在COVID-19大流行之前和期间,纽约市的围产期抑郁症
Meralis Lantigua-Martinez1, Megan E Trostle2,3, Anthony Melendez Torres1
1Department of Obstetrics and Gynecology, NYU Langone Health (Drs Lantigua-Martinez, Melendez Torres, and Talib), New York, NY.
AJOG global reports
|August 10, 2023
概括
在纽约市COVID-19大流行之前和期间,围产期抑郁率保持稳定. 然而,在2020年,更少的孕妇接受了查,这可能掩盖了更高的抑郁症患病率.
科学领域:
- 围产期心理健康问题
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 以前的流行病与增加的抑郁症有关.
- 在全球范围内,COVID-19流行病在孕妇中增加了焦虑/抑郁症.
- 对纽约市围产期抑郁症的影响尚不清楚.
研究的目的:
- 评估COVID-19大流行前和期间的围产期抑郁率.
- 比较纽约的抑郁症查结果在流行病之前和期间.
主要方法:
- 使用爱丁堡产后抑郁症量表 (EPDS) 查的回顾性队列研究.
- 将2019年2月至7月的患者 (大流行前) 与2020年2月至7月 (大流行) 的患者进行比较.
- 分析了与积极的抑郁屏相关的人口和临床因素.
主要成果:
- 在2019年 (2.8%) 和2020年 (2.6%) 之间,围产期抑郁率没有显著差异.
- 2020年队列显示西班牙裔种族,糖尿病,早产和药物使用率更高.
- 2020年观察到较低的EPDS查完成率.
结论:
- 围产期抑郁症的发病率在疫情前和疫情期间之间没有显著差异.
- 观察到的比率低于文献平均值,可能是由于2020年查减少.
- 流行病环境可能会在关键的围产期心理健康护理查中造成差距.
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