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. Author manuscript; available in PMC: 2018 Dec 1.
Published in final edited form as: J Affect Disord. 2017 Jul 25;223:194–208. doi: 10.1016/j.jad.2017.07.046

Table 4. Main findings of the 11 studies included in the systematic review.

Study Attrition rate Classes Trajectory labels and size
Christensen et al, 2011 (29) Not specified 3 1. Pregnancy high – high symptom levels antenatally, drops postnatally below risk cut-off (9.8%)
2. Postpartum high – near cut-off antenatally, marked increase postnatally, decrease to initial levels at 12-month postpartum (10.2%)
3. Perinatal low – never exceeds cut-off during pregnancy and postpartum period (80.0%)
Glasheen et al, 2013 (21) Range of follow-up rate: 76-82% 2 1. Low symptom group – low symptom levels, stable but small decrease over time (16.5%)
2. High symptom group – higher scores, stable but small decrease over time (83.5%)
Kuo et al, 2012 (26) One participant missing at first assessment, 7 missing at last assessment 4 1. Low levels of depressive symptoms antenatally, slight decrease in first three days after birth, slight increase one Low risk week after birth (23.1%) group Low risk group
2. Relatively low antenatally, slight decrease one day after birth and stabilises (43.0%)
3. Moderate stable levels antenatally and postnatally (25.6%) High risk group
4. High scores antenatally, increases one day after birth, group decreases 3 days after birth, slight increase to original levels at one week postpartum (8.3%)
Kuo et al, 2014 (25) All participants completed 4 assessments, 102 (73%) completed 5 assessments 3 1. Low depression – low levels stable over postpartum period (30.9%)
2. Mild depression – mild levels stable over postpartum period (41.7%)
3. High depression – high levels antenatally, slight decrease in first month postpartum, then stable (27.3%)
Lee et al, 2014 (30) Mean assessments : AMP: 2.5; KAN-DO: 1.86 3 1. Stable-low symptoms throughout postpartum period (82.5%)
2. Decreasing symptoms throughout postpartum period (7.3%)
3. Increasing symptoms throughout postpartum period (10.2%)
Marcus et al, 2011 (22) 140 (91%)participants had at least 2 assessments 3 1. Low depression - low stable non-depressive during pregnancy (36.0%)
2. Intermediate depression - intermediate-stable depressive during pregnancy (56.0%)
3. High depression - high-elevated depressive during pregnancy (8.0%)
Mora et al, 2009 (24) More than 85% completed at least 2 assessments, 48% completed 4 assessments 5 1. Chronic – persistently high level of depressive symptoms antenatally and postnatally (7.0%)
2. Antepartum - depressive symptomatology present only at first antenatal visit (6.0%)
3. Postpartum – depressive symptoms present within 6 weeks of delivery, subsides over time (9.0%)
4. Late – low levels of depressive symptoms antenatally, increase in second year postpartum (7.0%)
5. Never – continuous low levels of depressive symptoms (71.0%)
Parade et al, 2014 (23) Not specified 2 1. Consistently low levels of depressive symptoms antenatally and postnatally
2. Elevated levels of depressive symptoms during pregnancy, temporary decline around birth, elevated again at 6-month postpartum
Ramos-Marcuse et al, 2010 (31) 82% did 2 assessments, 70% did all 3 assessments 3 1. Low depressive symptoms – stable low symptom levels (40.9%)
2. Medium depressive symptoms - just below cut-off after birth, decrease over postpartum period, remain below cut-off at 6 month postpartum (45.3%)
3. High depressive symptoms – symptom levels above cut-off which increase over the postpartum period (13.8%)
Sutter-Dallay et al, 2012 (27) Not specified 4 1. Postpartum - lowest levels of the sample in third trimester, increase rapidly to reach maximum level at one year postpartum (4.0%)
2. Never * – below cut-off with low decrease over postpartum period (72.0%)
3. Antepartum – high average levels during pregnancy, decrease until one year postpartum (still above cut-off), increase slightly after that (21.0%)
4. Chronic – stable high symptom levels from the end of pregnancy to 2 years postpartum (3.0%)
Vänskä et al, 2011 (28) 788 (98%) completed first assessment, 81.6% the 67.7% the completed all assessments 8 (4 + 4 in 1) 1. Stable low levels of mental health problems antenatally and postnatally (75.7%)
2. Prenatal mental health problems (5.8%)
3. Early postpartum mental health problems (8.7%)
4. Late postpartum mental health problems (5.6%)
5. Heterogeneous high levels of mental health problems (combined group of 4 classes) (4.2%)