J Affect Disord:双亲产后抑郁的发病率和相关性

2015-11-09 phylis 译 MedSci原创

背景:产后抑郁会影响许多父母;但是,母亲和父亲共同存在产后抑郁还没有被广泛研究。确定产后抑郁症状的预测因子和相关性,可以帮助制定有效的干预措施。方法:在产后2周,对276对夫妇进行了社会人口和社会心理因素的问卷调查。采用爱丁堡产后抑郁量表(EPDS)评估父亲和母亲的抑郁症状。计算母亲和父亲的EPDS得分之间的相关系数,应用单变量和多变量线性回归分析以确定父亲和母亲的产后抑郁症状是否相关。结果:母亲

背景:产后抑郁会影响许多父母;但是,母亲和父亲共同存在的产后抑郁还没有被广泛研究。确定产后抑郁症状的预测因子和相关性,可以帮助制定有效的干预措施。

方法:在产后2周,对276对夫妇进行了社会人口和社会心理因素的问卷调查。采用爱丁堡产后抑郁量表(EPDS)评估父亲和母亲的抑郁症状。计算母亲和父亲的EPDS得分之间的相关系数,应用单变量和多变量线性回归分析以确定父亲和母亲的产后抑郁症状是否相关。

结果:母亲和父亲的产后抑郁症状发生率分别为15.9%(EPDS > 12)和5.4%(EPDS > 10)。母亲和父亲的EPDS评分存在一个轻度正相关(r=0.30)。多变量分析表明,父母应激是母亲和父亲产后抑郁症状较强的预测因子。妊娠和生育相关的应激和父母的EPDS评分也与双亲抑郁症状相关。关系满意度与父亲的EPDS评分呈负相关,然而母亲的EPDS评分与重大生活事件有关,儿童暴力史及生育相关的生理不适。

局限性:因为受试率信息不可用,研究者不能排除抽样差异。并且,使用单一项目评估心理。

结论:由于双亲出现产后抑郁症状的发生率较高,发展和评估产后抑郁症的干预措施对夫妇可能是有益的。减少父母应激的干预措施可能有助于预防双亲的产后抑郁症。

原文出处:

Anding JE, Röhrle B, Grieshop M, et al. Couple comorbidity and correlates of postnatal depressive symptoms in mothers and fathers in the first two weeks following delivery. J Affect Disord. 2015,Oct 28.


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    2016-05-05 chenwq08
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    2016-03-14 cmsvly
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