Nahid M Elhassan
Hamad Medical Corporation, Qatar
Scientific Tracks Abstracts: J Psychiatry
Background: Depression with post-partum onset is a serious mental health problem that has been a highly conspicuous public health concern with prevalence of major and minor depressions reaching 20% in the first three postpartum months. However, information on the relationship between premenstrual disorders and the development of post-partum depression (PPD) is not well established. Aim: Aim of this research was to assess premenstrual syndrome (PMS) as a risk factor for acquiring depression with post-partum onset in Khartoum, Sudan from September 2014-February 2015. Method: Through an observational case finding in hospital based study, using the premenstrual symptoms screening tool (PSST) and Beckâ??s Depression Rating Scale (BDRS), the study was done. Prevalence, association and relative risk ratios for women with depression with post-partum onset and PMS, were calculated using multinomial logistic regression and cross tabulation. Results: An association and a relative risk ratio were computed between PMS and depression with post-partum onset. The prevalence of moderate-severe PMS among the study population (79 depressed patients with post-partum onset) was found to be 65 cases (82.3%). This finding was found mainly among the moderate-severe depression range, 25.3% and 55.7% respectively. For moderate PMS, the prevalence was found to be 58.2% while the prevalence of severe PMS was found to be 24.1%. Also mild PMS prevalence was found to be 11.4%. Only 6.3% of the cases did not have any PMS symptoms, which were found to have mainly mild-borderline depression. Different risk factors for acquiring depression with post-partum onset (previous history of post-partum depression, absence of social support, marital instability, not planning for pregnancy) were found to be significantly associated risk factors, yet PMS has been the leading risk factor. Conclusion: The current results suggested that each of PMS and depression with post-partum onset has their own presentations and characteristics individually. Despite their differences in illness, they however possibly to co-occur, PMS being a significant risk factor for depression.
Nahid M Elhassan has completed her MBBS and MD in Psychiatry. She won award of William Friedrich Memorial Child Sexual Abuse Research, Assessment &/or Treatment Award from Family Violence & Sexual Assault Institute and Institute on Violence, Abuse & Trauma (2016). In 2015, she served as President of Psychiatric Department in University of Medical Science and Technology, Qatar. Currently, she is working as a Doctor at Hamad Medical Corporation, Qatar.
E-mail: nhfadul@gmail.com