怀孕中的抑郁症:一项跨国前性队列研究
Alexandra Roddy Mitchell1, Farhat-Ul-Ain Ahmed2, Catherine Cluver3
1Department of Obstetrics, Gynaecology and Newborn Health, The University of Melbourne, Heidelberg, Victoria, Australia; Mercy Perinatal, Mercy Hospital for Women, Heidelberg, Victoria, Australia.
Journal of affective disorders
|November 1, 2025
概括
在巴基斯坦和南非,大约六分之一的妇女在怀孕期间经历了抑郁症. 重要的是,这项研究发现,怀孕期间的抑郁症与婴儿不良结果之间没有联系.
科学领域:
- 产科和妇科 产科和妇科
- 围产期心理健康 围产期心理健康
- 全球健康 全球健康
背景情况:
- 怀孕期间的抑郁症对母亲和婴儿都有风险.
- 在低收入和中等收入国家 (LMICs) 中,产前抑郁症的患病率估计有很大差异.
研究的目的:
- 为了前性地确定两个LMIC的怀孕抑郁症的患病率.
- 调查产前抑郁症和不良妊娠结果之间的联系.
主要方法:
- 一项在巴基斯坦和南非 (2021-2023) 进行的跨国前性队列研究.
- 爱丁堡产后抑郁量表 (EPDS) 用于选女性 (怀孕20-34周).
- 对EPDS敏感性和特异性进行调整的贝叶斯模型,以估计患病率.
主要成果:
- 招募了1537名女性;调整后的怀孕抑郁症患病率为17.1% (95% CrI 13.3%-21.1%).
- 流行率因国家而异:巴基斯坦10.8% (95% CrI 7.7%-14.3%) 和南非25.9% (95% CrI 20.8%-31.1%).
- 在EPDS得分 (≥11) 和自发早产,低出生体重或新生儿单位入院之间没有发现显著的关联.
结论:
- 在这项研究中,六分之一的女性在怀孕期间经历了抑郁症.
- 在这个队列中,产前抑郁症与增加不良妊娠结果无关.
- 提供了LMIC中产前抑郁症的强有力的流行数据,对孕产妇心理健康计划至关重要.
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