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Informal and formal social support during pregnancy and joint maternal and paternal postnatal depression: Data from the French representative ELFE cohort study

Abstract : Background Insufficient social support has been intensively studied as a risk factor of postpartum depression (PPD) among mothers. However, to date no study has examined the role of informal and formal dimensions of social support during pregnancy with regard to joint maternal and paternal depression after birth. Aim Study associations between insufficient informal and formal support during pregnancy and joint parental PPD. Methods Using data from the nationally representative French ELFE cohort study (N=12,350), we estimated associations between insufficient informal and formal support received by the mother during pregnancy and joint parental PPD in multi-imputed multivariate multinomial regression models. Results In 166 couples (1.3%) both parents were depressed. The likelihood of joint parental PPD was increased in case of insufficient informal support (insufficient partner support: OR = 1.68 [95% CI 1.57-1.80]; frequent quarrels: OR = 1.38 [95% CI 1.19-1.60]). We also observed associations between formal support during pregnancy and joint parental PPD (early prenatal psychosocial risk assessment: OR = 1.13 [95%Ci 1.05-1.22]; antenatal education: OR = 1.13 [95% CI 1.05-1.23]), which disappeared when analyses were restricted to women with no psychological difficulties during pregnancy. Conclusion Insufficient informal social support during pregnancy appears to predict risk of joint postpartum depression in mothers and fathers and should be identified early on to limit complications and the impact on children.
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Contributor : Aurélie Nakamura <>
Submitted on : Tuesday, April 21, 2020 - 3:50:15 PM
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Aurelie Nakamura, Anne-Laure Sutter-Dallay, Fabienne El-Khoury Lesueur, Xavier Thierry, Florence Gressier, et al.. Informal and formal social support during pregnancy and joint maternal and paternal postnatal depression: Data from the French representative ELFE cohort study. International Journal of Social Psychiatry, SAGE Publications, 2020, pp.002076402091140. ⟨10.1177/0020764020911409⟩. ⟨hal-02549569⟩

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