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Effects of endorphin massage on B-endorphin level and Edinburgh Postnatal Depression Scale (EPDS) score in women with postpartum blues

Year 2014, Volume: 39 Issue: 3, 512 - 516, 22.07.2014
https://doi.org/10.17826/cutf.02458

Abstract

Purpose: This study aimed to investigate the effects of endorphin massage on B-endorphin level and EPDS score in women with postpartum blues. Material and Methods: Twenty postpartum women volunteered for the study. All of them gave written consent regarding their participation. The inclusion criteria were mother with post partum blues at third day post partum and EPDS score > 9, while the exclusion criteria were mother with history of depression post partum. The measurement of marker (B-endorphin) and EPDS scoring was done prior and after massage treatment.Endorphin massage was done by her husband or researcher according instruction that provided, 4 times a week, once in morning for 20 minutes including right arm, left arm, neck, and lower back (5 minutes each). Results: Endorphin massage treatment significantly increase the B-endorphin level compared to before treatment (P 0.05). The level of EPDS significantly decrease after treatment than that before treatment (P 0.05). There is significantly negative correlation between B-endorphin level and EPDS score (r = -0,517; P 0.05). Conclusion: Endorphin massage is good alternative treatment to increase B-endorphin level and decresae EPDS score among mother with postpartum blues.

References

  • Adewuya AO. The maternity blues in Western Nigerian women: prevalence and risk factors. Am J Obstet Gynecol. 2005;193:1522-5.
  • Gale S, Harlow BL. Postpartum mood disorders: A review of clinical and epidemiological factors. J PsychosomObstet Gynecol. 2003;24:257-66.
  • Seyfried LS, Marcus SM. Postpartum mood disorders. Int Rev Psych. 2003;15:231-42.
  • Kennerly H, Gath D. Maternity blues: I. Detection and measurement by questionnaire. Br J Psychiatry. 1989;155:356-62.
  • Rhode LAP, Busnello E, Wolf A, Zomer A, Shansis F, Martins S, et al. Maternity blues in Brazilian women. ActaPsychiatr Scand. 1997;95:231-5.
  • Pitt B. Maternity blues. Br J Psychiatry. 1973;22:431
  • Stein GS. The pattern of mental changes and body weight change in the first post-partum week. J Psychosom Res 1980; 24:165-71.
  • Gonidakis F, Rabavilas AD, Varsou E, Kreatsas G, Christodoulou GN. (2007). Maternity blues in Athens
  • Greece: A study during the first 3 days after delivery. J Affect Disord. 2007;99:107-15.
  • Murata A, Nadaoka T, Morioka Y, Oiji A, Saito H. Prevalence and background factors of maternity blues. GynecolObstet Invest. 1998;46:99-104.
  • Fossey L, Papiernik E, Bydlowski M. Postpartum blues: A clinical syndrome and predictor of postnataldepression?.J PsychosomObstet Gynecol. 1997;18:17-21.
  • Henshaw C. Mood disturbance in the early puerperium: A review. Arch Women’s Mental Health. 2003;6:33-42.
  • Wisner KL, Perel JM, Findling RL. Antidepressant treatment during breast-feeding. Am J Psychiatry. 1996;153:1132-7.
  • Stowe ZN, Cohen LS, Hostetter A, Ritchie JC, Owens MJ, Nemeroff CB.. Paroxetine in human breast milk and nursing infants. Am J Psychiatry. 2000;157:185-9.
  • O'Hara MW, Stuart S, Gorman LL, Wenzel A. Efficacy of interpersonal psychotherapy for postpartum depression. Arch Gen Psychiatry. 2000;57:1039-45.
  • Appleby L, Warner R, Whitton A, Faragher B. A controlled study of Fluoxetine and cognitivebehavioural counselling in the treatment of postnatal depression. Br Med J. 1997;314:932-36.
  • Laukkanen AM, Leppanen K, Tyrmi J. Vilkman E. Immediate effects of voice massage treatment on the speaking voice of helathy subjects. Folia PhoniatrLogop. 2005;57:163-72.
  • Wright A, Sluka KA. Nonpharmacological treatments for musculoskeletal pain. The Clinical Journal of Pain. 2001;17:33–46.
  • Gein SV, Baeva TA, Nebogatikov VO, Tendrykova SP. β-endorphin effcets on antibody production, proliferation, and secretion of Th1/Th2 cytokines in vivo. Bull ExpBiol Med. 2012;152:595-9.
  • Nonacs R, Cohen LS. Post-partum mood disorder: diagnosis and treatment guidelines. J Clin Psychiatry. 1998;59:34-40.
  • Guedeney N, Fermanian J. Validation study of the French version of the Edinburgh Post-natal Depression Scale (EPDS): new results about use and psychometric properties. Eur Psychiatry. 1998;13:83
  • Hannah P, Adams D, Lee A, Glover V, Sandler M. Links between early post-partum mood and postnatal depression. Br J Psychiatry. 1992;154:777-80.
  • Cox Jl, Holden JM. Sagovsky RV. Detection of postnatal depression: development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry. 1987;150:782-6.
  • Uwakwe R, Okonwo JE. Affective (depressive) morbidity in puerperal Nigerian women: validation of the Edinburgh Postnatal Depression Scale. ActaPsychiatr Scand. 2003;107:251-9.
  • Meczekalski B, Podfigurna-Stopa A, WarenikSzymankiewicz, Genazzani AR. Functional hypothalamic amenorrheaL current view on neuroendocrine aberrations. GynecolEndocrinol. 2008;24:4-11.
  • Kubyrak OV, Umriukhin AE, Emeljanova IN, Antipova OS, Guseva AL, Pertsov SS, Sudakov SK. Increased β-endorphin level in blood plasma as an indicator of positive response to depression treatment. Bull ExpBiol Med. 2012;153:758-60.
  • Gappoeva ET, Karsanova DB. Characteristics of the acoustic analyzer trauma in blast trauma due to mine explosion. VestnOtorinolangol. 2006;1:51-4.
  • Alexopoulos GS, Inturrisi CE, Lipman R, Frances R, Haycox J, Dougherty Jr JH, Rossier J. Plasma immunoreactive β-endorphin levels in depression: effect of electroconvulsive therapy. Arch Gen Psychiatry.1983;40:181-3.
  • YazışmaAdresi / Address for Correspondence: Dr.HidayatiHidayati Midwifery Master Study Programme, Faculty of Medicine, Brawijaya University, Jl. Veteran, Malang, East Java INDONESIA Email: hidayatikhalik@gmail.com G eliş tarihi/Received on: 03.02.2014
  • Kabul tarihi/Accepted on:04.03.2014

Postpartum Depresyonlu Kadınlarda Endorfin Masajının Edinburg Doğum Sonrası Depresyon Ölçeği (EPDS) ve β-endorfin Seviyesi Üzerine Etkileri

Year 2014, Volume: 39 Issue: 3, 512 - 516, 22.07.2014
https://doi.org/10.17826/cutf.02458

Abstract

Amaç: Bu çalışmada postpartum dönemde depresyonlu olan kadınlarda endorfin masajının &#61538;-endorfin seviyesi ve EPDS üzerine etkilerinin incelenmesi amaçlanmıştır. Materyal ve Metod: Çalışma için potpartum dönemde olan 20 anne gönüllü olarak seçilmiş olup hepsinden katılımları ile ilgili yazılı izin alınmıştır. Çalışmaya dahil edilen postpartum depresyonlu kadınlar, postpartum dönemin 3. gününde olup EPDS değerleri de 9" dan büyüktür. Ayrıca postpartum depresyon geçmişleri de yoktur. Annelere yapılan masaj tedavisi öncesinde ve sonrasında; &#946;-endorfin değerleri ve EPDS ölçümleri alınmıştır. Endorfin masajı araştırmacılar veya gerekli bilgi verildikten sonra hastaların eşleri tarafından günde 1 defa 20 dakika haftada 4 kez ; her birine 5 dakika olmak üzere sağ kol, sol kol, boyun ve sırt bölgelerine yapılmıştır. Bulgular: Endorfin masajı tedavisi &#946;-endorfin seviyesini tedavi öncesine kıyasla önemli derecede arttırmıştır (p< 0,05). EPDS değeri ise tedavi öncesi döneme kıyasla ciddi derecede azalmıştır (p< 0,05). &#946;-endorfin seviyesi ve EPDS değeri arasında önemli derecede negatif korelasyon vardır (r = -0,517; P < 0.05). Tartışma: Endorfin masajı postpartum depresyonlu kadınlarda &#946;-endorfin seviyesini arttıran, EPDS değerini azaltan iyi bir alternatif tedavi yöntemidir.

References

  • Adewuya AO. The maternity blues in Western Nigerian women: prevalence and risk factors. Am J Obstet Gynecol. 2005;193:1522-5.
  • Gale S, Harlow BL. Postpartum mood disorders: A review of clinical and epidemiological factors. J PsychosomObstet Gynecol. 2003;24:257-66.
  • Seyfried LS, Marcus SM. Postpartum mood disorders. Int Rev Psych. 2003;15:231-42.
  • Kennerly H, Gath D. Maternity blues: I. Detection and measurement by questionnaire. Br J Psychiatry. 1989;155:356-62.
  • Rhode LAP, Busnello E, Wolf A, Zomer A, Shansis F, Martins S, et al. Maternity blues in Brazilian women. ActaPsychiatr Scand. 1997;95:231-5.
  • Pitt B. Maternity blues. Br J Psychiatry. 1973;22:431
  • Stein GS. The pattern of mental changes and body weight change in the first post-partum week. J Psychosom Res 1980; 24:165-71.
  • Gonidakis F, Rabavilas AD, Varsou E, Kreatsas G, Christodoulou GN. (2007). Maternity blues in Athens
  • Greece: A study during the first 3 days after delivery. J Affect Disord. 2007;99:107-15.
  • Murata A, Nadaoka T, Morioka Y, Oiji A, Saito H. Prevalence and background factors of maternity blues. GynecolObstet Invest. 1998;46:99-104.
  • Fossey L, Papiernik E, Bydlowski M. Postpartum blues: A clinical syndrome and predictor of postnataldepression?.J PsychosomObstet Gynecol. 1997;18:17-21.
  • Henshaw C. Mood disturbance in the early puerperium: A review. Arch Women’s Mental Health. 2003;6:33-42.
  • Wisner KL, Perel JM, Findling RL. Antidepressant treatment during breast-feeding. Am J Psychiatry. 1996;153:1132-7.
  • Stowe ZN, Cohen LS, Hostetter A, Ritchie JC, Owens MJ, Nemeroff CB.. Paroxetine in human breast milk and nursing infants. Am J Psychiatry. 2000;157:185-9.
  • O'Hara MW, Stuart S, Gorman LL, Wenzel A. Efficacy of interpersonal psychotherapy for postpartum depression. Arch Gen Psychiatry. 2000;57:1039-45.
  • Appleby L, Warner R, Whitton A, Faragher B. A controlled study of Fluoxetine and cognitivebehavioural counselling in the treatment of postnatal depression. Br Med J. 1997;314:932-36.
  • Laukkanen AM, Leppanen K, Tyrmi J. Vilkman E. Immediate effects of voice massage treatment on the speaking voice of helathy subjects. Folia PhoniatrLogop. 2005;57:163-72.
  • Wright A, Sluka KA. Nonpharmacological treatments for musculoskeletal pain. The Clinical Journal of Pain. 2001;17:33–46.
  • Gein SV, Baeva TA, Nebogatikov VO, Tendrykova SP. β-endorphin effcets on antibody production, proliferation, and secretion of Th1/Th2 cytokines in vivo. Bull ExpBiol Med. 2012;152:595-9.
  • Nonacs R, Cohen LS. Post-partum mood disorder: diagnosis and treatment guidelines. J Clin Psychiatry. 1998;59:34-40.
  • Guedeney N, Fermanian J. Validation study of the French version of the Edinburgh Post-natal Depression Scale (EPDS): new results about use and psychometric properties. Eur Psychiatry. 1998;13:83
  • Hannah P, Adams D, Lee A, Glover V, Sandler M. Links between early post-partum mood and postnatal depression. Br J Psychiatry. 1992;154:777-80.
  • Cox Jl, Holden JM. Sagovsky RV. Detection of postnatal depression: development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry. 1987;150:782-6.
  • Uwakwe R, Okonwo JE. Affective (depressive) morbidity in puerperal Nigerian women: validation of the Edinburgh Postnatal Depression Scale. ActaPsychiatr Scand. 2003;107:251-9.
  • Meczekalski B, Podfigurna-Stopa A, WarenikSzymankiewicz, Genazzani AR. Functional hypothalamic amenorrheaL current view on neuroendocrine aberrations. GynecolEndocrinol. 2008;24:4-11.
  • Kubyrak OV, Umriukhin AE, Emeljanova IN, Antipova OS, Guseva AL, Pertsov SS, Sudakov SK. Increased β-endorphin level in blood plasma as an indicator of positive response to depression treatment. Bull ExpBiol Med. 2012;153:758-60.
  • Gappoeva ET, Karsanova DB. Characteristics of the acoustic analyzer trauma in blast trauma due to mine explosion. VestnOtorinolangol. 2006;1:51-4.
  • Alexopoulos GS, Inturrisi CE, Lipman R, Frances R, Haycox J, Dougherty Jr JH, Rossier J. Plasma immunoreactive β-endorphin levels in depression: effect of electroconvulsive therapy. Arch Gen Psychiatry.1983;40:181-3.
  • YazışmaAdresi / Address for Correspondence: Dr.HidayatiHidayati Midwifery Master Study Programme, Faculty of Medicine, Brawijaya University, Jl. Veteran, Malang, East Java INDONESIA Email: hidayatikhalik@gmail.com G eliş tarihi/Received on: 03.02.2014
  • Kabul tarihi/Accepted on:04.03.2014
There are 30 citations in total.

Details

Primary Language Turkish
Journal Section Research
Authors

Hidayati Hidayati This is me

Wisnu Barlianto This is me

Siti Candra Windu Baktiyani This is me

Publication Date July 22, 2014
Published in Issue Year 2014 Volume: 39 Issue: 3

Cite

MLA Hidayati, Hidayati et al. “Postpartum Depresyonlu Kadınlarda Endorfin Masajının Edinburg Doğum Sonrası Depresyon Ölçeği (EPDS) Ve β-Endorfin Seviyesi Üzerine Etkileri”. Cukurova Medical Journal, vol. 39, no. 3, 2014, pp. 512-6, doi:10.17826/cutf.02458.