在原发性青少年和成年人之间比较与产后抑郁症相关的母亲因素:一项大型回顾性队列研究
Nakyung Jeon1, Jacqueline Kent-Marvick2,3, Jessica N Sanders4
1College of Pharmacy and Research Institute for Drug Development, Pusan National University, Busan, South Korea.
Birth (Berkeley, Calif.)
|October 18, 2023
概括
青少年第一次母亲的产后抑郁症 (PPD) 率和相关风险因素比成年母亲高. 早期干预和综合精神卫生保健对这个弱势群体至关重要.
科学领域:
- 生殖健康 生殖健康
- 孕产妇心理健康 孕产妇心理健康
- 围产阶段精神病学 围产阶段精神病学
背景情况:
- 产后抑郁症 (PPD) 影响着新生母亲,不同年龄组的患病率和风险因素各不相同.
- 青少年母亲代表了一个独特的人口统计学,在产后期面临着独特的挑战.
研究的目的:
- 为了估计被诊断出产后抑郁症 (PPD) 在初生妇女的患病率.
- 评估与青少年与成年母亲之间与PPD相关的母性因素.
- 为了比较青少年和成年第一次母亲之间PPD的可能性.
主要方法:
- 使用电子健康记录和出生证明数据进行回顾性队列研究.
- 根据分娩时的年龄,研究群体的分层分成成人和青少年队伍.
- 多变量后勤回归分析以评估与PPD相关的社会经济,人口,心理和临床因素.
主要成果:
- 在61,226名初发性女性中,整体PPD发生率为4.0%;青少年 (<20岁) 的PPD发生率是PPD发生率的1.6倍 (6.1%对3.8%).
- 与成年人相比,青少年的第一季度产前护理率较低,烟草使用率和怀孕感染率较高.
- 抑郁症/焦虑症史,吸烟和长期使用可逆避孕药是两组中重要的PPD因素.
结论:
- 与成年母亲相比,青少年第一次母亲的PPD诊断率和相关的孕产妇风险因素较高.
- 提高青少年对PPD风险的认识至关重要.
- 将精神卫生保健整合到产前护理中可能会降低青少年母亲的PPD风险和严重程度.
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