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Literature review for - Flourish Paediatrics

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The effect size of social support<br />

including support from father was of<br />

moderate strength (δ= - 0.53 (- 0.67,<br />

- 0.39) r= - 0.25 but the population of<br />

effect sizes was significantly<br />

heterogeneous, Q(4) = 24.05, p<<br />

0.0001.<br />

Effect on risk<br />

Ten predictors (prenatal depression, self<br />

esteem, childcare stress, prenatal anxiety,<br />

life stress, social support,<br />

marital relationship, history of<br />

depression, infant temperament) were<br />

considered to have a moderate predictive<br />

relationship to postnatal depression.<br />

The strongest predictors of<br />

postpartum depression were past<br />

history of psychopathology and<br />

psychological disturbance during<br />

pregnancy, poor marital relationship<br />

and low social support, and stressful<br />

life events. Indicators of<br />

low social status showed a small but<br />

significant predictive relation to<br />

postpartum depression<br />

Clinical 1 1 1<br />

importance<br />

Clinical 1 1 1<br />

relevance<br />

Generalisability Y Y Y<br />

Applicability Y Y Y<br />

The following factors (depression<br />

during pregnancy, anxiety during<br />

pregnancy, experiencing stressful life<br />

events during pregnancy or the early<br />

puerperium, low levels of social<br />

support, and a previous history of<br />

depression) increase the risk of a<br />

mother developing postnatal<br />

depression<br />

238

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