TY  - JOUR
PY  - 2019//
TI  - Prevalence of postpartum depression and anxiety among women with spinal cord injury
JO  - Journal of spinal cord medicine
A1  - Lee, Amanda H. X.
A1  - Wen, Betty
A1  - Walter, Matthias
A1  - Hocaloski, Shea
A1  - Hodge, Karen
A1  - Sandholdt, Nora
A1  - Hultling, Claes
A1  - Elliott, Stacy
A1  - Krassioukov, Andrei V.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - <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>
LA  - en
SN  - 1079-0268
UR  - http://dx.doi.org/10.1080/10790268.2019.1666239
ID  - ref1
ER  -