Psychosocial correlates of prepartum and postpartum depressed mood
Psychosocial correlates of prepartum and postpartum depressed mood
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DOI：
10.1016/s0165-0327(99)00128-7
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发表时间：
2000-07-01
影响因子：
6.6
通讯作者：
Brender, W
中科院分区：
文献类型：
--
作者：
Da Costa, D;Larouche, J;Brender, W
背景资料：本研究旨在探讨母亲压力、社会支持和应对方式对孕妇孕期及产后早期抑郁情绪的影响。研究方法：从怀孕的第三个月开始，每月收集大量变量的数据，包括日常压力（Hassles），状态焦虑（STAI状态），妊娠特定压力（PEQ）和抑郁情绪（DACL）。在每个妊娠期评估社会支持（SSQ）、应对策略（CISS）和妊娠进展。分娩后约4-5周，收集有关分娩、分娩和婴儿状态的信息，并进行DACL和爱丁堡产后抑郁量表（EPDS）。最后的样本由80名妇女组成。结果如下：在这个样本中，大约16%的女性在产后经历了抑郁情绪，25%的样本仅在怀孕期间报告了抑郁情绪。女性抑郁症只在怀孕期间和那些抑郁症在产后报告更多的情绪应对和更高的特质和状态焦虑在怀孕期间。孕期烦恼较多与孕期抑郁情绪有关，与产后抑郁情绪无关。与文献一致，产后抑郁情绪的最佳预测因素是怀孕期间的抑郁情绪。局限性：样本量相对较小，我们仅依赖于自我报告的抑郁症。结论：研究结果指出，在怀孕早期可以针对特定的心理社会变量，以减少产前和产后期间抑郁情绪的发生率。(C)2000 Elsevier Science B. V.保留所有权利。
Background: The aim of the present study was to delineate the influence of maternal stress, social support and coping styles on depressed mood during pregnancy and the early postpartum period. Methods: Beginning in the third month of pregnancy, data on numerous variables including daily stress (Hassles), state-anxiety (STAI-state), pregnancy-specific stress (PEQ) and depressed mood (DACL) were collected monthly. In each trimester social support (SSQ), coping strategies (CISS) and pregnancy progress were assessed. Approximately 4-5 weeks following delivery, information on labor, delivery and infant status was collected and the DACL and the Edinburgh Postnatal Depression Scale (EPDS) were administered. The final sample consisted of 80 women. Results: Approximately 16% of the women in this sample experienced depressed mood in the postpartum and 25% of the sample reported depressed mood only during pregnancy. Women depressed only during pregnancy and those depressed in the postpartum reported more emotional coping and higher trait and state anxiety during gestation. More hassles during pregnancy was related to prepartum depressed mood, but not postpartum depressed mood. Consistent with the literature, the best predictor of postpartum depressed mood was depressed mood during pregnancy. Limitations: The sample size was relatively small and we relied solely on self-reported depressive symptomology. Conclusions: The findings point to specific psychosocial variables which can be targeted early in pregnancy to reduce the rate of depressed mood in the prepartum and postpartum periods. (C) 2000 Elsevier Science B.V. All rights reserved.