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An integrative review published in Birth revealed that anger coexists with postpartum mood disorders in women.
The results also show that anger occurs when women's expectations are different from reality. trapped in situations such as poverty and domestic violence.
"We know mothers can be depressed and anxious in the postpartum period, but researchers have not really paid attention to anger" Christine H. Or RN, MSN of the School of Nursing, University of British Columbia, Canada, said in a press release. "There is evidence that indicates that being both angry and depressed exacerbates the intensity and duration of depression, which can have many negative effects on the mother, the child and the family."
Or and Wendy A. Hall RN, PhD, also from the University of British Columbia, conducted an integrative review to study the expression of maternal anger in the context of postnatal depression. In four clinical databases, the researchers searched relevant literature over a 25-year period – from 1991 to September 2016 – and identified seven qualitative articles and 17 quantitative articles examining maternal anger and postnatal depression.
After evaluating the 24 studies examining anger and its relation to postnatal depression, the authors identified three themes:
- anger accompanies the mood disturbance during the postnatal period,
- the links between anger and depression. life situations; and
- anger was related to the discordance between reality and expectations
In their review, Ou and Hall found that the social determinants of health, such as poverty and younger age, added anger and depression of women. Financial difficulties seemed to undermine women's sense of power. Feeling helpless also included situations of abuse and violence in relationships, depending on the results.
The literature has shown that many depressed mothers included in the included studies lacked support from the network of people, including their significant other, whom they expected. provide support. Stressors such as family illnesses and deaths, removals, marital breakdown and money problems, combined with lack of support, also increased mothers' feelings of anger and depression. In addition, anger and depression were the cause of the mother's loss before birth.
"Anger can be a reaction to broken expectations about motherhood," Ou said in a press release. "Mothers may feel that they have not lived up to their expectations and others may judge them because, for example, they are formula fed instead of badfeeding." # 39; badfeed.
Anger has also been badociated with recurrent and chronic depression. The results showed that mothers with depressive episodes prior to delivery or recurrent depressive episodes after postnatal depression were more likely to report anger than those who reported only postnatal depression [19659002"Longitudinalstudiesareneededtodeterminetheoutcomesofmothersandchildrensuchasadisturbanceofmoodalonecomparedtocomorbidangeranddepressivesymptoms"wroteOuandHall"Althoughthereisnodefiniteanswerastohowangershouldbeframedinthecontextofpostnataldepressionwesuggestthatangeranddepressioncanbeviewedasdistinctconstructsbutthattheyoccursimultaneouslyinsomewomen"Demko
Disclosure:
Healio Psychaitry was unable to confirm any relevant financial disclosure at the time of publication.
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