Life Events and Social Support in Puerperal Depression

Abstract

A 20% prevalence of mild clinical depression was found in 120 women assessed at about 6 wk postpartum. The strongest associated factor was occurrence of recent stressful life events. Previous history of psychiatric disorder, younger age, early postpartum blues and a group of variables reflecting poor marital relationship and absence of social support were also notable. Poor marital support acted as a vulnerability factor, only producing an effect in presence of stressful life events. Previous psychiatric history produced a strong independent effect, both with and without life events. Postpartum blues were only associated with depression in the absence of life events, suggesting a small hormonal sub-group. The importance of social stress in puerperal depression was indicated.