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中国妇女产后抑郁症状和产周危险因素的网络分析:一项前性观察性研究

Xian Zhang¹, Jiasi Yao², Hongxiao He³

¹School of Nursing and Health, Zhengzhou University, Zhengzhou, Henan, China.

Frontiers in psychology

|November 19, 2025

概括

产后抑郁症 (PPD) 影响了26%的中国母亲,焦虑是主要症状. 哺乳挑战和婴儿健康问题是主要风险,而皮肤接触和家庭支持提供了保护.

科学领域:

围产期心理健康问题
网络分析网络分析
公共卫生公共卫生

背景情况:

产后抑郁症 (PPD) 是影响母亲和婴儿福祉的一个重大问题.
现有研究尚未完全阐明导致PPD的复杂围产期因素.
了解这些因素对于开发有效的干预措施至关重要.

研究的目的:

通过网络分析,识别PPD中中心抑郁症状.
确定关键的围产期风险因素和与中国产后妇女PPD相关的保护因素.
通过网络分析,探索导致PPD的途径.

主要方法:

一项前性观察性研究,涉及中国377名产后妇女.
在产后4-6周评估社会人口统计学,围产因素和PPD症状 (EPDS).
应用随机森林和贝叶斯网络分析来识别影响因素及其相互关系.

主要成果:

观察到PPD的患病率为26.0%.
焦虑/忧虑被确定为最主要的症状.
关键的风险因素包括母乳养的挑战,母亲的身体问题,以及婴儿的不良健康状况.
保护因素包括皮肤接触,家庭对母乳养的支持,以及对分娩的积极自我认知.
医院类型作为一个中央桥梁节点,将护理服务,分娩经验和PPD联系起来.

结论:

该研究强调了研究中中国人口中PPD的显著流行率.
皮肤接触,持续的产后护理和母乳养支持对于预防PPD至关重要.
调查结果为基于证据的临床实践和PPD预防策略提供了信息.

关键词:

贝叶斯网络是一个贝叶斯网络.爱丁堡产后抑郁症量表爱丁堡产后抑郁症量表哺乳期哺乳期哺乳期网络分析网络分析围产期风险因素围产期风险因素产后抑郁症产后抑郁症随机的森林随机的森林

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