Older maternal age and major depressive episodes in the first two years after birth: Findings from the Parental Age and Transition to Parenthood Australia (PATPA) study

Abstract Background This study examines whether (1) older maternal age is associated with increased risk of depressive episodes between four months and two years after first birth and (2) the role of subsequent reproductive, social and child factors in vulnerability to later onset depression. Method...

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Bibliographic Details
Published in:Journal of affective disorders 2015-04, Vol.175, p.454-462
Main Authors: McMahon, Catherine A, Boivin, Jacky, Gibson, Frances L, Hammarberg, Karin, Wynter, Karen, Fisher, Jane R.W
Format: Article
Language:English
Subjects:
Adult
ART conception
Australia - epidemiology
Child
Child Welfare - psychology
Depression, Postpartum - epidemiology
Depression, Postpartum - psychology
Depressive Disorder, Major - epidemiology
Female
Humans
Maternal Age
Postnatal depression
Postpartum Period
Prevalence
Psychiatry
Reproductive History
Risk Factors
Stress, Psychological
Surveys and Questionnaires
Temperament
Time Factors
Young Adult
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Summary:Abstract Background This study examines whether (1) older maternal age is associated with increased risk of depressive episodes between four months and two years after first birth and (2) the role of subsequent reproductive, social and child factors in vulnerability to later onset depression. Method 592 women were recruited in the third trimester of pregnancy in three age-groups (≤ 30 years; 31–36 years,≥37 years); 434 (73%) completed all assessments at four months and two years after birth. Major Depression episodes (MDE) were assessed at four months and two years using the Mini International Neuropsychiatric Interview (MINI). Maternal (age, mode of conception, prior mood symptoms, health), child (temperament, health), reproductive (subsequent fertility treatment, pregnancy, birth, pregnancy loss) and social contextual variables (language background, paid work, practical support, life stresses) were assessed in pregnancy and postnatally using validated questionnaires and structured interview questions. Results Maternal age was not related to prevalence or timing of MDE. Depression symptoms, poor child health, low practical support at four months and a non-English language background predicted episodes of depression between four months and two years, ps
ISSN:0165-0327
1573-2517
DOI:10.1016/j.jad.2015.01.025