AB1600-HPR BODY SHAPE IMAGE AND SELF-ESTEEM AS PREDICTORS OF POSTPARTUM DEPRESSION IN WOMEN WITH RHEUMATIC DISEASES
Authors: G. Rodriguez-Orozco, A. G. Rodriguez-Flores, A. Carrazco-Chapa, M. E. Corral-Trujillo, A. Cantu-Balboa, L. C. Berlanga-Muñoz, A. Burciaga-Garza, C. M. Skinner-Taylor, L. Perez-Barbosa, J. A. Cardenas-de la Garza, D. A. Galarza-Delgado
Journal: Annals of the Rheumatic Diseases (2024)

<h3>Background:</h3> Postpartum depression (PPD) is a psychiatric disorder characterized by depressive symptoms during the first postpartum year that is associated with increased maternal mortality. Although the PPD is estimated to be twice as prevalent in Mexican women with autoimmune rheumatic diseases (ARDs) as in the general population, it remains underdiagnosed. In the general population, mental factors such as body discomfort and low self-esteem have been positively related to PPD. However, there is a lack of information on women with ARDs. <h3>Objectives:</h3> To describe the frequency of PDD in postpartum women with ARDs and its association with self-esteem and body shape image and compare with postpartum women without ARDs. <h3>Methods:</h3> An observational, cross-sectional, descriptive study. We included postpartum women (2-12 months after birth) with ARDs from the Reproduction and Pregnancy Clinic in Rheumatic Diseases, and for the control group, we invited postpartum women without ARDs from the waiting room of the outpatient clinic to answer four questionnaires. The Rosenberg scale is a 10-item scale with a scoring range of 10-40 (a higher score indicates a higher self-esteem level). The Body Shape Questionnaire (BSQ) is a 34-item questionnaire with a scoring range of 34-204 (a higher score indicates a higher body dissatisfaction). A pre-conceptional numerical body satisfaction scale evaluates from 1 to 10 the satisfaction with her body before pregnancy (a higher score indicates a higher pre-conceptional body satisfaction). The Edinburgh Postnatal Depression Scale (EPDS) for DPP (scores ≥ 10 indicates a PPD risk). The Shapiro-Wilk, T-test, and U de Mann-Whitney were used. Data were presented as frequencies, percentages, means, standard deviation (SD), median, and interquartile range (IQR). Scales were correlated by Spearman and Pearson correlation coefficients. Statistical analysis was performed with SPSS v.25 <h3>Results:</h3> A total of 28 postpartum women were included: 14 (50%) with ARDs and 14 (50%) without ARDs. The mean age was 27±1.23 years and the education years median was 11.5 (9-15.25). The sociodemographic and diagnostic data divided by groups are in Table 1. The mean EPDS score in the group of women with ARDs was 6.57±6.79 while in the control group was 9.79±5.05. There was no significant difference between groups (p=0.167). Out of total, there were 10 postpartum women with DPP risk: 3 with ARDs and 7 without ARDs. There were no differences in the PPD risk between groups (p=0.236). The scores results of the scales used divided by groups are shown in Table 2. A significant correlation was found between the self-esteem score and the EPDS (p=0.001, r= -0.797) in the group of patients with ARD, while in the control group there was no correlation (p=0.052, r=-0.528). There was a significant correlation between the EDPS scale and the pre-conceptional body satisfaction score in the group of patients with ARDs (p=0.048, r= -0.536), while in the control group, there was no correlation (p=0.855, r=0.054). There was a significative correlation between EDPS and the BSQ scores in the control group (p=&lt;0.001, r=0.825) while there was no correlation in the group of patients with ARDs (p=0.973, r=-0.010). <h3>Conclusion:</h3> We found that postpartum women with ARDs with higher self-esteem levels and higher pre-conceptional body satisfaction correlated negatively with PPD risk. However, there was no significant correlation between body dissatisfaction and PPD risk. An early identification of these psychological factors during an integral approach of postpartum women with ARDs may aid to detect PPD. <h3>REFERENCES:</h3> <b>NIL.</b> <h3>Acknowledgements:</h3> <b>NIL.</b> <h3>Disclosure of Interests:</h3> <b>None declared.</b>