在COVID-19大流行期间,社会支持和围产期抑郁症之间的关系
Katina Kovacheva1, María de la Fe Rodríguez-Muñoz1, Diego Gómez-Baya2
1Department of Personality, Evaluation, and Psychological Treatment. Faculty of Psychology, Universidad Nacional de Educación a Distancia Madrid, Madrid, Spain.
Journal of reproductive and infant psychology
|July 7, 2023
概括
在COVID-19大流行期间,社会支持对围产期心理健康至关重要. 寻求面对面的支持和与朋友和家人联系的感觉可以降低围产期抑郁症 (PPD) 的风险.
科学领域:
- 围产期心理健康问题
- 社会流行病学社会流行病学
- 流行病期间的公共卫生.
背景情况:
- 随着COVID-19的流行,围产期妇女的社会支持系统受到重大影响.
- 了解社会支持和围产期抑郁症 (PPD) 之间的关系对于母亲的福祉至关重要.
- 关于社会支持和PPD的现有研究需要在COVID-19时代的独特挑战中进行背景化.
研究的目的:
- 在COVID-19大流行期间确定社会支持的关键来源.
- 检查各种形式的社会支持与围产期抑郁症 (PPD) 患病率之间的关联.
- 在公共卫生危机中,为旨在加强围产期心理健康的干预提供信息.
主要方法:
- 在西班牙进行了一项横截面研究,对西班牙3356名妇女进行了围产期的研究.
- 冠状病毒产周经验 - 影响调查评估了COVID-19对社会支持的影响.
- 爱丁堡产后抑郁量表测量了抑郁症状.
主要成果:
- 寻求面对面的支持和感受到社会支持与较低的PPD患病率 (ORs从0.51到0.77) 有关.
- 相反,需要心理健康专业人员的帮助和更长的监禁时间与更高的PPD率相关 (OR分别为2.92和1.03).
- 在怀孕期间,对未来支持的担忧与更高的PPD相关 (OR 1.75);产后,社交媒体支持增加了PPD风险 (OR 1.32),而来自朋友和医疗专业人员的支持降低了PPD风险 (OR 0.70和0.53).
结论:
- 在流行病期间,社会支持网络对于保护围产期心理健康至关重要.
- 干预措施应侧重于加强可访问的社会支持,特别是面对面的联系.
- 需要有针对性的支持策略,以减轻因COVID-19大流行等事件而加剧的PPD风险.
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