Prevalence of postpartum depressive symptoms during the first 6 months postpartum: Association with maternal age and parity
Prevalence of postpartum depressive symptoms during the first 6 months postpartum: Association with maternal age and parity
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DOI：
10.1016/j.jad.2016.06.002
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发表时间：
2016-10-01
影响因子：
6.6
通讯作者：
Tamakoshi, Koji
中科院分区：
文献类型：
--
作者：
Iwata, Hiroko;Mori, Emi;Tamakoshi, Koji
背景：产后抑郁症状在妇女中很常见。本研究的目的是描述产后6个月内抑郁症状的患病率的变化，以及它们与产妇年龄和parties.Methods：一项前瞻性队列研究进行了3769名妇女在13家医院在日本。在住院期间和产后1，2，4和6个月的抑郁症状进行了测量，使用日本版的爱丁堡产后抑郁量表（EPDS）。通过比较以下四组来评估产妇年龄和产次的影响：年轻的产妇（年龄= 35岁）;年轻的多胎产妇（年龄= 35岁）。数据进行了分析，使用混合之间/受试者内的方差分析，Cochran的Q检验，卡方test.Results：平均EPDS评分显着下降，从产后1至2个月在所有组。在同一时期，EPDS评分>= 9的妇女比例在双胞胎中显著下降，但在多胞胎中没有下降。在住院期间和产后1个月时，Primitrium的EPDS评分也显著高于Multimitrium。局限性：由于我们使用方便抽样，我们的研究样本不能完全代表日本母亲。这项研究也是有限的，我们专注于产后periods.Conclusions：产后第一个月代表抑郁症状的患病率高峰。初产仅在产后第一个月内是抑郁症状的危险因素。医疗保健专业人员在监测抑郁症状时应对产后持续时间和产次敏感。(C)© 2016 Elsevier B. V.版权所有。
Background: Depressive symptoms are common in postpartum women. The present study aimed to describe changes in the prevalence of depressive symptoms during the first 6 months postpartum, and their association with maternal age and parity.Methods: A prospective cohort study was conducted with 3769 women at 13 hospitals in Japan. Depressive symptoms were measured during hospital stay and at 1, 2, 4, and 6 months postpartum, using the Japanese version of the Edinburgh Postnatal Depression Scale (EPDS). The effects of maternal age and parity were assessed by comparing four groups: younger primiparas (aged = 35 years); younger multiparas (= 35 years). Data were analyzed using a mixed between/within-subjects analysis of variance, Cochran's Q tests, and chi-square tests.Results: Mean EPDS scores significantly decreased from 1 to 2 months postpartum in all groups. The proportion of women with EPDS scores >= 9 significantly decreased during the same period for primiparas but not for multiparas. Primiparas also had significantly higher EPDS scores than multiparas during hospital stay and at 1 month postpartum. Limitations: As we used convenience sampling, our study sample was not fully representative of Japanese mothers. This study was also limited by our focus on the postpartum period.Conclusions: The first month postpartum represented peak prevalence for depressive symptoms. Primiparity was a risk factor for depressive symptoms only during the first month postpartum. Healthcare professionals should be sensitive to postpartum duration and parity when monitoring depressive symptoms. (C) 2016 Elsevier B.V. All rights reserved.