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Original Research
Post-partum depression, anxiety and marital satisfaction: A perspective from Southeastern Nigeria
Submitted: 01 March 2017 | Published: 22 March 2018
About the author(s)
Jaclyn I. Odinka, Department of Psychology, Faculty of Social Sciences, University of Nigeria, NigeriaMarybasil Nwoke, Department of Psychology, Faculty of Social Sciences, University of Nigeria, Nigeria
JohnBosco C. Chukwuorji, Department of Psychology, Faculty of Social Sciences, University of Nigeria, Nigeria
Kenneth Egbuagu, Department of Psychology, Faculty of Social Sciences, University of Nigeria, Nigeria
Philip Mefoh, Department of Psychology, Faculty of Social Sciences, University of Nigeria, Nigeria
Paul C. Odinka, Department of Psychological Medicine, College of Medicine, University of Nigeria, Nigeria
Kennedy U. Amadi, Department of Psychological Medicine, College of Medicine, University of Nigeria, Nigeria
Rosemary C. Muomah, Department of Psychological Medicine, College of Medicine, University of Nigeria, Nigeria
Abstract
Background: Many studies have noted the high prevalence of post-partum depression (PPD) and anxiety associated with poor marital satisfaction, albeit amidst a dearth of literature on comorbid PPD and anxiety among women in Nigeria.
Objective: The study was aimed to assess the prevalence of PPD and anxiety, and to investigate their relationship with marital satisfaction in low-risk women in Enugu, Southeastern Nigeria.
Method: A cross-sectional study of 309 randomly selected nursing mothers at two tertiary health institutions. Socio-demographic Questionnaire, Hospital Anxiety and Depression Scale, and Index of Marital Satisfaction (IMS) were used to collect data on demography, anxiety and depression and marital relationship respectively. All statistical tests were performed at a significant level of 0.05.
Results: The age range of the respondents was 20–46 years; mean and s.d. was 29.65 and ± 4.87, respectively, and most of them were graduates of tertiary educational institutions (74.1%). The prevalence of post-partum anxiety was 31.1% and of PPD was 33.3%. Marital dissatisfaction was observed in 39.5% (122) of the respondents who were mothers. Those with co-morbid depression and anxiety (22.0%) had worse marital dissatisfaction. The strongest correlation with depression and anxiety was item 12 of IMS (‘feel that my partner doesn’t confide in me’).
Conclusion: There was a high prevalence of marital dissatisfaction, PPD and anxiety among nursing mothers in Enugu, but with low detection rate. The effects of PPD and anxiety on the mother, her marital relationship and her infant make them essential conditions for early diagnosis, prevention and treatments.
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1. The epidemiology of maternal mental health in Africa: a systematic review
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2. Intimacy and Postpartum Depression: A Moderated Mediation Model
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doi: 10.14710/nmjn.v12i3.48477
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5. Psychiatric morbidity among pregnant and non pregnant women in Ibadan, Nigeria
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doi: 10.1080/01443615.2023.2205503
6. The Role of Father Involvement and Intimate Partner Violence on Postnatal Depression Among Women With Unintended Pregnancy
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7. The prevalence of peripartum depression and its relationship to mode of delivery and other factors among mothers in Ixopo, Kwazulu-Natal, South Africa
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8. The relationship between perceived stress and postpartum depression through the mediating role of marital satisfaction in postpartum women
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9. Associations between maternal postpartum depression and infant temperament in treatment-seeking mothers prior to and during the COVID-19 pandemic
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doi: 10.1017/S0954579422001353
10. Depression, stress, anxiety and their predictors in Iranian pregnant women during the outbreak of COVID-19
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11. Prediction of Postpartum Depression Based on Marital Satisfaction, Physical Satisfaction, and Dysfunctional Beliefs in Pregnant Women of Bukan City in the First Half of 2022
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12. Postpartum depression and sleep disorders among working women with social support, referring to Health Centers in Shiraz, Iran, 2018 – 2019
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13. Postnatal Depression Screening among Postpartum Women Attending Postnatal Care at Selected Community Health Centres Situated in the Nkangala District of South Africa
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doi: 10.2174/1874944502013010696
14. Social Support Available to Commuter Couples in Jos, Nigeria
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doi: 10.1177/21582440241234492
15. Tools for screening maternal mental health conditions in primary care settings in sub-Saharan Africa: systematic review
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16. Nurse’s Knowledge, Attitudes and Practices Toward Perinatal Depression—A Study Among Nurses in Southern Ghana
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Nursing & Midwifery Research Journal vol: 20 issue: 4 first page: 245 year: 2024
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17. The impact of the COVID-19 pandemic on the mental health of women seeking treatment for postpartum depression
Oswin Chang, Haley Layton, Bahar Amani, Donya Merza, Sawayra Owais, Ryan J. Van Lieshout
The Journal of Maternal-Fetal & Neonatal Medicine vol: 35 issue: 25 first page: 9086 year: 2022
doi: 10.1080/14767058.2021.2014810
18. Antenatal anxiety symptoms outperform antenatal depression symptoms and suicidal ideation as a risk factor for postpartum suicidal ideation
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Anxiety, Stress, & Coping vol: 37 issue: 6 first page: 811 year: 2024
doi: 10.1080/10615806.2024.2333377
19. Association between Islamic religiosity, social support, marriage satisfaction, and postpartum depression in teenage mothers in West Java, Indonesia: A cross-sectional study
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doi: 10.33546/bnj.2661
20. Stress, resilience, and social support among antenatal women in Jordan during the novel coronavirus pandemic: a cross-sectional study
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21. Impact of a postpartum care rehabilitation program to prevent postpartum depression at a secondary municipal hospital in Qingdao China: a cross-sectional study
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24. Burden of postpartum depression in sub-Saharan Africa: An updated systematic review
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doi: 10.17159/sajs.2024/14197
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