[产妇产后抑郁与婚姻关系、社会支持等社会心理因素的关系]。

Q3 Medicine
Hitomi Boda, Muneko Nishijo, Yoshikazu Nishino, Toshiyuki Sasagawa, Yasuhiro Osaka, Satoko Fujita, Jinichi Sakamoto, Masahiro Takakura, Hiroaki Takagi, Takeo Shibata, Emi Takata
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引用次数: 1

摘要

目的:探讨爱丁堡产后抑郁量表(EPDS)高分对产后抑郁的社会心理影响因素,包括婚姻关系和社会支持。分析了产前抑郁的相关因素。方法:对到大学A医院进行妻子产前健康检查的35对夫妻,采用日文版EPDS问卷进行问卷调查。在怀孕晚期和出生后1个月,评估来自妻子的丈夫、亲属和其他人(包括朋友)的社会支持。采用婚姻爱情量表(MLS),对夫妻在怀孕期间对彼此的体贴行为进行了两个婚姻关系问题的调查。采用二元logistic回归分析,确定较高的EPDS评分(产后抑郁≥5分,产前抑郁≥7分)与社会支持和婚姻关系指标之间的校正相关性。结果:产后EPDS得分较高的最相关因素是产前EPDS得分较高,其次是夫妻在怀孕期间沟通能力差(妻子没有感受到丈夫的感激),以及产后没有得到妻子的丈夫的支持。妻子的婚姻沟通技巧差和丈夫在怀孕期间的低MLS评分与妻子的产前EPDS评分较高相关(边缘性显著)。结论:产前良好的婚姻关系和产后丈夫的支持可能对预防产后抑郁症有重要作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Associations between Maternal Postpartum Depression and Psychosocial Factors Including Marital Relationship and Social Support].

Objectives: We aimed to investigate the psychosocial factors for postpartum depression as indicated by a high score of the Edinburgh Postnatal Depression Scale (EPDS), including marital relationship and social support. Relevant factors for antenatal depression were also analyzed.

Methods: Thirty-five wife-and-husband pairs who visited University Hospital A for the wife's antenatal health check-up participated in a questionnaire survey using the Japanese version of the EPDS. Social support from the wife's husband, kins, and others including friends at the third trimester of pregnancy and 1 month after birth was assessed. The Marital Love Scale (MLS) was also used, and two marital relationship questions were asked regarding the husband's and wife's considerate actions toward each other during pregnancy. Binary logistic regression analysis was conducted to determine adjusted associations between higher EPDS scores (≥5 for postpartum depression and ≥7 for antenatal depression) and indicators for social support and marital relationships.

Results: The most relevant factor for higher postpartum EPDS scores was a higher antenatal EPDS score, followed by the couple's poor communication skills (the wife did not feel any appreciation from her husband) during pregnancy and no support from the wife's husband during the postpartum period. The wife's poor marital communication skills and the husband's low MLS scores during pregnancy were associated (borderline significance) with the wife's higher antenatal EPDS scores.

Conclusions: A good marital relationship before birth and support by the husband after birth may be important for preventing postpartum depression.

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来源期刊
Japanese Journal of Hygiene
Japanese Journal of Hygiene Medicine-Medicine (all)
CiteScore
0.90
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