产后早期抑郁和焦虑：越南足月和早产儿父母的比较研究

IF 2.6 3区医学 Q1 NURSING

Midwifery Pub Date : 2025-05-06 DOI:10.1016/j.midw.2025.104443

Cai Thi Thuy Nguyen , Trung Quang Truong , Anh Thi Lan Nguyen , Huong Thi Vu , Lien Thi Kim Nguyen , Tri Manh Nguyen , Shu-Yu Kuo

{"title":"产后早期抑郁和焦虑：越南足月和早产儿父母的比较研究","authors":"Cai Thi Thuy Nguyen , Trung Quang Truong , Anh Thi Lan Nguyen , Huong Thi Vu , Lien Thi Kim Nguyen , Tri Manh Nguyen , Shu-Yu Kuo","doi":"10.1016/j.midw.2025.104443","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Postpartum depression and anxiety impact both parental well-being and child health, with preterm infants being especially vulnerable. However, the link between maternal and paternal mental health remains underexplored.</div></div><div><h3>Aim</h3><div>To examine depression and anxiety in mothers and fathers of full-term and preterm infants.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted on 336 mother-father-infant triads at a public hospital in Vietnam from December 2022 to April 2023. Parents of infants born before or after 37 weeks' gestation were recruited. The Edinburgh Postnatal Depression Scale and Zung's Self-Rated Anxiety Scale were used. Multilevel linear mixed-effects models were adopted.</div></div><div><h3>Findings</h3><div>Among mothers, 42.4 % reported depressive symptoms compared to 29.4 % of fathers, and anxiety symptoms were also significantly prevalent in mothers (30.7 %) than in fathers (22.1 %) (<em>p</em> < 0.05). Moderate correlations were found between maternal and paternal symptoms (depression, <em>r</em> = 0.49; anxiety, <em>r</em> = 0.41). Parents of moderate or extremely/very preterm infants reported higher depression than those with late preterm or full-term infants, though anxiety differences were not significant. Being a mother (<em>β</em> = 1.09) and having an infant born at a lower gestational age (<em>β</em> = 0.69) were associated with greater depressive symptoms. In both parents, lower social support was associated with higher symptoms of depression (<em>β</em> = –1.38) and anxiety (<em>β</em> = –1.15).</div></div><div><h3>Conclusion</h3><div>Mothers and fathers in Vietnam experienced substantial emotional distress. Early identification of depression and anxiety in parents of pre-term infants, particularly infants born earlier in gestation, is vital for maternity care professionals to promote family health.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"147 ","pages":"Article 104443"},"PeriodicalIF":2.6000,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Depression and anxiety in the early postpartum period: A comparative study among parents of full-term and preterm infants in Vietnam\",\"authors\":\"Cai Thi Thuy Nguyen , Trung Quang Truong , Anh Thi Lan Nguyen , Huong Thi Vu , Lien Thi Kim Nguyen , Tri Manh Nguyen , Shu-Yu Kuo\",\"doi\":\"10.1016/j.midw.2025.104443\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Postpartum depression and anxiety impact both parental well-being and child health, with preterm infants being especially vulnerable. However, the link between maternal and paternal mental health remains underexplored.</div></div><div><h3>Aim</h3><div>To examine depression and anxiety in mothers and fathers of full-term and preterm infants.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted on 336 mother-father-infant triads at a public hospital in Vietnam from December 2022 to April 2023. Parents of infants born before or after 37 weeks' gestation were recruited. The Edinburgh Postnatal Depression Scale and Zung's Self-Rated Anxiety Scale were used. Multilevel linear mixed-effects models were adopted.</div></div><div><h3>Findings</h3><div>Among mothers, 42.4 % reported depressive symptoms compared to 29.4 % of fathers, and anxiety symptoms were also significantly prevalent in mothers (30.7 %) than in fathers (22.1 %) (<em>p</em> < 0.05). Moderate correlations were found between maternal and paternal symptoms (depression, <em>r</em> = 0.49; anxiety, <em>r</em> = 0.41). Parents of moderate or extremely/very preterm infants reported higher depression than those with late preterm or full-term infants, though anxiety differences were not significant. Being a mother (<em>β</em> = 1.09) and having an infant born at a lower gestational age (<em>β</em> = 0.69) were associated with greater depressive symptoms. In both parents, lower social support was associated with higher symptoms of depression (<em>β</em> = –1.38) and anxiety (<em>β</em> = –1.15).</div></div><div><h3>Conclusion</h3><div>Mothers and fathers in Vietnam experienced substantial emotional distress. Early identification of depression and anxiety in parents of pre-term infants, particularly infants born earlier in gestation, is vital for maternity care professionals to promote family health.</div></div>\",\"PeriodicalId\":18495,\"journal\":{\"name\":\"Midwifery\",\"volume\":\"147 \",\"pages\":\"Article 104443\"},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2025-05-06\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Midwifery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0266613825001615\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Midwifery","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0266613825001615","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

摘要

产后抑郁和焦虑会影响父母的幸福感和儿童的健康，早产儿尤其容易受到影响。然而，母亲和父亲心理健康之间的联系仍未得到充分探讨。目的探讨足月儿和早产儿父母的抑郁和焦虑状况。方法对2022年12月至2023年4月在越南某公立医院就诊的336例母婴三联症患者进行横断面研究。在怀孕37周之前或之后出生的婴儿的父母被招募。采用爱丁堡产后抑郁量表和Zung焦虑自评量表。采用多水平线性混合效应模型。研究结果：在母亲中，42.4%的人报告有抑郁症状，而父亲的比例为29.4%；焦虑症状在母亲中（30.7%）也明显比在父亲中（22.1%）普遍(p <；0.05)。母亲和父亲的症状之间存在中度相关性(抑郁，r = 0.49；焦虑，r = 0.41)。中度早产儿或极度早产儿/重度早产儿的父母比晚期早产儿或足月婴儿的父母抑郁程度更高，尽管焦虑程度的差异并不显著。为人母（β = 1.09）和胎龄较低的婴儿（β = 0.69）与更严重的抑郁症状相关。在父母双方中，较低的社会支持与较高的抑郁症状（β = -1.38）和焦虑症状（β = -1.15）相关。结论越南母亲和父亲经历了大量的情绪困扰。早期识别早产婴儿，特别是在妊娠早期出生的婴儿的父母的抑郁和焦虑，对于产科护理专业人员促进家庭健康至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Depression and anxiety in the early postpartum period: A comparative study among parents of full-term and preterm infants in Vietnam

Background

Postpartum depression and anxiety impact both parental well-being and child health, with preterm infants being especially vulnerable. However, the link between maternal and paternal mental health remains underexplored.

Aim

To examine depression and anxiety in mothers and fathers of full-term and preterm infants.

Methods

A cross-sectional study was conducted on 336 mother-father-infant triads at a public hospital in Vietnam from December 2022 to April 2023. Parents of infants born before or after 37 weeks' gestation were recruited. The Edinburgh Postnatal Depression Scale and Zung's Self-Rated Anxiety Scale were used. Multilevel linear mixed-effects models were adopted.

Findings

Among mothers, 42.4 % reported depressive symptoms compared to 29.4 % of fathers, and anxiety symptoms were also significantly prevalent in mothers (30.7 %) than in fathers (22.1 %) (p < 0.05). Moderate correlations were found between maternal and paternal symptoms (depression, r = 0.49; anxiety, r = 0.41). Parents of moderate or extremely/very preterm infants reported higher depression than those with late preterm or full-term infants, though anxiety differences were not significant. Being a mother (β = 1.09) and having an infant born at a lower gestational age (β = 0.69) were associated with greater depressive symptoms. In both parents, lower social support was associated with higher symptoms of depression (β = –1.38) and anxiety (β = –1.15).

Conclusion

Mothers and fathers in Vietnam experienced substantial emotional distress. Early identification of depression and anxiety in parents of pre-term infants, particularly infants born earlier in gestation, is vital for maternity care professionals to promote family health.

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

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.