伊朗产后抑郁严重程度的潜在因素:一项单中心研究

Azadeh Shabani, Mahshid Farahbakhsh, A. M. Meybodi, Nafiseh Faghih, Mohammad Haddadi
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摘要

目的:产后抑郁症(PPD)是一种常见的女性精神障碍,它会对她们、孩子和家庭造成负面影响;然而,伊朗没有关于PPD及其严重程度的准确统计数据和潜在因素。材料和方法:本横断面研究采用方便抽样方法,选取200名足月妊娠和单胎妊娠、分娩时间在6周到6个月之间的学术医院正常阴道分娩的妇女。完成爱丁堡抑郁量表和母亲人口统计信息核对表。结果:产后抑郁症患病率为11.0%,轻度抑郁症占68.2%。31.8%有抑郁史。产后抑郁严重程度与既往抑郁史有显著相关(P = 0.012)。产后抑郁与产妇年龄(P = 0.115)、分娩时体重指数(P = 0.571)、妊娠次数(P = 0.693)、分娩次数(P = 0.446)、流产次数(P = 0.424)、是否自愿妊娠(P = 0.451)、新生儿性别(P = 0.533)、新生儿住院史(P = 0.725)、既往疾病史(P = 0.725)无统计学关联。结论:产后抑郁症的患病率约为11%,产后抑郁症严重程度与抑郁症病史之间存在显著相关性。医生和决策者应考虑对产后抑郁症进行早期筛查,特别是对既往有抑郁症的妇女。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Underlying Factors for Postpartum Depression Severity in Iran: A Single-Center Study
Objective: Postpartum depression (PPD) is a common mental disorder among women and it can cause negative consequences for them, children, and families; however, accurate statistics and underlying factors on PPD and its severity are not available in Iran. Materials and methods: In this cross-sectional study, 200 women referred to an academic hospital for normal vaginal delivery, which had a full-term and single pregnancy and had passed between 6 weeks and 6 months of delivery, were selected by convenience sampling methods. The Edinburgh Depression Inventory and the checklist for demographic information of mothers were completed. Results: The prevalence of postpartum depression was 11.0% and 68.2% of mothers had a mild type. 31.8% had a history of depression. There was a significant relationship between the severity of postpartum depression in women with a previous history of depression (P = 0.012). Between postpartum depression and maternal age (P = 0.115), body mass index at delivery (P = 0.571), number of pregnancies (P = 0.693), number of deliveries (P = 0.446), number of abortions (P = 0.424), willing or unwilling pregnancy (P = 0.451), neonatal sex (P = 0.533), history of neonatal hospitalization (P = 0.725), previous history disease (P = 0.725) was no statistical association. Conclusion: The prevalence of PPD was approximately 11%, and there was a significant association between postpartum depression severity and a history of depression Physicians and policymakers should consider early screening for PPD, especially among women with previous depression.
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