@article{ref1,
title="Prevalence of postpartum depression and anxiety among women with spinal cord injury",
journal="Journal of spinal cord medicine",
year="2019",
author="Lee, Amanda H. X. and Wen, Betty and Walter, Matthias and Hocaloski, Shea and Hodge, Karen and Sandholdt, Nora and Hultling, Claes and Elliott, Stacy and Krassioukov, Andrei V.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="<b>Objective:</b> To examine the prevalence of postpartum depression (PPD) and postpartum anxiety (PPA) in mothers with spinal cord injury (SCI). <b>Design:</b> Retrospective, cross-sectional study. <b>Setting:</b> Online multi-national study. <b>Participants:</b> We surveyed an international sample of 102 women who gave birth following cervical SCI (C1-C8, <i>n</i> = 30), upper thoracic SCI (T1-T6, <i>n</i> = 12) or lower level SCI (T7 & below, <i>n </i>= 60). Participants were primarily from Canada and Sweden, and mean age at childbirth was 30 ± 6 years. <b>Outcome Measures:</b> Subscales from the Pregnancy Risk Assessment Monitoring System (PRAMS) were used to measure PPD (PRAMS-3D) and PPA (PRAMS-2A). <b>Results:</b> PPD and PPA were most prevalent in women with cervical SCI, followed by upper thoracic SCI then lower SCI. Self-reported PPD was more prevalent than clinically diagnosed PPD in women with cervical SCI (<i>P</i> = 0.03) and upper thoracic SCI (<i>P</i> = 0.03). With cervical SCI, 75% of women diagnosed with MDD before pregnancy scored >9 on the PRAMS PPD subscale, indicating clinically relevant PPD. However, only 10% were diagnosed with PPD. Of women with lower SCI diagnosed with MDD before pregnancy, 25% had a clinically relevant score for self-reported PPD; 7% were diagnosed. <b>Conclusions:</b> This is currently the largest study examining PPD and PPA after SCI. Clinicians should be aware that mothers with SCI (particularly high-level SCI) may have increased risk of PPD and PPA. PPD is poorly understood in women with SCI and may even be underdiagnosed. SCI-related risk factors for PPD and PPA should be explored.<p /> <p>Language: en</p>",
language="en",
issn="1079-0268",
doi="10.1080/10790268.2019.1666239",
url="http://dx.doi.org/10.1080/10790268.2019.1666239"
}