{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:28:12Z","timestamp":1787027292999,"version":"build-2736575974"},"reference-count":55,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,12,20]],"date-time":"2023-12-20T00:00:00Z","timestamp":1703030400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The study sought to explore the relationship between high psychological stress levels related to delivery and postpartum mental disorders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 284 parturients were included in the study from July 2021 to January 2022. The stress level at 1\u2009month postpartum was assessed by the Impact of Event Scale-Revised (IES-R). Parturients with an IES-R score\u2009\u2264\u20099 were included in the low psychological stress level group, and those with an IES-R score\u2009&amp;gt;\u20099 were included in the high psychological stress level group. The Edinburgh Postnatal Depression Scale (EPDS), Union Physio-Psycho-Social Assessment Questionnaire (UPPSAQ-70), Symptom Checklist-90 (SCL-90) and Mini-International Neuropsychiatric Interview (M.I.N.I.) were conducted at 42\u2009\u00b1\u20097\u2009days postpartum to assess the mental health of parturients.<\/jats:p>\n                    <jats:p>The parturients\u2019 mental health after birth was assessed by the EPDS, UPPSAQ-70, and SCL-90. Semi-structured diagnostic interviews were conducted at 42\u2009\u00b1\u20097\u2009days postpartum by using the M.I.N.I.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The incidence rate of postpartum mental disorders was 20.42% (58\/284), the incidence rates of postpartum depression, anxiety disorders, obsessive-compulsive disorder and posttraumatic stress disorder were 17.96% (51\/284), 11.97% (34\/284), 4.58% (13\/284) and 1.41% (4\/284), respectively, and the comorbidity rate was 58.62% (34\/58). A history of mental disorders and pregnancy complications were risk factors for postpartum depression (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.028,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.040, respectively); a history of mental disorders, a lack of physical exercise, partner violence and pregnancy complications were risk factors for postpartum anxiety disorders (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.007,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.031,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.048, respectively); and the delivery of female infants was a risk factor for postpartum obsessive-compulsive disorder (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.022).\n                    <\/jats:p>\n                    <jats:p>\n                      The risk of postpartum depression, anxiety disorders and obsessive-compulsive disorder was 9.125 times (95% CI\u2009=\u20093.900\u2009~\u200921.349,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.01), 7.310 times (95% CI\u2009=\u20092.588\u2009~\u200920.649,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.01) and 6.259 times (95% CI\u2009=\u20091.347\u2009~\u200929.093, p\u2009&amp;lt;\u20090.01) higher in postpartum women with high psychological stress levels related to delivery than in those with low psychological stress levels, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The incidence of postpartum mental disorders is high and has a positive correlation with the level of psychological stress. This may lead to a new perspective of the effect of psychological stress on postpartum mental disorders and attract more attention to other mental disorders in addition to postpartum depression.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyt.2023.1273647","type":"journal-article","created":{"date-parts":[[2023,12,20]],"date-time":"2023-12-20T03:49:00Z","timestamp":1703044140000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":5,"title":["High psychological stress levels related to delivery can increase the occurrence of postpartum mental disorders"],"prefix":"10.3389","volume":"14","author":[{"given":"Ruixue","family":"Sun","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mingzhe","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liangkun","family":"Ma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanping","family":"Duan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Wei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2023,12,20]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1016\/j.jad.2009.07.002","article-title":"Panic disorder is a risk factor for post-partum depression: results from the Perinatal Depression-Research & Screening Unit (PND-ReScU) study","volume":"122","author":"Rmbellic","year":"2010","journal-title":"J Affect Disord"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1121","DOI":"10.1017\/S0033291715002706","article-title":"The aetiology of post- traumatic stress following childbirth: a meta-analysis and theoretical framework","volume":"46","author":"Ayers","year":"2016","journal-title":"Psychol Med"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"387","DOI":"10.1002\/eat.20643","article-title":"Inappropriate eating behaviors during pregnancy: prevalence and associated factors among pregnant women attending primary care in southern Brazil","volume":"42","author":"Rafael","year":"2009","journal-title":"Int J Eat Disord"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"115","DOI":"10.1007\/s00737-010-0186-y","article-title":"The vulnerable personality style questionnaire: psychometric properties in Spanish postpartum women","volume":"14","author":"Gelabert","year":"2011","journal-title":"Arch Womens Ment Health"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"701","DOI":"10.1016\/j.eurpsy.2015.06.001","article-title":"Coping strategies and postpartum depressive symptoms: a structural equation modelling approach","volume":"30","author":"Gutiettez","year":"2015","journal-title":"Eur Psychiatry"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"422","DOI":"10.1192\/bjp.2023.74","article-title":"Clinical index to quantify the 1-year risk for common postpartum mental disorders at the time of delivery (PMH CAREPLAN): development and internal validation","volume":"223","author":"Vigod","year":"2023","journal-title":"Br J Psychiatry"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"111","DOI":"10.1046\/j.1523-536X.2001.00111.x","article-title":"Do women get posttraumatic stress disorder as a result of childbirth?","volume":"28","author":"Ayers","year":"2001","journal-title":"A Prospect Study Incid Birth"},{"key":"ref8","first-page":"228","article-title":"He Yanling impact of event scale-revised (IES-R)","volume-title":"Handbook of psychiatric assessment scales","author":"Mingyuan","year":"2015"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1016\/j.ejogrb.2006.11.016","article-title":"Acute stress reactions in the first 3 weeks postpartum: a study of 219 parturients","volume":"135","author":"Stadlmayr","year":"2007","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"433","DOI":"10.1192\/bjp.172.5.433","article-title":"Detecting postnatal depression in Chinese women. Validation of the Chinese version of the Edinburgh postnatal depression scale","volume":"172","author":"Lee","year":"1998","journal-title":"Br J Psychiatry"},{"key":"ref11","first-page":"154","article-title":"Edinburgh postnatal depression scale (EPDS)","volume-title":"Handbook of psychiatric assessment scales","author":"Mingyuan","year":"2015"},{"key":"ref12","first-page":"23","article-title":"Symptom checklist 90 (SCL-90)","volume-title":"Handbook of psychiatric assessment scales","author":"Mingyuan","year":"2015"},{"key":"ref13","first-page":"1","volume-title":"Subhealth research part 2- validation of the subhealth assessment scale using a composite international diagnostic questionnaire China(BJ): Beijing union medical college","author":"Jinya","year":"2014"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"615","DOI":"10.3881\/j.issn.1000-503X.10960","article-title":"Psychometric evaluation of the union physio-psycho-social assessment questionnaire","volume":"41","author":"Yanping","year":"2019","journal-title":"Acta Acad Med Sin"},{"key":"ref15","first-page":"22","article-title":"The Mini-international neuropsychiatric interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10","volume":"59","author":"Sheehan","year":"1998","journal-title":"J Clin Psychiatry"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"1244","DOI":"10.1001\/jama.1992.03480090092034","article-title":"The concepts of stress and stress system disorders. 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countries","volume":"8","author":"Hahn","year":"2017","journal-title":"Front Psych"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1007\/s00737-016-0675-8","article-title":"Suicide and filicide in postpartum psychosis","volume":"20","author":"Brockington","year":"2017","journal-title":"Arch Womens Ment Health"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"e469","DOI":"10.4088\/JCP.16m10970","article-title":"Depression and anxiety in the postpartum period and risk of bipolar disorder: a Danish Nationwide register-based cohort study","volume":"78","author":"Liu","year":"2017","journal-title":"J Clin Psychiatry"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"801","DOI":"10.1016\/s0924-9338(02)00695-8","article-title":"Cross-sectional study of anxiety disorders among non-psychiatric outpatients in general hospitals","volume":"25","author":"Ying","year":"2011","journal-title":"Chin Ment Health J"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"377","DOI":"10.4088\/JCP.12r07917","article-title":"Mazmaniand: risk of obsessive-compulsive disorder in pregnant and postpartum women: a meta-analysis","volume":"74","author":"Russellej","year":"2013","journal-title":"J Clin Psychiatry"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"132","DOI":"10.4088\/JCP.v68n0118","article-title":"Postpartum-onset obsessive- compulsive disorder: incidence, clinical features, and related factors","volume":"68","author":"Uguz","year":"2007","journal-title":"J Clin Psychiatry"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"503","DOI":"10.1016\/j.comppsych.2008.11.014","article-title":"Postpartum obsessive-compulsive disorder: prevalence and clinical characteristics","volume":"50","author":"Zambaldi","year":"2009","journal-title":"Compr 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Sci"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"1390","DOI":"10.1111\/j.1471-0528.2010.02660.x","article-title":"Perinatal complications increase the risk of postpartum depression. The generation R study","volume":"117","author":"Blom","year":"2010","journal-title":"BJOG"},{"key":"ref36","first-page":"287","article-title":"Psychological effects of an aerobic exercise session and a rest session following pregnancy","volume":"37","author":"Koltyn","year":"1997","journal-title":"J Sports Med Phys Fitness"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"416","DOI":"10.1093\/her\/cyy026","article-title":"A randomized controlled trial on the effect of lifestyle education for Iranian women and their husbands on post-partum anxiety and depression","volume":"33","author":"Sanaati","year":"2018","journal-title":"Health Educ Res"},{"key":"ref38","doi-asserted-by":"crossref","DOI":"10.3390\/medicina55090560","volume-title":"Physical activity and the occurrence of postnatal depression-a systematic review","author":"Ko\u0142oma\u0144ska-Bogucka","year":"2019"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"844","DOI":"10.1111\/ppc.12500","article-title":"The effectiveness of an exercise intervention in reducing the severity of postpartum depression: a randomized controlled trial","volume":"56","author":"\u00d6zkan","year":"2020","journal-title":"Perspect Psychiatr Care"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"159","DOI":"10.1016\/S0020-7292(02)00236-9","article-title":"Domestic violence and postnatal depression in a Chinese community","volume":"79","author":"Leung","year":"2002","journal-title":"Int J Gynaecol Obstet"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1007\/s00737-683012-0307-x","article-title":"Impact of intimate partner violence on anxiety and depression amongst women in Ile- Ife, Nigeria","volume":"16","author":"Mapayib","year":"2013","journal-title":"Arch Womens Ment Health"},{"key":"ref42","doi-asserted-by":"publisher","first-page":"e1001452","DOI":"10.1371\/journal.pmed.1001452","article-title":"Domestic violence and perinatal mental disorders: a systematic review and meta-analysis","volume":"10","author":"Howard","year":"2013","journal-title":"PLoS Med"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"79","DOI":"10.1016\/S0020-7292(00)00335-0","article-title":"Pregnancy outcome following domestic violence in a Chinese community","volume":"72","author":"Leung","year":"2001","journal-title":"Int J Gynaecol Obstet"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"353","DOI":"10.1097\/00131746-200509000-00009","article-title":"Lbigbami S-M: sociodemographic and obstetric risk factors for postpartum depressive symptoms in Nigerian women","volume":"11","author":"Adewuya","year":"2005","journal-title":"J Psychiatr Pract"},{"key":"ref45","doi-asserted-by":"publisher","first-page":"138","DOI":"10.1016\/j.ijgo.2013.11.006","article-title":"The role of newborn gender in postpartum depressive symptoms among women in upper Egypt","volume":"125","author":"Hassanein","year":"2014","journal-title":"Int J Gynaecol Obstet"},{"key":"ref46","doi-asserted-by":"crossref","first-page":"680","DOI":"10.1016\/j.socscimed.2007.04.003","article-title":"Fetal gender and postpartum depression in a cohort of Chinese women","volume":"65","author":"Xie","year":"2007","journal-title":"Soc Sci Med"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"552","DOI":"10.1016\/s0029-7844(02)02088-4","article-title":"Human chorionic gonadotropin and testosterone in normal and preeclamptic pregnancies in relation to fetal sex","volume":"100","author":"Steier","year":"2002","journal-title":"Obstet Gynecol"},{"key":"ref48","doi-asserted-by":"crossref","first-page":"1029","DOI":"10.1097\/AOG.0b013e3182342b7f","article-title":"Determinants of maternal sex steroids during the first half of pregnancy [J]","volume":"118","author":"Toriola","year":"2011","journal-title":"Obstet Gynecol"},{"key":"ref49","doi-asserted-by":"publisher","first-page":"672","DOI":"10.1111\/j.1471-0528.2008.02083.x","article-title":"Risk factors in pregnancy for post-traumatic stress and depression after childbirth","volume":"116","author":"S\u00d6derquist","year":"2009","journal-title":"BJOG"},{"key":"ref50","doi-asserted-by":"publisher","first-page":"902","DOI":"10.1016\/S0006-3223(00)00933-1","article-title":"A second look at comorbidity in victims of trauma: the posttraumatic stress disorder-major depression connection [J]","volume":"48","author":"Breslau","year":"2000","journal-title":"Biol Psychiatry"},{"key":"ref51","doi-asserted-by":"publisher","first-page":"560","DOI":"10.1038\/mp.2013.62","article-title":"Antenatal prediction of postpartum depression with blood DNA methylation biomarkers","volume":"19","author":"Guintivano","year":"2014","journal-title":"Mol Psychiatry"},{"key":"ref52","doi-asserted-by":"publisher","first-page":"1648","DOI":"10.1038\/npp.2015.333","article-title":"replication of epigenetic postpartum depression biomarkers and variation with hormone levels","volume":"41","author":"Osborne","year":"2016","journal-title":"Neuropsychopharmacology"},{"key":"ref53","doi-asserted-by":"publisher","first-page":"197","DOI":"10.1016\/j.psyneuen.2016.11.031","article-title":"Oxidative stress, inflammation and treatment response in major depression","volume":"76","author":"Lindqvist","year":"2017","journal-title":"Psychoneuroendocrinology"},{"key":"ref54","doi-asserted-by":"publisher","first-page":"234","DOI":"10.1016\/j.neuron.2020.06.002","article-title":"The 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