Increased risk of postpartum depression in women with lactational mastitis: a cross-sectional study.
Increased risk of postpartum depression in women with lactational mastitis: a cross-sectional study.
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DOI：
10.3389/fpsyt.2023.1229678
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发表时间：
2023
影响因子：
4.7
通讯作者：
Liu, Zhiqiang
中科院分区：
文献类型：
--
作者：
Shen, Fuyi;Zhou, Xianjin;Guo, Fei;Fan, Kechen;Zhou, Yilu;Xia, Jianhua;Xu, Zhendong;Liu, Zhiqiang
哺乳期乳腺炎的高发病率主要发生在母乳喂养的第一个月。它可能会导致严重的疼痛，沮丧，疲劳，压力和母乳喂养的问题。然而，很少有研究探讨哺乳期乳腺炎对产后抑郁症的影响。本研究调查了哺乳期乳腺炎和产后抑郁症之间的潜在联系。我们在1,551名中国妇女中调查了哺乳期乳腺炎与产后抑郁症的关系。乳房专科医生诊断为哺乳期乳腺炎。产后6周采用爱丁堡产后抑郁量表（EPDS）和患者健康问卷9（PHQ 9）评估抑郁症状的存在。采用多元线性回归分析和多变量对数二项回归分析，估计哺乳期乳腺炎与产后抑郁症之间的关系。在1，551名母亲中，147名（9.5%）在产后期间经历了乳房专家诊断的哺乳期乳腺炎。与未患哺乳期乳腺炎的妇女相比，有抑郁症状的妇女比例显著较高（38.1% vs. 27.4%，p = 0.008），有哺乳期乳腺炎经历的妇女产后抑郁风险增加68%（RR = 1.68，95%CI，1.18，2.40）。此外，在发生哺乳期乳腺炎的女性中，自我伤害或自杀意念的风险增加了89%（RR = 1.89，95% CI，1.08，3.29）。在分层分析中，哺乳期乳腺炎与产后抑郁症的相关性在年龄≥35岁、有母亲合并症和分娩女性新生儿的女性中表现得更强。研究结果表明，哺乳期乳腺炎是产后抑郁症的危险因素。哺乳期乳腺炎对产妇心理健康的影响需要进一步关注。chictr.org.cn，ChiCTR 2000041519。
A high incidence of lactational mastitis mainly occurs during the first month of breastfeeding. It may cause severe pain, frustration, fatigue, stress, and breastfeeding concerns. However, few studies investigated the effects of lactational mastitis on postpartum depression. This study investigated the potential association between lactational mastitis and postpartum depression. We examined the associations of lactational mastitis with postpartum depression in 1,551 Chinese women. Lactational mastitis was diagnosed by breast specialists. The presence of depression symptoms was evaluated by the Edinburgh Postnatal Depression Scale (EPDS) and Patient Health Questionnaire 9 (PHQ9) at 6 weeks after delivery. Multiple linear regression analysis and multivariable log-binomial regression analysis were performed to estimate the association between lactational mastitis and postpartum depression. Among the 1,551 mothers, 147 (9.5%) experienced lactational mastitis diagnosed by breast specialists during the postpartum period. Compared with women without lactational mastitis, the proportion of women with depression symptoms was significantly higher (38.1% vs. 27.4%, p = 0.008), and the risk of postpartum depression increased by 68% (RR = 1.68, 95% CI, 1.18, 2.40) in women who had experienced lactational mastitis. In addition, the risk of self-harm or suicidal ideation increased by 89% (RR = 1.89, 95% CI, 1.08, 3.29) in women who experienced lactational mastitis. In stratified analysis, the associations of lactational mastitis with postpartum depression appeared stronger among women aged ≥35 years, with maternal comorbidities, and who delivered a female neonate. The study results suggest that lactational mastitis is a risk factor for depression during the postpartum period. The impact of lactational mastitis on maternal mental health requires further attention. chictr.org.cn, ChiCTR2000041519.
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影响因子：
3.2
作者：
Halverson, Tate F.;Patel, Tapan A.;Mann, Adam J. D.;Evans, Mariah K.;Gratz, Kim L.;Beckham, Jean C.;Calhoun, Patrick S.;Kimbrel, Nathan A.
通讯作者：
Kimbrel, Nathan A.
影响因子：
3.1
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11.8
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11.3
作者：
Flynn, Heather A.;Sexton, Minden;Zivin, Kara
通讯作者：
Zivin, Kara
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5
作者：
Foxman, B;D'Arcy, H;Schwartz, K
通讯作者：
Schwartz, K