The Leicester 500 Project. Social support and the development of postnatal depressive symptoms, a prospective cohort survey
The Leicester 500 Project. Social support and the development of postnatal depressive symptoms, a prospective cohort survey
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DOI：
10.1017/s0033291797005655
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发表时间：
1998-01-01
影响因子：
6.9
通讯作者：
Kirwan, PH
中科院分区：
文献类型：
--
作者：
Brugha, TS;Sharp, HM;Kirwan, PH
背景一项前瞻性流行病学研究评估了特定社会和心理变量在社区样本中预测产后抑郁症状和疾病的作用。以前在临床抑郁症人群中使用的社会支持措施有助于进一步比较。未产妇（N = 507）在怀孕期间进行了采访，社会关系的采访措施（IMSR）和上下文评估妊娠相关的支持和逆境和427随访产后3个月的30项GHQ，包括6个抑郁症项目。为了建立GHQ的临床代表性，使用SCAN采访了高GHQ评分者和低评分者的随机子样本。使用GHQ抑郁量表（GHQ-D）、IMSR和其他危险因素数据建立回归模型。分娩后的GHQ-D预测缺乏感知的支持，从妇女的主要群体的成员和缺乏支持的事件成为怀孕;即使在控制产前抑郁症，神经质，家庭和个人的精神病史和逆境。在提供社会支持方面，线人评定的赤字也预测了后来的抑郁症。先前发现的与女性抑郁症相关的主要社会网络群体的大小并不能预测抑郁症状的发展。女性抑郁症状发展的预测因子与临床抑郁症恢复的预测因子不同。干预措施应旨在减少在特定研究人群中观察到的社会支持方面的具体缺陷。
Background. A prospective epidemiology study evaluated the role of specific social and psychological variables in the prediction of depressive symptomatology and disorders following childbirth in a community sample. Measures of social support used previously in clinically depressed populations facilitated further comparison.Methods. Nulliparous pregnant women (N = 507) were interviewed during pregnancy with the Interview Measure of Social Relationships (IMSR) and a contextual assessment of pregnancy-related support and adversity and 427 were followed up at 3 months postpartum with the 30-item GHQ, including six depression items. To establish the clinical representativeness of the GHQ, high GHQ scorers and a random subsample of low scorers were interviewed using the SCAN. Regression models were developed using the GHQ Depression scale (GHQ-D), the IMSR and other risk factor data.Results. GHQ-D after childbirth was predicted by lack of perceived support from members of the woman's primary group and lack of support in relation to the event becoming pregnant; this held even after controlling for antenatal depression, neuroticism, family and personal psychiatric history and adversity. Informant-rated deficits in provision of social support also predicted later depression. The size of the primary social network group previously found to be related to depression in women, did not predict depressive symptom development.Conclusion. Predictors of depressive symptom development differ from predictors of recovery from clinical depression in women. Interventions should be designed to reduce specific deficits in social support observed in particular study populations.