孕妇抑郁症状的轨迹和预测因素:为期三年的纵向研究。

IF 2.7 2区 心理学 Q2 PSYCHIATRY
Xiao-Yan Chen, Camilla K M Lo, Rosa S Wong, Keith T S Tung, Winnie W Y Tso, Frederick K Ho, Wing Cheong Leung, Patrick Ip, Ko Ling Chan
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引用次数: 0

摘要

目的:并非所有妇女从怀孕到产后几年的抑郁变化都相同,但产前和产后抑郁的模式却未得到充分探索。本研究调查了妇女从怀孕到产后头 3 年的抑郁症状轨迹和相关预测因素:方法:我们对香港一家产前诊所的 340 名孕妇进行了跟踪调查,首先是妊娠 20-24 周的孕妇,然后是产后 4 周的孕妇,最后是产后 3 年的孕妇。孕妇报告了她们是否有亲密伴侣暴力、健康状况、不良童年经历、家庭支持和感知伴侣参与等方面的抑郁症状。采用潜类增长分析来确定抑郁的不同轨迹,并进行二元逻辑回归来分析轨迹的预测因素:我们发现,26.5%的妇女在妊娠 20-24 周时出现临床抑郁症状,9.7%的妇女在产后 4 周出现临床抑郁症状,12.6%的妇女在产后 3 年出现临床抑郁症状。结果发现了两类人群:低稳定性人群(86.2%)和复发/缓解人群(13.8%)。与低稳定性组相比,有创伤史(即亲密伴侣暴力和不良童年经历)和心理健康困难的妇女更有可能被归入复发/缓解组。家庭支持和伴侣的情感参与似乎能保护妇女免受抑郁症复发/缓解的困扰:研究结果强调了在整个孕期和产后数年内筛查抑郁症的重要性。区分抑郁症的不同发展轨迹并确定其相关因素,对于向最脆弱的妇女(即本研究中的复发/缓解组)提供有针对性的干预措施至关重要。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Trajectories and predictors of depressive symptoms among pregnant women: A 3-year longitudinal study.

Objective: Not all women experience the same changes in depression from pregnancy through the years following childbirth, but the patterns of prenatal and postnatal depression are underexplored. This study investigated the trajectories and associated predictors of depressive symptoms in women from pregnancy through the first 3 years postpartum.

Method: We followed 340 pregnant women from an antenatal clinic in Hong Kong, first at 20-24 weeks of gestation, then at 4 weeks after childbirth, and again at 3 years after childbirth. Pregnant women reported their depressive symptoms whether they had intimate partner violence, health conditions, adverse childhood experiences, family support, and perceived partner involvement. Latent class growth analysis was applied to identify distinct trajectories of depression, and binary logistic regressions were performed to analyze predictors of trajectories.

Results: We found that 26.5% of women showed clinical depressive symptoms at 20-24 weeks of gestation, 9.7% at 4 weeks after childbirth, and 12.6% at 3 years after childbirth. Two classes were identified: a low-stable group (86.2%) and a relapsing/remitting group (13.8%). Women with a history of trauma (i.e., intimate partner violence and adverse childhood experiences) and mental health difficulties were more likely to be classified in the relapsing/remitting group than in the low-stable group. Family support and partner emotional involvement appeared to protect the women from suffering relapsing/remitting depression.

Conclusions: The findings highlight the importance of screening for depression throughout pregnancy and extending several years postpartum. Distinguishing the different trajectories of depression and identifying its associated factors are critical to providing targeted interventions to the most vulnerable women (i.e., a relapsing/remitting group in the present study). (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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来源期刊
CiteScore
11.20
自引率
3.20%
发文量
427
期刊介绍: Psychological Trauma: Theory, Research, Practice, and Policy publishes empirical research on the psychological effects of trauma. The journal is intended to be a forum for an interdisciplinary discussion on trauma, blending science, theory, practice, and policy. The journal publishes empirical research on a wide range of trauma-related topics, including: -Psychological treatments and effects -Promotion of education about effects of and treatment for trauma -Assessment and diagnosis of trauma -Pathophysiology of trauma reactions -Health services (delivery of services to trauma populations) -Epidemiological studies and risk factor studies -Neuroimaging studies -Trauma and cultural competence
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