孕前抑郁症降低了生育能力:一个基于夫妇的潜在孕前队列
Tierong Liao1, Yaya Gao1, Xinliu Yang2
1Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, Hefei, China.
Human reproduction open
|June 6, 2024
概括
任何一方或双方的孕前抑郁症与更长的怀孕时间和更高的不孕症风险有关. 早期发现和干预两性抑郁症对于改善生育结果至关重要.
科学领域:
- 生殖医学 生殖医学
- 心理健康 心理健康
- 流行病学 流行病学
背景情况:
- 众所周知,女性的孕前抑郁症会在临床环境中损害生育能力.
- 关于妊娠前抑郁症对一般人群生育能力的影响的证据有限,特别是从夫妇的角度来看.
研究的目的:
- 调查妊娠前抑郁症与怀孕时间 (TTP) 与夫妇不孕风险之间的关联.
- 为了检查抑郁症对一个或两个伴侣对生育结果的影响.
主要方法:
- 一项基于夫妇的前性队列研究包括16,521对试图怀孕的夫妇.
- 抑郁症在基线时使用患者健康问卷-9进行评估.
- 使用考克斯的比例风险模型和后勤回归分析了生育概率比率和不育风险比率,并对混因素进行了调整.
主要成果:
- 在女性中,孕前抑郁症与降低生育率有关.
- 任何伴侣患有抑郁症都会增加不孕症的风险 (女性:RR=1.212;男性:RR=1.214).
- 两个伴侣患有抑郁症的夫妇的生育能力降低 (aFOR=0.904) 和不孕症风险显著增加 (RR=1.469).
结论:
- 在个人和夫妇中,预孕抑郁症会对生育能力产生负面影响.
- 这些发现强调了解决男性和女性抑郁症的重要性,以提高生育能力.
- 建议对抑郁症进行早期检测和干预,以提高受孕率.
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