Postpartum anxiety and comorbid depression in a population-based sample of women.
Postpartum anxiety and comorbid depression in a population-based sample of women.
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DOI：
10.1089/jwh.2013.4438
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发表时间：
2014-03
期刊：
影响因子：
--
通讯作者：
Ko JY
中科院分区：
文献类型：
--
作者：
Farr SL;Dietz PM;O'Hara MW;Burley K;Ko JY
缺乏基于人群的焦虑和共病抑郁症患病率估计。因此，我们估计了基于人群的女性样本中产后焦虑和共病抑郁症状的患病率和危险因素。我们利用多项 Logistic 回归，利用伊利诺伊州和马里兰州妊娠风险评估监测系统（一项针对生下活婴儿的母亲进行的基于人群的调查）2009-2010 年的数据，检查了产后焦虑和抑郁症状的患病率和风险因素。调查参与者会被问到有关焦虑和抑郁症状的经过验证的筛查问题。在 4451 名产后女性中，18.0% 的人有产后焦虑症状，其中 35% 的人有产后抑郁症状（总体为 6.3%）。在多变量模型中，怀孕期间（调整后的优势比[aOR]范围：1.3-9.7）和妊娠≤27周分娩婴儿（aOR范围：2.0-5.7）期间较高数量的压力源与产后焦虑和产后抑郁症状相关，这些症状单独或同时出现。整个怀孕期间吸烟仅与产后焦虑症状相关（aOR = 2.3）以及共病焦虑和抑郁症状（aOR = 2.9）。鉴于产后焦虑和共病抑郁症可能对孕产妇健康和婴儿发育产生不利影响，临床医生应了解这两种情况的显着患病率、共病和风险因素，并促进识别、转诊和/或治疗。
Population-based estimates of prevalence of anxiety and comorbid depression are lacking. Therefore, we estimated the prevalence and risk factors for postpartum anxiety and comorbid depressive symptoms in a population-based sample of women. Using multinomial logistic regression, we examined the prevalence and risk factors for postpartum anxiety and depressive symptoms using 2009–2010 data from the Illinois and Maryland Pregnancy Risk Assessment Monitoring System, a population-based survey of mothers who gave birth to live infants. Survey participants are asked validated screening questions on anxiety and depressive symptoms. Among 4451 postpartum women, 18.0% reported postpartum anxiety symptoms, of whom 35% reported postpartum depressive symptoms (6.3% overall). In the multivariable model, higher numbers of stressors during pregnancy (adjusted odds ratio [aOR] range: 1.3–9.7) and delivering an infant at ≤ 27 weeks gestation (aOR range: 2.0–5.7) were associated with postpartum anxiety and postpartum depressive symptoms, experienced individually or together. Smoking throughout pregnancy was associated with postpartum anxiety symptoms only (aOR = 2.3) and comorbid anxiety and depressive symptoms (aOR = 2.9). Given the possible adverse effects of postpartum anxiety and comorbid depression on maternal health and infant development, clinicians should be aware of the substantial prevalence, comorbidity, and risk factors for both conditions and facilitate identification, referral, and/or treatment.
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