Adherence to Traditional Chinese Postpartum Practices and Postpartum Depression
A Cross-Sectional Study in Hunan, China
Bibliographic Data
| ID | 15523384 |
|---|---|
| Authors | Pengfei Guo (0000-0003-0541-4256, Sun Yat-sen University), Dong Xu (0000-0001-7022-4518), Dong Roman Xu (0000-0001-7438-632X, Southern Medical University), Zeyan Liew (0000-0002-9424-7869, Providence Center), Hua He (0009-0003-2585-7684, Tulane University), Peter Brocklehurst (0000-0002-9950-6751, Cancer Research UK Clinical Trials Unit), Beck Taylor (0000-0002-3559-7922, University of Birmingham), Chao Zhang (0000-0003-3686-4743, Central South University), Xin Jin (0000-0003-4590-5834, Central South University), Wenjie Gong (0000-0002-7943-4041, University of Rochester, corresponding author) |
| Year | 2021 |
| Volume | 12 |
| Pages | 649972-649972 |
| Publication date | 2021-07-27 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Psychiatry (JOURNAL) |
| Journal identifiers | ISSN: 1664-0640 • E-ISSN: 1664-0640 |
| Publisher | Frontiers Media (PUBLISHER • CH) |
| DOI | 10.3389/fpsyt.2021.649972 |
| PMID | 34385937 |
| OpenAlex | W3187068854 |
| Language | EN |
| Citations received | 2 |
| References cited | 55 |
Background: The relationship between adherence to traditional Chinese postpartum practices (known as "doing-the-month") and postpartum depression (PPD) remains unknown. Practices including restrictions on diet, housework and social activity, personal hygiene, and cold contact, could introduce biological, psychological, and socio-environmental changes during postpartum. Methods: The cross-sectional study included 955 postpartum women in obstetric clinics in Hunan Province of China between September 2018 to June 2019. Thirty postpartum practices were collected by a self-report online structured questionnaire. Postpartum depression symptoms were assessed by the Chinese version of the Edinburgh Postnatal Depression Scale (EPDS). Multivariable linear regression was used to estimate the differences in EPDS scores according to adherence to postpartum practices. Firth's bias-reduced logistic regression was employed to analyze the binary classification of having PPD symptoms (EPDS ≥ 10). Results: Overall, both moderate and low adherence to postpartum practices appeared to be associated with higher EPDS scores (adjusted difference 1.07, 95% CI 0.20, 1.94 for overall moderate adherence; and adjusted difference 1.72, 95% CI 0.84, 2.60 for overall low adherence). In analyses by practice domain, low adherence to housework-related and social activity restrictions was associated with having PPD symptoms compared with high adherence (OR 1.61, 95% CI 1.07, 2.43). Conclusions: Low adherence to traditional Chinese postpartum practices was associated with higher EPDS scores indicating PPD symptoms, especially in the domain of housework-related and social activity restrictions. Psychosocial stress and unsatisfactory practical support related to low adherence to postpartum practices might contribute to PPD. Longitudinal study and clinical assessment would be needed to confirm these findings
Anxiety · Cross-sectional study · Depression (economics · Depressive symptoms · Edinburgh Postnatal Depression Scale · Family medicine · Logistic regression · Postpartum depression · Postpartum period · Pregnancy · Psychiatry · Psychosocial · Social support · Breastfeeding Practices and Influences · Maternal and Perinatal Health Interventions · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Psychology · Internal Medicine
Detecting postnatal depression in Chinese women
Bias reduction of maximum likelihood estimates
Cross-cultural and social diversity of prevalence of postpartum depression and depressive symptoms
The Biopsychosocial Model 25 Years Later
Non-psychotic mental disorders in the perinatal period
Historical Origins of the Health Belief Model
The Need for a New Medical Model
Postpartum Practices and Depression Prevalences
“Doing the month”
Reducing the Risk of Postpartum Depression in a Low-Income Community Through a Community Health Worker Intervention
Adherence to Cultural Practices Following Childbirth in Migrant Chinese Women and Relation to Postpartum Mood
Doing the month”
Perceived Stress and Support of the Chinese Postpartum Ritual “Doing the Month”
Effects of traditional practices in the postpartum period on postpartum depression
Postnatal experience and health needs of Chinese migrant women in Brisbane, Australia
Doing the month”
| Unique citing works | 2 |
|---|---|
| Citations per year | 2 |
| Citation span | 2025 - 2025 (1) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 2 |