对与围产期抑郁症相关的因素的前性分析
Khalood Al-Abri1, Dawn Edge2, Christopher J Armitage3
1Division of Psychology and Mental Health, University of Manchester, G35 Coupland 1 Building, Manchester, UK; Department of Community and Mental Health, College of Nursing, Sultan Qaboos University, Oman.
Midwifery
|November 15, 2023
概括
围产期抑郁症影响了近30%的阿曼妇女,并确定了不同的症状组. 压力和社会支持等心理社会因素影响这些模式,突出了针对性干预的必要性.
科学领域:
- 围产期心理健康问题
- 生殖精神病学是一种精神病学.
- 公共卫生 公共卫生
背景情况:
- 围产期抑郁症是一个重要的公共卫生问题,对母亲和婴儿的福祉有不利影响.
- 关于围产期抑郁症状的演变的研究有限,特别是在中东人口中.
- 这项研究通过检查从怀孕到产后期抑郁症状的变化来弥补这一差距.
研究的目的:
- 调查阿曼妇女从怀孕晚期到产后早期经历的抑郁症状的变化.
- 根据她们的抑郁症状轨迹来识别不同的女性群体.
- 探索与这些不同的围产期抑郁模式相关的心理社会和产科因素.
主要方法:
- 一项涉及306名阿曼妇女的前性研究,在怀孕第三个月和产后2-8周评估.
- 爱丁堡产后抑郁量表 (EPDS) 的截止值为≥12,用于选抑郁症状.
- 统计分析包括独立的t测试,单向ANOVA,Tukey的HSD测试和Chi-square测试.
主要成果:
- 抑郁症状的患病率在产前为27.12%,在产后为29.30%.
- 出现了四个不同的组:仅产前抑郁 (8.82%),产前和产后抑郁 (14.38%),仅产后抑郁 (12.09%),没有抑郁 (54.90%).
- 抑郁症状与低出生体重有关. 较高的产前感知压力和较低的社会支持 (孕产妇社会支持量表) 与抑郁症有关,而更好的岳母关系与非抑郁组相关.
结论:
- 在这个中东群体中,存在着患有围产期抑郁症状的不同女性子组,受心理社会和产科因素的影响.
- 诸如家庭关系质量等因素显著出现,提供了新的见解.
- 进一步的研究至关重要,以了解这些具体因素,并为围产期抑郁症制定量身定制的干预措施.
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