COVID-19 流行病和产后抑郁症的经验
Katlyn Droke1, Nathanial Bartosek1, Haley Kopkau1
1Central Michigan University College of Medicine, CMU Pediatrics, Mt Pleasant, MI, USA.
Journal of psychosomatic obstetrics and gynaecology
|August 30, 2023
概括
在大多数母亲中,COVID-19大流行并没有显著增加产后抑郁症 (PPD) 的发生率. 然而,患有先前精神健康状况的女性经历了更高的PPD率,特别是在大流行初期.
科学领域:
- 围产期心理健康问题
- 情绪障碍的流行病学 情绪障碍的流行病学
- 流行病期间的公共卫生.
背景情况:
- 关于COVID-19大流行对周边情绪障碍的影响存在相互矛盾的结果.
- 之前的研究已经产生了不一致的发现,在疫情期间产后抑郁症 (PPD) 患病率.
研究的目的:
- 为了确定在COVID-19大流行期间与大流行前时期相比,PPD是否更常见或严重.
- 确定可能加剧大流行病对母亲心理健康影响的个别因素.
主要方法:
- 对242个母婴二次数 (2017-2021) 的电子健康记录进行了回顾性分析.
- 使用爱丁堡产后抑郁症量表 (EPDS) 评估PPD.
- 在使用后勤回归的流行前,流行早期和流行后群体中比较PPD率.
主要成果:
- 在控制混杂因子后,流行病和流行前组之间的PPD率没有显著的整体差异.
- 以前存在的心理健康状况显著缓解了后发性病的发生率.
- 在疫情初期,PPD的发病率达到顶峰 (60%),后来下降 (42%),并在疫情前 (36%) 最低.
- 在疫情期间,没有先前精神健康诊断的母亲的PPD水平最低.
结论:
- 随着COVID-19的流行,对于母亲的一般人口来说,PPD的发病率并没有显著改变.
- 具有先前存在的心理健康状况的亲生母亲在疫情期间经历了显著增加的PPD率.
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