Obstet Gynecol Sci.  2015 Sep;58(5):353-358. 10.5468/ogs.2015.58.5.353.

Correlation between postpartum depression and premenstrual dysphoric disorder: Single center study

• Lee YJ
• Yi SW
• Ju DH
• Lee SS
• Sohn WS
• Kim IJ

• KMID: 2058458
• DOI: http://doi.org/10.5468/ogs.2015.58.5.353

Abstract

OBJECTIVE
To describe the prevalence and correlates of the postpartum depression and premenstrual dysphoric disorder.
METHODS
One hundred sixty six women were assessed around 10th to 14th days after delivery in Gangneung Asan Hospital, Korea, from September 2011 to March 2012. We checked their risk factors for postpartum depressive disorders using the Beck Depression Inventory and the Edinburgh Postnatal Depression Scale. Premenstrual dysphoric disorder was evaluated retrospectively and was defined as having more than 5 of the following 10 symptoms: breast tenderness, bloating, headache, peripheral edema (hand and foot), depressive symptoms, anger, irritability, anxiety, oversensitivity, and exaggerated mood swings.
RESULTS
The prevalence rate of postpartum depression using the Edinburgh Postnatal Depression Scale > or =10 and Beck Depression Inventory > or =10 was 13.9% (23/166). We found statistical differences (P<0.01) between the postpartum depression group and the postpartum non-depression group in smoking history, past history of psychiatric problems, and level of marital satisfaction. The prevalence rate of premenstrual syndrome (PMS) was 9% (15/166) and among 23 women in the postpartum depression group, eight were determined to have premenstrual dysphoric disorder, yielding a prevalence rate of 34.8% (8/23). Among 143 women in the postpartum non-depression group, seven were determined to have PMS, yielding a prevalence rate of 4.9% (7/143). A correlation between postpartum depression and PMS was thus found (P<0.01).
CONCLUSION
PMS appears to be associated with postpartum depression. This means that a hormone-related etiology appears to be one risk factor for postpartum depression.

Keyword

Depression, postpartum; Premenstrual dysphoric disorder; Premenstrual syndrome

MeSH Terms

Anger
Anxiety
Breast
Chungcheongnam-do
Depression
Depression, Postpartum*
Depressive Disorder
Edema
Female
Gangwon-do
Headache
Humans
Korea
Postpartum Period*
Premenstrual Syndrome
Prevalence
Retrospective Studies
Risk Factors
Smoke
Smoking
Smoke

Figure

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  Fig. 1 Diagram for the classification of women with postpartum depression and premenstrual dysphoric disorder (PMDD). a)Ten to fourteen days after delivery; b)Breast tenderness, bloating, headache, peripheral edema (hand and foot), depression symptoms, anger, irritability, anxiety, oversensitivity, and exaggerated mood swings; In 5-7 days premenstruation, before pregnancy. EPDS, Edinburgh Postnatal Depression Scale; BDI, Beck Depression Inventory.

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