 75185Uppsala, Sweden Department of Neuroscience, Psychiatry, Uppsala University, Uppsala, Sweden
T.K. Kallak
Affiliation:
Department of Women's and Children's Health, Uppsala University, Uppsala University Hospital, 75185Uppsala, Sweden
F.C. Papadopoulos
Affiliation:
Department of Neuroscience, Psychiatry, Uppsala University, Uppsala, Sweden
A. Skalkidou
Affiliation:
Department of Women's and Children's Health, Uppsala University, Uppsala University Hospital, 75185Uppsala, Sweden
*
*Corresponding author. E-mail address:hanna.henriksson@kbh.uu.se (H.E. Henriksson).
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Abstract

Background:

In the peripartum period, the literature on seasonality in depression is still scarce and studies present varying findings. The aims of this study were to investigate whether seasonal patterns in postpartum depressive symptoms previously identified in a Swedish study could be replicated in a larger study, as well as to assess seasonal patterns in depressive symptoms during pregnancy.

Methods:

This was a nested case-control study comprised of 4129 women who participated in the BASIC project and gave birth at Uppsala University Hospital, Uppsala, Sweden, between February 2010 and December 2015.

Results:

Women who gave birth in October–December 2011 had an increased odds of depressive symptoms at 6 weeks postpartum, when compared with women giving birth in April–June 2011 (aOR = 2.42; 95% CI: 1.12–5.26). The same pattern was found among women with a history of depression. No other seasonal patterns for depressive symptoms during pregnancy or at 6 weeks postpartum were identified.

Conclusions:

In general, no consistent seasonal patterns were found in peripartum depressive symptoms. Whether the seasonal patterns found in some studies during certain years may be due to other factors relating to specific years and seasons, such as extreme climatic conditions or other particular events, warrants further investigation.

Keywords

Peripartum depressionAntenatal depressionPostpartum depressionDepressive symptomsSeasonalityBASIC study
Type
Original article
Information
European Psychiatry , Volume 43 , June 2017 , pp. 99 - 108
Copyright
Copyright © European Psychiatric Association 2017

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References

American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders (DSM5), 5th ed., Washington, DC: American Psychiatric Press; 2013.Google Scholar
O’Hara, MWPostpartum depression: what we know. J Clin Psychol 2009;65: 1258–1269. http://dx.doi.org/10.1002/jclp.20644.CrossRefGoogle ScholarPubMed
Biaggi, AConroy, SPawlby, SPariante, CMIdentifying the women at risk of antenatal anxiety and depression: a systematic review. J Affect Disord 2015;191: 62–77. http://dx.doi.org/10.1016/j.jad.2015.11.014.CrossRefGoogle ScholarPubMed
Pearlstein, THoward, MSalisbury, AZlotnick, CPostpartum depression. Am J Obstet Gynecol 2009;200: 357–364. http://dx.doi.org/10.1016/j.ajog.2008.11.033.CrossRefGoogle ScholarPubMed
Grigoriadis, SVonderPorten, EHMamisashvili, LTomlinson, GDennis, C-LKoren, Get al.The impact of maternal depression during pregnancy on perinatal outcomes: a systematic review and meta-analysis. J Clin Psychiatry 2013;74:e321–e341. http://dx.doi.org/10.4088/JCP.12r07968.CrossRefGoogle ScholarPubMed
Grote, NKBridge, JAGavin, ARMelville, JLIyengar, SKaton, WJA meta-analysis of depression during pregnancy and the risk of preterm birth, low birth weight, and intrauterine growth restriction. Arch Gen Psychiatry 2010;67: 1012–1024. http://dx.doi.org/10.1001/archgenpsychiatry.2010.111.CrossRefGoogle ScholarPubMed
Stein, APearson, RMGoodman, SHRapa, ERahman, AMcCallum, Met al.Effects of perinatal mental disorders on the fetus and child. Lancet Lond Engl 2014;384: 1800–1819. http://dx.doi.org/10.1016/S0140-6736(14)61277-0.CrossRefGoogle Scholar
Miller, LJPostpartum depression. JAMA 2002;287: 762–765. http://dx.doi.org/10.1001/jama.287.6.762.CrossRefGoogle ScholarPubMed
Sutter-Dallay, A-LMurray, LDequae-Merchadou, LGlatigny-Dallay, EBourgeois, M-LVerdoux, HA prospective longitudinal study of the impact of early postnatal vs. chronic maternal depressive symptoms on child development. Eur Psychiatry 2011;26: 484–489. http://dx.doi.org/10.1016/j.eurpsy.2010.05.004.CrossRefGoogle ScholarPubMed
Gavin, NIGaynes, BNLohr, KNMeltzer-Brody, SGartlehner, GSwinson, TPerinatal depression: a systematic review of prevalence and incidence. Obstet Gynecol 2005;106: 1071–1083.CrossRefGoogle ScholarPubMed
Bauer, AKnapp, MParsonage, MLifetime costs of perinatal anxiety and depression. J Affect Disord 2015;192: 83–90. http://dx.doi.org/10.1016/j.jad.2015.12.005.CrossRefGoogle ScholarPubMed
Hippocrates, Aphorisms. In: Jones, WHS editors. Hippocrates, Vol.4. Cambridge, Mass: Harvard University Press; 1931.Google Scholar
Rosenthal, NESack, DAGillin, JCLewy, AJGoodwin, FKDavenport, Yet al.Seasonal affective disorder. A description of the syndrome and preliminary findings with light therapy. Arch Gen Psychiatry 1984;41: 72–80.CrossRefGoogle ScholarPubMed
American Psychiatric Association, Diagnostic and statistical manual of mental disorders (DSM-III-R), 3rd ed., Washington, DC: American Psychiatric Press; 1987.Google Scholar
Kurlansik, SLIbay, ADSeasonal affective disorder. Am Fam Physician 2012;86: 1037–1041.Google ScholarPubMed
Blazer, DGKessler, RCSwartz, MSEpidemiology of recurrent major and minor depression with a seasonal pattern. The National Comorbidity Survey. Br J Psychiatry J Ment Sci 1998;172: 164–167.CrossRefGoogle ScholarPubMed
Levitt, AJBoyle, MHJoffe, RTBaumal, ZEstimated prevalence of the seasonal subtype of major depression in a Canadian community sample. Can J Psychiatry 2000;45: 650–654.CrossRefGoogle Scholar
Lee, TMChan, CCVulnerability by sex to seasonal affective disorder. Percept Mot Skills 1998;87: 1120–1122.CrossRefGoogle ScholarPubMed
Oginska, HOginska-Bruchal, KChronotype and personality factors of predisposition to seasonal affective disorder. Chronobiol Int 2014;31: 523–531. http://dx.doi.org/10.3109/07420528.2013.874355.CrossRefGoogle ScholarPubMed
Gardarsdottir, HEgberts, TCGvan Dijk, LHeerdink, ERSeasonal patterns of initiating antidepressant therapy in general practice in the Netherlands during 2002–2007. J Affect Disord 2010;122: 208–212. http://dx.doi.org/10.1016/j.jad.2009.06.033.CrossRefGoogle ScholarPubMed
Geoffroy, PABellivier, FScott, JEtain, BSeasonality and bipolar disorder: a systematic review, from admission rates to seasonality of symptoms. J Affect Disord 2014;168: 210–223. http://dx.doi.org/10.1016/j.jad.2014.07.002.CrossRefGoogle ScholarPubMed
Petridou, EPapadopoulos, FCFrangakis, CESkalkidou, ATrichopoulos, DA role of sunshine in the triggering of suicide. Epidemiol Camb Mass 2002;13: 106–109.CrossRefGoogle ScholarPubMed
Corral, MWardrop, AZhang, HBSeasonality of symptoms in women with postpartum depression. Arch Womens Ment Health 2007;10: 9–13. http://dx.doi.org/10.1007/s00737-006-0160-x.CrossRefGoogle ScholarPubMed
Hiltunen, PJokelainen, JEbeling, HSzajnberg, NMoilanen, ISeasonal variation in postnatal depression. J Affect Disord 2004;78: 111–118. http://dx.doi.org/10.1016/S0165-0327(02)00239-2.CrossRefGoogle ScholarPubMed
Jewell, JSDunn, ALBondy, JLeiferman, JPrevalence of self-reported postpartum depression specific to season and latitude of birth: evaluating the PRAMS Data. Matern Child Health J 2009;14: 261–267. http://dx.doi.org/10.1007/s10995-009-0498-6.CrossRefGoogle Scholar
Panthangi, VWest, PSavoy-Moore, RTGeeta, MReickert, EIs seasonal variation another risk factor for postpartum depression?. J Am Board Fam Med 2009;22: 492–497. http://dx.doi.org/10.3122/jabfm.2009.05.080066.CrossRefGoogle ScholarPubMed
Sit, DSeltman, HWisner, KLSeasonal effects on depression risk and suicidal symptoms in postpartum women. Depress Anxiety 2011;28: 400–405. http://dx.doi.org/10.1002/da.20807.CrossRefGoogle ScholarPubMed
Sylvén, SMPapadopoulos, FCOlovsson, MEkselius, LPoromaa, ISSkalkidou, ASeasonality patterns in postpartum depression. Am J Obstet Gynecol 2011;204:413e1–413e6. http://dx.doi.org/10.1016/j.ajog.2011.01.022.CrossRefGoogle ScholarPubMed
Yang, S-NShen, L-JPing, TWang, Y-CChien, C-WThe delivery mode and seasonal variation are associated with the development of postpartum depression. J Affect Disord 2011;132: 158–164. http://dx.doi.org/10.1016/j.jad.2011.02.009.CrossRefGoogle ScholarPubMed
Hellgren, CÅkerud, HSkalkidou, ASundström-Poromaa, ICortisol awakening response in late pregnancy in women with previous or ongoing depression. Psychoneuroendocrinology 2013;38: 3150–3154. http://dx.doi.org/10.1016/j.psyneuen.2013.08.007.CrossRefGoogle ScholarPubMed
Rubertsson, CBörjesson, KBerglund, AJosefsson, ASydsjö, GThe Swedish validation of Edinburgh Postnatal Depression Scale (EPDS) during pregnancy. Nord J Psychiatry 2011;65: 414–418. http://dx.doi.org/10.3109/08039488.2011.590606.CrossRefGoogle ScholarPubMed
Cox, JLHolden, JMSagovsky, RDetection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry J Ment Sci 1987;150: 782–786.CrossRefGoogle ScholarPubMed
Wickberg, BHwang, CPThe Edinburgh Postnatal Depression Scale: validation on a Swedish community sample. Acta Psychiatr Scand 1996;94: 181–184.CrossRefGoogle ScholarPubMed
Statens beredning för medicinsk utvärdering (SBU). Diagnostik och uppföljning av förstämningssyndrom. En systematisk litteraturöversikt; 2012.Google Scholar
Svanborg, PEkselius, LSelf-assessment of DSM-IV criteria for major depression in psychiatric out- and inpatients. Nord J Psychiatry 2003;57: 291–296.CrossRefGoogle ScholarPubMed
Rosengren, AOrth-Gomér, KWedel, HWilhelmsen, LStressful life events, social support, and mortality in men born in 1933. BMJ 1993;307: 1102–1105.CrossRefGoogle ScholarPubMed
Walter, SDThe power of a test for seasonality. Br J Prev Soc Med 1977;31: 137–140.Google ScholarPubMed
Meliska, CJMartínez, LFLópez, AMSorenson, DLNowakowski, SKripke, DFet al.Antepartum Depression severity is increased during seasonally longer nights: relationship to melatonin and cortisol timing and quantity. Chronobiol Int 2013;30: 1160–1173. http://dx.doi.org/10.3109/07420528.2013.808652.CrossRefGoogle ScholarPubMed
Weobong, BTen Asbroek, AHSoremekun, SDanso, SOwusu-Agyei, SPrince, Met al.Determinants of postnatal depression in rural Ghana: findings from the don population based cohort study. Depress Anxiety 2015;32: 108–119. http://dx.doi.org/10.1002/da.22218.CrossRefGoogle ScholarPubMed
Heikkinen, TJärvinen, AThe common cold. Lancet Lond Engl 2003;361: 51–59. http://dx.doi.org/10.1016/S0140-6736(03)12162-9.CrossRefGoogle ScholarPubMed
Osborne, LMMonk, CPerinatal depression – the fourth inflammatory morbidity of pregnancy?. Psychoneuroendocrinology 2013;38: 1929–1952. http://dx.doi.org/10.1016/j.psyneuen.2013.03.019.CrossRefGoogle ScholarPubMed
Benedetti, FColombo, CBarbini, BCampori, ESmeraldi, EMorning sunlight reduces length of hospitalization in bipolar depression. J Affect Disord 2001;62: 221–223.CrossRefGoogle ScholarPubMed
Andrews, PWBharwani, ALee, KRFox, MThomson, JAIs serotonin an upper or a downer? The evolution of the serotonergic system and its role in depression and the antidepressant response. Neurosci Biobehav Rev 2015;51: 164–188. http://dx.doi.org/10.1016/j.neubiorev.2015.01.018.CrossRefGoogle ScholarPubMed
Praschak-Rieder, NWilleit, MWilson, AAHoule, SMeyer, JHSeasonal variation in human brain serotonin transporter binding. Arch Gen Psychiatry 2008;65: 1072–1078. http://dx.doi.org/10.1001/archpsyc.65.9.1072.CrossRefGoogle ScholarPubMed
Robinson, MWhitehouse, AJONewnham, JPGorman, SJacoby, PHolt, BJet al.Low maternal serum vitamin D during pregnancy and the risk for postpartum depression symptoms. Arch Womens Ment Health 2014;17: 213–219. http://dx.doi.org/10.1007/s00737-014-0422-y.CrossRefGoogle ScholarPubMed
Vaziri, FNasiri, STavana, ZDabbaghmanesh, MHSharif, FJafari, PA randomized controlled trial of vitamin D supplementation on perinatal depression: in Iranian pregnant mothers. BMC Pregnancy Childbirth 2016;16:239. http://dx.doi.org/10.1186/s12884-016-1024-7.CrossRefGoogle ScholarPubMed
Sundberg, IRamklint, MStridsberg, MPapadopoulos, FCEkselius, LCunningham, JLSalivary melatonin in relation to depressive symptom severity in young adults. PloS One 2016;11:e0152814. http://dx.doi.org/10.1371/journal.pone.0152814.CrossRefGoogle ScholarPubMed
Adouard, FGlangeaud-Freudenthal, NMCGolse, BValidation of the Edinburgh postnatal depression scale (EPDS) in a sample of women with high-risk pregnancies in France. Arch Womens Ment Health 2005;8: 89–95. http://dx.doi.org/10.1007/s00737-005-0077-9.CrossRefGoogle Scholar
Ross, LEGilbert Evans, SESellers, EMRomach, MKMeasurement issues in postpartum depression part 1: anxiety as a feature of postpartum depression. Arch Womens Ment Health 2003;6: 51–57. http://dx.doi.org/10.1007/s00737-002-0155-1.CrossRefGoogle ScholarPubMed
Petrozzi, AGagliardi, LAnxious and depressive components of Edinburgh Postnatal Depression Scale in maternal postpartum psychological problems. J Perinat Med 2013;41: 343–348. http://dx.doi.org/10.1515/jpm-2012-0258.CrossRefGoogle ScholarPubMed
Wisner, KLSit, DKYMcShea, MCRizzo, DMZoretich, RAHughes, CLet al.Onset timing, thoughts of self-harm, and diagnoses in postpartum women with screen-positive depression findings. JAMA Psychiatry 2013;70: 490–498. http://dx.doi.org/10.1001/jamapsychiatry.2013.87.CrossRefGoogle ScholarPubMed
Reck, CStruben, KBackenstrass, MStefenelli, UReinig, KFuchs, Tet al.Prevalence, onset and comorbidity of postpartum anxiety and depressive disorders. Acta Psychiatr Scand 2008;118: 459–468. http://dx.doi.org/10.1111/j.1600-0447.2008.01264.x.CrossRefGoogle ScholarPubMed
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