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Literature review for - Flourish Paediatrics

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weeks of delivery<br />

Four validated self-rated questionnaires were<br />

administered.<br />

Quality 0<br />

Results<br />

The PND group had higher levels of neuroticism<br />

compared to the control group (17.04 [16.24, 17.85] vs.<br />

5.14 [4.59, 5.69])<br />

The PND group had higher levels of dysfunctional<br />

beliefs, according to the Dysfunctional Attitude Scale<br />

total score compared to the control group (98.18 [93.91,<br />

102.45] vs. 71.92 [69.31, 74.53])<br />

The PND group had lower self esteem, according to the<br />

Rosenberg Self Esteem Questionnaire, compared to the<br />

control group (23.99 [22.96, 25.02] vs. 34.18 [33.63,<br />

34.74])<br />

There was no significant difference between the PND and<br />

NPND group<br />

consumption), psychological (e.g., antenatal depression),<br />

obstetric/paediatric<br />

(e.g., unwanted pregnancy), socio-demographic (e.g.,<br />

poverty), and cultural factors (e.g., preference of infants’<br />

gender).<br />

Twelve studies documented an association between<br />

physical/biological factors and PPD<br />

The effects of psychological factors on PPD were investigated<br />

in 43 studies. Depressive symptoms during<br />

pregnancy, antenatal anxiety, past psychiatric history,<br />

premenstrual dysphoric disorder, stressful life events, child<br />

care stress, negative affect, low self-esteem, poor self image,<br />

insecure attachment style, and negative attitude toward<br />

employment were strong risk factors.<br />

22 studies examined the role of obstetric/ paediatric factors.<br />

Problems during pregnancy, previous<br />

abortion, previous loss of a baby, unplanned pregnancy,<br />

unintended pregnancy, negative attitude toward pregnancy,<br />

negative attitude toward mother roles, the lack of childcare<br />

knowledge, and the absence of breastfeeding were major risk<br />

factors<br />

42 studies investigated the links between sociodemographic<br />

factors and PPD. Economic difficulties, being hungry in the<br />

past month, being a homemaker, being an<br />

immigrant, having unemployed or uneducated husband,<br />

having a husband with a history of psychiatric disorder,<br />

240

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