Partner support and postpartum depressive symptoms
Partner support and postpartum depressive symptoms
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DOI：
10.3109/0167482x.2011.589017
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发表时间：
2011-09-01
影响因子：
3.1
通讯作者：
Turi, Angelo
中科院分区：
文献类型：
--
作者：
Gremigni, Paola;Mariani, Laura;Turi, Angelo
背景：八分之一的妇女在分娩后会出现抑郁症。我们探讨了在产后抑郁症状的新妈妈参加区域公立医院在意大利。方法：70名妇女参加了一个两阶段（妊娠晚期和产后3个月）的前瞻性研究，采用自我报告的措施，合作伙伴的支持的期望的作用。在第一阶段，他们完成了支持期望指数，以衡量对伴侣支持的期望和二元调整量表，以衡量婚姻关系中的冲突，而社会人口（即母亲的年龄和教育水平）和临床变量（即以前的流产和抑郁发作）从医疗报告中收集。抑郁症状在第2阶段用爱丁堡产后抑郁量表进行评估，使用截止值> 9，并用期望确认量表测量婚姻支持期望的确认。采用逐步Logistic回归分析探讨产后3个月抑郁症状的预测因素。结果与讨论：多达55.7%（n = 39）的新妈妈出现产后抑郁症状，这是由对伴侣支持的低期望确认预测的[比值比（OR）3.02; 95%可信区间（CI）1.25-8.10]。因此，临床医生在治疗有产后抑郁症状的妇女时，应考虑伴侣支持的可能作用。
Background: One out of eight women suffers an episode of depression following delivery. We explored the role of expectations of partner support in postpartum depressive symptoms in new mothers attending a regional public hospital in Italy.Methods: Seventy women participated in a two-stage (third trimester and 3 months postpartum) prospective study using self-report measures. At stage 1, they completed the Support Expectations Index to measure expectations for partner support and the Dyadic Adjustment Scale to measure conflicts in marital relationship, whereas socio-demographic (i.e. maternal age and education level) and clinical variables (i.e. previous miscarriages and depression episodes) were collected from medical reports. Depressive symptoms were evaluated at stage 2 with the Edinburgh Postnatal Depression Scale using a cut-off > 9 and confirmation of marital support expectations was measured with the Expectancy Confirmation Scale. Stepwise logistic regression analysis was used to examine predictors of depressive symptoms at 3 months postpartum.Results and discussion: As many as 55.7% (n = 39) of new mothers presented postpartum depressive symptoms, which were predicted by low expectancy confirmation concerning partner support [odds ratio (OR) 3.02; 95% confidence interval (CI) 1.25-8.10]. Therefore, clinicians should consider the possible role of partner support when treating women with postnatal depressive symptoms.