Rates and predictors of prenatal depression in women living with and without HIV
Rates and predictors of prenatal depression in women living with and without HIV
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DOI：
10.1080/09540121.2013.802277
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发表时间：
2014-01-02
影响因子：
1.7
通讯作者：
Aaron, Erika
中科院分区：
文献类型：
--
作者：
Bonacquisti, Alexa;Geller, Pamela A.;Aaron, Erika
抑郁症是一个重大的心理健康和公共卫生问题，艾滋病毒妇女的抑郁症风险增加。怀孕期间这种风险可能特别升高。但是，很少有研究试图确定孕妇感染的艾滋病毒的抑郁症的抑郁症和预测因素。本研究的目的是调查产前抑郁症的比率和预测因素，例如抑郁症，儿童性虐待史（CSA）以及宾夕法尼亚州费城的HIV感染和HIV未感染的妇女的社会支持。假设艾滋病毒孕妇的抑郁症状率更高，与艾滋病毒未感染的孕妇相比，抑郁症状率更高，并且会表现出更多的情绪障碍诊断。还假设艾滋病毒状况，抑郁症，CSA和社会支持不足将成为抑郁症状的预测指标。从一个妇产科/妇科诊所招募了163名妇女，其中31％（n = 50），其中31％（n = 50）是艾滋病毒未感染的69％（n = 113）样本。流行病学研究抑郁量表（CES-D）用于识别抑郁症状，DSM-IV（SCID）结构化临床访谈的模块A和D证实了情绪障碍的存在。研究结果表明，根据HIV血清，怀孕期间的抑郁症状和情绪障碍诊断率没有差异。病史抑郁症，CSA和社会支持不足可以预测该样本中怀孕期间的抑郁症状。由于它们与抑郁症状的关联，抑郁症，CSA的病史和社会支持不足可能很重要。
Depression is a significant mental health and public health concern, and women living with HIV are at increased risk for depression. This risk may be especially elevated during pregnancy; however, few studies have attempted to identify rates and predictors of depression in pregnant, HIV-infected women. The purpose of the present study was to investigate rates and predictors of prenatal depression, such as history of depression, childhood sexual abuse (CSA), and social support among HIV-infected and HIV-uninfected women in Philadelphia, Pennsylvania. It was hypothesized that pregnant women with HIV will have higher rates of depressive symptoms and will exhibit a greater number of mood disorder diagnoses as compared to HIV-uninfected pregnant women. It was also hypothesized that HIV status, history of depression, CSA, and inadequate social support will emerge as predictors of depressive symptoms. A sample of 163 women, 31% (n=50) of whom were HIV-infected and 69% (n=113) of whom were HIV-uninfected, were recruited from an obstetrics/gynecology clinic affiliated with an urban university hospital. The Center for Epidemiological Studies-Depression Scale (CES-D) was used to identify depressive symptoms, and Modules A and D of the Structured Clinical Interview for DSM-IV (SCID) confirmed the presence of a mood disorder. Findings demonstrated that rates of depressive symptoms and mood disorder diagnoses during pregnancy did not differ according to HIV serostatus. History depression, CSA, and inadequate social support predicted depressive symptoms during pregnancy in this sample. Due to their association with depressive symptoms, history of depression, CSA, and inadequate social support may be important to identify during pregnancy.