巴基斯坦旁遮普省妇女产后抑郁症患病率、危险因素和干预措施

IF 2.7
Jannat Yousaf, Fiza Yousaf, Ayesha Sana, Isra Khalid, Najam-Us-Sahar, Hafsah Arshad, Kashif Iqbal
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引用次数: 0

摘要

目的:本研究的目的是观察巴基斯坦妇女产后抑郁症的患病率和危险因素。方法:对过去三周至一年内分娩的400名妇女进行横断面研究。数据收集的时间框架为2023年12月至2024年4月,来自巴基斯坦旁遮普省的不同医院。问卷共分为5个部分,第1部分评估被试的社会人口学特征,第2部分包含3个关于怀孕和产后经历的问题,第3部分包含10个关于产后抑郁筛查的问题,第4部分包含12个有关危险因素的问题,第5部分包含10个关于爱丁堡产后抑郁量表(EPDS)的问题。采用统计检验,即二元逻辑回归来研究因变量和自变量之间的相关性。采用p≤0.05的显著性水平判定结果有统计学意义。这项研究是在得到大学研究和伦理委员会的批准后进行的。结果:根据爱丁堡产后抑郁量表(EPDS),目前研究人群中产后抑郁的发生率为12.5%。我们发现,受访者的教育程度与产后抑郁症的发生率显著相关。(p = 0.002)。此外,有精神疾病家族史、意外怀孕或意外怀孕、怀孕期间并发症、不满意的人际关系以及之前有焦虑症状的妇女患产后抑郁症的几率更高(p结论:产后是妇女最容易患产后精神疾病的时期,包括产后抑郁症和精神病。由于产后抑郁症的流行与特定的社会心理变量之间存在着密切的联系,因此医疗保健从业人员必须密切关注这一问题,并设计出有效检测和管理产后抑郁症患者的策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Postpartum depression prevalence, risk factors, and interventions among women in Punjab, Pakistan.

Objectives: The purpose of this study was to look at the prevalence and risk factors for postpartum depression among Pakistani women.

Methods: A cross-sectional study was conducted on 400 women who gave birth within the past three weeks to one year. The time frame for data collection was from December 2023 to April 2024, from different hospitals in Punjab, Pakistan. There were 5 sections in the questionnaire, Section 1 aimed at assessing the socio-demographic characteristics of the participants, Section 2 contained 3 questions about pregnancy and postpartum experience, Section 3 contained 10 questions about postpartum depression screening, Section 4 contained 12 questions related to risk factors and Section 5 contained 10 questions of Edinburgh Postnatal Depression Scale (EPDS). Statistical test, i.e. binary logistic regression, was employed to investigate associations between the dependent and independent variables. A significance level of p ≤ 0.05 was adopted to determine statistically significant findings. The research was carried out after approval from the University`s Research and Ethics Committee.

Results: According to the Edinburgh postnatal depression scale (EPDS), the incidence of postpartum depression in the current study population was 12.5%. We found that the education of respondents was significantly associated with an increased frequency of postpartum depression. (p = 0.002). Further, in women having a family history of mental disorders, unplanned or unwanted pregnancies, complications during pregnancy, unsatisfying relationships, and previous anxiety symptoms, the chances of postpartum depression were higher (p < 0.05).

Conclusion: The postnatal period is when women are most vulnerable to developing postpartum mental diseases, including postpartum depression and psychosis. Because there is a strong link between the prevalence of postpartum depression and particular psychosocial variables, healthcare practitioners must pay close attention to this issue and design strategies for the effective detection and management of individuals with this condition.

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