母亲抑郁症和父亲产后抑郁症之间的时间关联
Kris F Wain1, Matthew F Daley1, Marcelo Coca Perraillon2
1Institute for Health Research, Kaiser Permanente Colorado, Aurora, Colorado.
American journal of preventive medicine
|March 6, 2025
概括
如果母亲没有先前的抑郁病史,母亲的产后抑郁症会使父亲的产后抑郁症风险增加81%. 这凸显了双亲抑郁查的必要性.
科学领域:
- 围产期心理健康问题
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 父亲产后抑郁症影响高达28%的父亲.
- 母亲和父亲产后抑郁症之间的时间联系尚不清楚.
- 母亲抑郁病史是父亲产后抑郁症的一个关键因素.
研究的目的:
- 量化母亲和父亲产后抑郁症之间的时间关联.
- 调查母亲抑郁病史对父亲产后抑郁症的影响.
- 为了确定与父亲产后抑郁症相关的临床因素.
主要方法:
- 使用凯泽永久科罗拉多州健康记录 (2008-2019) 的回顾性队列研究.
- 包括父亲-母亲双与活产怀孕.
- 补充日志-日志模型与治疗权重的逆概率估计的相对风险,由母亲的抑郁病史分层.
主要成果:
- 分析了15,257个双 (19,352个怀孕).
- 父亲产后抑郁症发生在1.7%的怀孕中,而母亲在没有父母抑郁史的怀孕中发生在8.9%.
- 如果母亲没有先前的抑郁病史,母亲的产后抑郁症会使父亲的产后抑郁症增加81% (RR=1.81);如果她有,没有发现任何关联.
结论:
- 母亲产后抑郁症与父亲产后抑郁症风险增加有关,但只有当母亲没有先前的抑郁病史时.
- 这些发现强调了为父亲开发抑郁症查工具的必要性,这些工具可以解释父母双方的风险因素.
- 对父亲产后抑郁症的早期发现和干预至关重要.
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