抑郁性排乳反射:特征、风险因素及其与抑郁评分和母乳喂养自我效能的关系。

IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY
Breastfeeding Medicine Pub Date : 2024-06-01 Epub Date: 2024-04-08 DOI:10.1089/bfm.2023.0241
Lina Nguyen, Stephanie Stokes, Kendall Alsup, Jennifer Allen, Carolyn Zahler-Miller
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引用次数: 0

摘要

背景:排乳反射障碍(D-MER)是一种发生在排乳前的现象,被描述为一种负面或破坏性的情绪波动,从轻微到严重不等,持续数秒到数分钟不等。迄今为止,有关这一现象的研究还很少。本研究旨在确定 D-MER 在我国人群中的流行程度,以及它与产后抑郁评分和母乳喂养自我效能感之间的关系。研究方法邀请本院产后 4 至 12 周的哺乳期妇女通过在线平台完成一份包含 59 个问题的匿名调查。所提问题包括患者的人口统计学特征、是否出现产后抑郁症状(包括时间、持续时间和频率)、爱丁堡产后抑郁量表 (EPDS) 和母乳喂养自我效能感量表简表 (BSES-sf)。结果:共有 201 名妇女完成了调查。12名妇女被归类为可能患有D-MER(6%)。症状主要在 1 至 5 分钟内缓解(58%)。EPDS平均得分在可能患有D-MER和未患有D-MER之间存在显著差异(12.2 vs. 5.4, p = 0.002)。两组患者的 BSES-sf 评分差异显著(43.1 分对 52.5 分,P = 0.009)。已有的抑郁或焦虑与D-MER无关(p = 0.133),其他报告的情绪障碍在D-MER患者和无D-MER患者之间存在显著差异(p = 0.004)。患有和未患有D-MER的女性的人口统计学特征相似。结论D-MER的发病率可能低于之前的报道。可能患有D-MER的患者的母乳喂养自我效能感似乎较低,抑郁评分较高。已有情绪障碍的患者发生D-MER的风险可能更高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Dysphoric Milk Ejection Reflex: Characteristics, Risk Factors, and Its Association with Depression Scores and Breastfeeding Self-Efficacy.

Background: Dysphoric milk ejection reflex (D-MER) is a phenomenon that occurs before milk letdown and is described as a wave of negative or devastating emotions, ranging from mild to severe and lasting for seconds to minutes. To date, there has been little research regarding this phenomenon. This study aims to determine the prevalence of D-MER in our population as well as its association with postnatal depression scores and breastfeeding self-efficacy. Methods: Lactating persons between 4 and 12 weeks postpartum at our institution were invited to complete an anonymous 59-question survey via an online platform. Questions asked included patient demographics, presence of symptoms of dysphoria (including timing, duration, and frequency), the Edinburgh Postnatal Depression Scale (EPDS), and the Breastfeeding Self-Efficacy Scale Short Form (BSES-sf). Results: In total, 201 women completed the survey. Twelve women were classified as likely having D-MER (6%). Symptom resolution primarily occurred within a minute to 5 minutes (58%). Mean EPDS scores differed significantly between those with likely D-MER and those without (12.2 vs. 5.4, p = 0.002). BSES-sf scores differed significantly between the two groups (43.1 vs. 52.5, p = 0.009). Preexisting depression or anxiety was not associated with D-MER (p = 0.133), other reported mood disorders differed significantly between those with D-MER and those without (p = 0.004). Demographic characteristics of women with and without D-MER were similar. Conclusion: D-MER prevalence may be lower than previously reported. Patients with likely D-MER appear to have lower breastfeeding self-efficacy and higher depression scores. Those with preexisting mood disorders may be at higher risk of experiencing D-MER.

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来源期刊
Breastfeeding Medicine
Breastfeeding Medicine OBSTETRICS & GYNECOLOGY-PEDIATRICS
CiteScore
4.20
自引率
11.10%
发文量
130
审稿时长
6-12 weeks
期刊介绍: Breastfeeding Medicine provides unparalleled peer-reviewed research, protocols, and clinical applications to ensure optimal care for mother and infant. The Journal answers the growing demand for evidence-based research and explores the immediate and long-term outcomes of breastfeeding, including its epidemiologic, physiologic, and psychological benefits. It is the exclusive source of the Academy of Breastfeeding Medicine protocols. Breastfeeding Medicine coverage includes: Breastfeeding recommendations and protocols Health consequences of artificial feeding Physiology of lactation and biochemistry of breast milk Optimal nutrition for the breastfeeding mother Breastfeeding indications and contraindications Managing breastfeeding discomfort, pain, and other complications Breastfeeding the premature or sick infant Breastfeeding in the chronically ill mother Management of the breastfeeding mother on medication Infectious disease transmission through breast milk and breastfeeding The collection and storage of human milk and human milk banking Measuring the impact of being a “baby-friendly” hospital Cultural competence and cultural sensitivity International public health issues including social and economic issues.
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