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Literature review for - Flourish Paediatrics

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A predictive relationship was considered<br />

moderate if r = .38<br />

Quality P P P<br />

Results<br />

13 predictors of postpartum depression<br />

were revealed. 10 of the 13 risk factors<br />

had moderate effect sizes while 3<br />

predictors had small effect sizes.<br />

The mean effect size indicator ranges <strong>for</strong><br />

each risk factor were as follows: prenatal<br />

depression (r = .44 to .46), self esteem (r=<br />

.45 to. 47), childcare stress (r= .45 to<br />

.46), prenatal anxiety (r= .41 to .45), life<br />

stress (r= .38 to .40), social support (r=<br />

.36 to .41), marital relationship (r= .38 to<br />

.39), history of previous depression (r=<br />

.38 to .39), infant temperament (r= .33 to<br />

.34), maternity blues (r= .25 to<br />

.31), marital status (r= .21 to .35),<br />

socioeconomic status (r= .19 to<br />

.22), and unplanned/unwanted pregnancy<br />

(r= .14 to .17).<br />

Family income and mother's<br />

occupation were small, but<br />

significant predictors of postpartum<br />

depression δ = - 0.141 (- 0.21, -<br />

0.08), δ = -0.146 (-0.25, -0.04)<br />

respectively. Effect sizes based on<br />

the association between<br />

family income and postpartum<br />

depression were significantly<br />

heterogeneous (n = 14; Q(13) =<br />

40.56; p = 0.0001), indicating that<br />

the population of effect sizes was not<br />

adequately represented by one<br />

estimate.<br />

Mother's age, marital status, length<br />

of relationship with her partner,<br />

education, number of children,<br />

parity, and pregnancy employment<br />

status all failed to significantly<br />

predict postpartum depression.<br />

Pregnancy and delivery<br />

complications delivered a small but<br />

significant effect size on postpartum<br />

depression δ= 0.26 (0.19, 0.34) r =<br />

The following factors were the<br />

strongest predictors of postpartum<br />

depression: depression during<br />

pregnancy (strong/moderate Cohen’s<br />

effect size= 0.75), anxiety during<br />

pregnancy (strong/moderate Cohen’s<br />

effect size= 0.68), experiencing<br />

stressful life events during pregnancy<br />

or the early puerperium<br />

(strong/moderate Cohen’s effect size=<br />

0.61), low levels of social support<br />

(strong/moderate Cohen’s effect size=<br />

0.64) , and a previous history of<br />

depression (strong/moderate Cohen’s<br />

effect size= 0.58).<br />

Neuroticism, marital relationship had a<br />

moderate Cohen’s effect size.<br />

SES and obstetric factors had a smalls<br />

Cohen’s effect size<br />

236

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