探索乌克兰妇女产后抑郁症的发病率和相关因素。

IF 1.5 Q3 NURSING
European Journal of Midwifery Pub Date : 2024-07-02 eCollection Date: 2024-01-01 DOI:10.18332/ejm/188800
Nataliia Gusak, Sally Kendall, Olena Nizalova
{"title":"探索乌克兰妇女产后抑郁症的发病率和相关因素。","authors":"Nataliia Gusak, Sally Kendall, Olena Nizalova","doi":"10.18332/ejm/188800","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Postpartum depression negatively impacts maternal mental health and child development. The high prevalence of postpartum depression (PPD) in low and lower middle-income countries raises questions about its predictors. This study examines the association between PPD and breastfeeding experience, child death, unresolved pregnancy, forced displacement, COVID-19 pandemic lockdown, marital, and financial status among Ukrainian women.</p><p><strong>Methods: </strong>This online study recruited 1634 Ukrainian mothers of children aged 0-5 years through non-governmental organizations providing services to them. The Edinburgh Postnatal Depression Scale (EPDS), with a cut-off of ≥13, was used to assess depressive symptoms in the postpartum period. Independent t-tests, chi-squared tests, one-way ANOVA, non-parametric correlations, and logistic regression tests were used to analyze the data.</p><p><strong>Results: </strong>The prevalence of depressive symptoms was 39.0% (n=1631). There was a positive association between EPDS scores and breastfeeding difficulties, pandemic lockdown, and financial difficulties. We did not find an association between PPD symptoms and unresolved pregnancy, death of a child, being affected by COVID-19, and forced displacement. We found that EPDS scores for women who did not experience forced displacement (n=1528) were significantly higher compared to displaced mothers (n=74).</p><p><strong>Conclusions: </strong>The present study of Ukrainian women shows that women experienced depressive symptoms influenced by various factors including breastfeeding difficulties, pandemic lockdown, and financial difficulties. There is a need for additional research into such factors as unresolved pregnancy, the death of a child, being affected by COVID-19, and forced displacement.</p>","PeriodicalId":32920,"journal":{"name":"European Journal of Midwifery","volume":null,"pages":null},"PeriodicalIF":1.5000,"publicationDate":"2024-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11218278/pdf/","citationCount":"0","resultStr":"{\"title\":\"Exploring prevalence and factors associated with postpartum depression among Ukrainian women.\",\"authors\":\"Nataliia Gusak, Sally Kendall, Olena Nizalova\",\"doi\":\"10.18332/ejm/188800\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Postpartum depression negatively impacts maternal mental health and child development. The high prevalence of postpartum depression (PPD) in low and lower middle-income countries raises questions about its predictors. This study examines the association between PPD and breastfeeding experience, child death, unresolved pregnancy, forced displacement, COVID-19 pandemic lockdown, marital, and financial status among Ukrainian women.</p><p><strong>Methods: </strong>This online study recruited 1634 Ukrainian mothers of children aged 0-5 years through non-governmental organizations providing services to them. The Edinburgh Postnatal Depression Scale (EPDS), with a cut-off of ≥13, was used to assess depressive symptoms in the postpartum period. Independent t-tests, chi-squared tests, one-way ANOVA, non-parametric correlations, and logistic regression tests were used to analyze the data.</p><p><strong>Results: </strong>The prevalence of depressive symptoms was 39.0% (n=1631). There was a positive association between EPDS scores and breastfeeding difficulties, pandemic lockdown, and financial difficulties. We did not find an association between PPD symptoms and unresolved pregnancy, death of a child, being affected by COVID-19, and forced displacement. We found that EPDS scores for women who did not experience forced displacement (n=1528) were significantly higher compared to displaced mothers (n=74).</p><p><strong>Conclusions: </strong>The present study of Ukrainian women shows that women experienced depressive symptoms influenced by various factors including breastfeeding difficulties, pandemic lockdown, and financial difficulties. There is a need for additional research into such factors as unresolved pregnancy, the death of a child, being affected by COVID-19, and forced displacement.</p>\",\"PeriodicalId\":32920,\"journal\":{\"name\":\"European Journal of Midwifery\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2024-07-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11218278/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"European Journal of Midwifery\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.18332/ejm/188800\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Journal of Midwifery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.18332/ejm/188800","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0

摘要

引言产后抑郁症会对产妇的心理健康和儿童的发育产生负面影响。产后抑郁症(PPD)在低收入和中低收入国家的高发病率引发了有关其预测因素的问题。本研究探讨了产后抑郁症与乌克兰妇女的母乳喂养经历、儿童死亡、未解决的妊娠、被迫流离失所、COVID-19 大流行病封锁、婚姻和经济状况之间的关联:这项在线研究通过为 0-5 岁儿童提供服务的非政府组织招募了 1634 名乌克兰籍母亲。爱丁堡产后抑郁量表(EPDS)用于评估产后抑郁症状,其临界值为≥13。数据分析采用了独立 t 检验、卡方检验、单因素方差分析、非参数相关检验和逻辑回归检验:抑郁症状的发生率为 39.0%(n=1631)。EPDS 评分与母乳喂养困难、大流行封锁和经济困难之间存在正相关。我们没有发现 PPD 症状与未解决的怀孕、孩子死亡、受 COVID-19 影响和被迫流离失所之间存在关联。我们发现,与流离失所的母亲(74 人)相比,未经历被迫流离失所的妇女(1528 人)的 EPDS 分数明显更高:本项针对乌克兰妇女的研究表明,妇女的抑郁症状受到各种因素的影响,包括母乳喂养困难、大流行病封锁和经济困难。有必要对未解决的怀孕、孩子死亡、受 COVID-19 影响和被迫流离失所等因素进行更多研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exploring prevalence and factors associated with postpartum depression among Ukrainian women.

Introduction: Postpartum depression negatively impacts maternal mental health and child development. The high prevalence of postpartum depression (PPD) in low and lower middle-income countries raises questions about its predictors. This study examines the association between PPD and breastfeeding experience, child death, unresolved pregnancy, forced displacement, COVID-19 pandemic lockdown, marital, and financial status among Ukrainian women.

Methods: This online study recruited 1634 Ukrainian mothers of children aged 0-5 years through non-governmental organizations providing services to them. The Edinburgh Postnatal Depression Scale (EPDS), with a cut-off of ≥13, was used to assess depressive symptoms in the postpartum period. Independent t-tests, chi-squared tests, one-way ANOVA, non-parametric correlations, and logistic regression tests were used to analyze the data.

Results: The prevalence of depressive symptoms was 39.0% (n=1631). There was a positive association between EPDS scores and breastfeeding difficulties, pandemic lockdown, and financial difficulties. We did not find an association between PPD symptoms and unresolved pregnancy, death of a child, being affected by COVID-19, and forced displacement. We found that EPDS scores for women who did not experience forced displacement (n=1528) were significantly higher compared to displaced mothers (n=74).

Conclusions: The present study of Ukrainian women shows that women experienced depressive symptoms influenced by various factors including breastfeeding difficulties, pandemic lockdown, and financial difficulties. There is a need for additional research into such factors as unresolved pregnancy, the death of a child, being affected by COVID-19, and forced displacement.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
European Journal of Midwifery
European Journal of Midwifery Nursing-Maternity and Midwifery
CiteScore
2.20
自引率
15.80%
发文量
65
审稿时长
16 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信