Skip to main content
Journal cover image

Identification of postpartum symptom subgroups and associated long-term maternal depressive symptoms and well-being.

Publication ,  Journal Article
Scroggins, JK; Reuter-Rice, K; Brandon, D; Yang, Q
Published in: Research in nursing & health
October 2023

Many postpartum women experience postpartum symptoms which often occur in clusters (i.e., three or more co-occurring symptoms that are related to each other). To date, research has focused on individual symptoms, which limits our understanding of how postpartum symptom clusters manifest and influence health. This secondary analysis used the Community and Child Health Network study data (N = 1784). No patient or public directly participated or contributed to the current analysis. Guided by the Symptom Management Theory, latent class analysis was performed to identify subgroups of postpartum women with different symptom experiences using observed variables at 6 months postpartum: anxiety (MINI-anxiety), general stress (PSS-10), posttraumatic stress (PCL-C), postpartum depression (EPDS), sleep disturbance (PSQI-sleep disturbance), and sleep duration (PSQI-sleep duration). Bivariate and multiple regression analyses were conducted to examine the association between subgroups and (a) individual characteristics and (b) long-term depressive symptoms (CES-D-9) and well-being at 18 and/or 24 months postpartum. Five subgroups were selected that had better-fit indices, entropy, and interpretability. Subgroups were labeled as (1) Minimum overall, (2) Mild-moderate overall, (3) Moderate-high sleep symptoms, (4) High psychological symptoms, and (5) High overall. After adjusting for covariates, postpartum women in Subgroups 4 and 5 had higher CES-D-9 scores at 18 and 24 months and lower well-being scores at 24 months. More postpartum women in Subgroups 4 and 5 experienced a history of depression or unemployment. Clinicians should provide targeted interventions for postpartum women in high-symptom subgroups.

Duke Scholars

Published In

Research in nursing & health

DOI

EISSN

1098-240X

ISSN

0160-6891

Publication Date

October 2023

Volume

46

Issue

5

Start / End Page

485 / 501

Related Subject Headings

  • Postpartum Period
  • Nursing
  • Humans
  • Female
  • Family
  • Depression, Postpartum
  • Depression
  • Child
  • Anxiety
  • 4205 Nursing
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Scroggins, J. K., Reuter-Rice, K., Brandon, D., & Yang, Q. (2023). Identification of postpartum symptom subgroups and associated long-term maternal depressive symptoms and well-being. Research in Nursing & Health, 46(5), 485–501. https://doi.org/10.1002/nur.22336
Scroggins, Jihye Kim, Karin Reuter-Rice, Debra Brandon, and Qing Yang. “Identification of postpartum symptom subgroups and associated long-term maternal depressive symptoms and well-being.Research in Nursing & Health 46, no. 5 (October 2023): 485–501. https://doi.org/10.1002/nur.22336.
Scroggins JK, Reuter-Rice K, Brandon D, Yang Q. Identification of postpartum symptom subgroups and associated long-term maternal depressive symptoms and well-being. Research in nursing & health. 2023 Oct;46(5):485–501.
Scroggins, Jihye Kim, et al. “Identification of postpartum symptom subgroups and associated long-term maternal depressive symptoms and well-being.Research in Nursing & Health, vol. 46, no. 5, Oct. 2023, pp. 485–501. Epmc, doi:10.1002/nur.22336.
Scroggins JK, Reuter-Rice K, Brandon D, Yang Q. Identification of postpartum symptom subgroups and associated long-term maternal depressive symptoms and well-being. Research in nursing & health. 2023 Oct;46(5):485–501.
Journal cover image

Published In

Research in nursing & health

DOI

EISSN

1098-240X

ISSN

0160-6891

Publication Date

October 2023

Volume

46

Issue

5

Start / End Page

485 / 501

Related Subject Headings

  • Postpartum Period
  • Nursing
  • Humans
  • Female
  • Family
  • Depression, Postpartum
  • Depression
  • Child
  • Anxiety
  • 4205 Nursing