Browsing by Author "Cooper, Peter J"

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    Social factors and postpartum depression in Khayelitsha, Cape Town
    (2004) Tomlinson, Mark; Swartz, Leslie; Cooper, Peter J; Molteno, Christopher
    Social factors, including poverty, are known risk factors for depression. In a previous study conducted in Khayelitsha, a very poor peri-urban settlement near Cape Town, a 34.7% prevalence rate for postpartum depression was found, roughly three times the expected rate internationally. This article is a report on a logistical regression analysis, showing that the odds ratios for the probability of maternal depression at two months were: for the infant being unwanted, OR=4.33, 95% Cl: (1.75; 11.60); for the father's negative attitude towards the infant, OR=6.03, 95% Cl: (2.01; 20.09); and for the mother cohabiting with (as opposed to not living with) a male partner, OR=2.77, 95% Cl: (1.08; 7.69). The odds ratios for the probability of the mother being insensitive towards the infant at two months were: for the mother aged 20 to 24 years, OR=0.40, 95% Cl: (0.10; 1.42); for the mother aged 25 to 29 years, OR=0.24, 95% Cl: (0.06; 0.77); for the mother aged 30 years or older, OR=0.27, 95% CI: (0.07; 0.90); and for the mother receiving no help from her partner, OR=2.12, 95% CI: (1.05; 4.33). Since data were collected cross-sectionally, it is not possible to draw conclusions about causal pathways. The findings support further investigation into the precursors of, and risk factors for, postpartum depression amongst poor South African women.
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    The factor structure of the Edinburgh Postnatal Depression scale in a South African peri-urban settlement
    (2004) De Bruin, Gideon P; Swartz, Leslie; Tomlinson, Mark; Cooper, Peter J; Molteno, Christopher
    The factor structure of the Edinburgh Postnatal Depression scale (EPDS) and similar instruments have received little attention in the literature. The researchers set out to investigate the construct validity and reliability of the EPDS amongst impoverished South African women. The EPDS was translated into isiXhosa (using Brislin's back translation method) and administered by trained interviewers to 147 women in Khayelitsha, South Africa. Responses were subjected to maximum likelihood confirmatory factor analysis. A single factor structure was found, consistent with the theory on which the EPDS was based. Internal consistency was satisfactory (a =0.89).