Postpartum mental health after Hurricane Katrina: A cohort study

<p>Abstract</p> <p>Background</p> <p>Natural disaster is often a cause of psychopathology, and women are vulnerable to post-traumatic stress disorder (PTSD) and depression. Depression is also common after a woman gives birth. However, no research has addressed postpartu...

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Main Authors: Harville Emily W, Xiong Xu, Pridjian Gabriella, Elkind-Hirsch Karen, Buekens Pierre
Format: Article
Language:English
Published: BMC 2009-06-01
Series:BMC Pregnancy and Childbirth
Online Access:http://www.biomedcentral.com/1471-2393/9/21
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spelling doaj-cec9528fb3814fad896b8ed8238f565f2020-11-25T00:23:23ZengBMCBMC Pregnancy and Childbirth1471-23932009-06-01912110.1186/1471-2393-9-21Postpartum mental health after Hurricane Katrina: A cohort studyHarville Emily WXiong XuPridjian GabriellaElkind-Hirsch KarenBuekens Pierre<p>Abstract</p> <p>Background</p> <p>Natural disaster is often a cause of psychopathology, and women are vulnerable to post-traumatic stress disorder (PTSD) and depression. Depression is also common after a woman gives birth. However, no research has addressed postpartum women's mental health after natural disaster.</p> <p>Methods</p> <p>Interviews were conducted in 2006–2007 with women who had been pregnant during or shortly after Hurricane Katrina. 292 New Orleans and Baton Rouge women were interviewed at delivery and 2 months postpartum. Depression was assessed using the Edinburgh Depression Scale and PTSD using the Post-Traumatic Stress Checklist. Women were asked about their experience of the hurricane with questions addressing threat, illness, loss, and damage. Chi-square tests and log-binomial/Poisson models were used to calculate associations and relative risks (RR).</p> <p>Results</p> <p>Black women and women with less education were more likely to have had a serious experience of the hurricane. 18% of the sample met the criteria for depression and 13% for PTSD at two months postpartum. Feeling that one's life was in danger was associated with depression and PTSD, as were injury to a family member and severe impact on property. Overall, two or more severe experiences of the storm was associated with an increased risk for both depression (relative risk (RR) 1.77, 95% confidence interval (CI) 1.08–2.89) and PTSD (RR 3.68, 95% CI 1.80–7.52).</p> <p>Conclusion</p> <p>Postpartum women who experience natural disaster severely are at increased risk for mental health problems, but overall rates of depression and PTSD do not seem to be higher than in studies of the general population.</p> http://www.biomedcentral.com/1471-2393/9/21
collection DOAJ
language English
format Article
sources DOAJ
author Harville Emily W
Xiong Xu
Pridjian Gabriella
Elkind-Hirsch Karen
Buekens Pierre
spellingShingle Harville Emily W
Xiong Xu
Pridjian Gabriella
Elkind-Hirsch Karen
Buekens Pierre
Postpartum mental health after Hurricane Katrina: A cohort study
BMC Pregnancy and Childbirth
author_facet Harville Emily W
Xiong Xu
Pridjian Gabriella
Elkind-Hirsch Karen
Buekens Pierre
author_sort Harville Emily W
title Postpartum mental health after Hurricane Katrina: A cohort study
title_short Postpartum mental health after Hurricane Katrina: A cohort study
title_full Postpartum mental health after Hurricane Katrina: A cohort study
title_fullStr Postpartum mental health after Hurricane Katrina: A cohort study
title_full_unstemmed Postpartum mental health after Hurricane Katrina: A cohort study
title_sort postpartum mental health after hurricane katrina: a cohort study
publisher BMC
series BMC Pregnancy and Childbirth
issn 1471-2393
publishDate 2009-06-01
description <p>Abstract</p> <p>Background</p> <p>Natural disaster is often a cause of psychopathology, and women are vulnerable to post-traumatic stress disorder (PTSD) and depression. Depression is also common after a woman gives birth. However, no research has addressed postpartum women's mental health after natural disaster.</p> <p>Methods</p> <p>Interviews were conducted in 2006–2007 with women who had been pregnant during or shortly after Hurricane Katrina. 292 New Orleans and Baton Rouge women were interviewed at delivery and 2 months postpartum. Depression was assessed using the Edinburgh Depression Scale and PTSD using the Post-Traumatic Stress Checklist. Women were asked about their experience of the hurricane with questions addressing threat, illness, loss, and damage. Chi-square tests and log-binomial/Poisson models were used to calculate associations and relative risks (RR).</p> <p>Results</p> <p>Black women and women with less education were more likely to have had a serious experience of the hurricane. 18% of the sample met the criteria for depression and 13% for PTSD at two months postpartum. Feeling that one's life was in danger was associated with depression and PTSD, as were injury to a family member and severe impact on property. Overall, two or more severe experiences of the storm was associated with an increased risk for both depression (relative risk (RR) 1.77, 95% confidence interval (CI) 1.08–2.89) and PTSD (RR 3.68, 95% CI 1.80–7.52).</p> <p>Conclusion</p> <p>Postpartum women who experience natural disaster severely are at increased risk for mental health problems, but overall rates of depression and PTSD do not seem to be higher than in studies of the general population.</p>
url http://www.biomedcentral.com/1471-2393/9/21
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