Relationship between a high Edinburgh Postnatal Depression Scale score and premenstrual syndrome: A prospective, observational study

Erina Takayama; Hiroaki Tanaka; Yuki Kamimoto; Takashi Sugiyama; Tadaharu Okano; Eiji Kondo; Tomoaki Ikeda

doi:10.1016/j.tjog.2020.03.003

Relationship between a high Edinburgh Postnatal Depression Scale score and premenstrual syndrome: A prospective, observational study

Taiwan J Obstet Gynecol. 2020 May;59(3):356-360. doi: 10.1016/j.tjog.2020.03.003.

Authors

Erina Takayama¹, Hiroaki Tanaka², Yuki Kamimoto², Takashi Sugiyama³, Tadaharu Okano⁴, Eiji Kondo², Tomoaki Ikeda²

Affiliations

¹ Department of Obstetrics and Gynecology, Mie University School of Medicine, 2-174 Edobashi, Tsu, Mie, Japan. Electronic address: erina-18@hotmail.co.jp.
² Department of Obstetrics and Gynecology, Mie University School of Medicine, 2-174 Edobashi, Tsu, Mie, Japan.
³ Department of Obstetrics and Gynecology, Ehime University School of Medicine, 454 Shitsukawa, Toon, Ehime, Japan.
⁴ Center for Physical & Mental Health, Mie University School of Medicine, 2-174 Edobashi, Tsu, Mie, Japan.

PMID: 32416879
DOI: 10.1016/j.tjog.2020.03.003

Abstract

Objective: This study aimed to evaluate whether the Edinburgh Postnatal Depression Scale (EPDS) score predicts the occurrence of premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD) after delivery.

Materials and methods: The women in this study were registered at 35-36 weeks of pregnancy at Mie University Hospital from 2013 to 2015. We prospectively divided the puerperants into those with an EPDS score ≥9 (the high-EPDS group) and those with an EPDS score <9 (the low-EPDS group) at 1 month postpartum. We compared the incidence rate of severe PMS and PMDD between both groups at 1 year after delivery.

Results: Of 200 registered cases, 178 (89.0%) did not experience severe PMS or PMDD before pregnancy. Among them, 21 were in the high-EPDS group, and 89 in the low-EPDS group. Four of the 21 women (19.0%) in the high-EPDS group and five of the 89 (5.6%) in the low-EPDS group had severe PMS or PMDD at 1 year after delivery. The incidence rate of severe PMS or PMDD in the high-EPDS group was higher than that in the low-EPDS group (p = 0.07).

Conclusions: The novel finding of this study is that the EPDS may predict the occurrence of severe PMS/PMDD after delivery. The EPDS will contribute to the early detection of these diseases and to improving the quality of life of the patients by allowing treatment initiation at an early stage.

Keywords: Edinburgh postnatal depression scale; Observational study; Premenstrual dysphoric disorder; Premenstrual syndrome; Prospective study.

Publication types

Observational Study

MeSH terms

Adult
Female
Humans
Incidence
Postpartum Period / psychology*
Predictive Value of Tests
Pregnancy
Pregnant Women / psychology*
Premenstrual Dysphoric Disorder / diagnosis*
Premenstrual Dysphoric Disorder / epidemiology
Premenstrual Syndrome / diagnosis*
Premenstrual Syndrome / epidemiology
Prospective Studies
Psychiatric Status Rating Scales / statistics & numerical data*
Severity of Illness Index