Ethnoepidemiology of postnatal depression - Prospective multivariate study of sociocultural risk factors in a Chinese population in Hong Kong
Ethnoepidemiology of postnatal depression - Prospective multivariate study of sociocultural risk factors in a Chinese population in Hong Kong
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DOI：
10.1192/bjp.184.1.34
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发表时间：
2004-01-01
影响因子：
10.5
通讯作者：
Chung, TKH
中科院分区：
文献类型：
--
作者：
Lee, DTS;Yip, ASK;Chung, TKH
研究背景产后抑郁症的生物学和心理社会学原因已有很多研究，但社会文化危险因素的研究很少，目的采用民族志学的流行病学方法，调查产后抑郁症的社会文化危险因素（基线）、妊娠晚期、分娩后即刻和产后3个月。六个领域的风险因素进行了检查。因变量为产后3个月时的产后抑郁（采用爱丁堡产后抑郁量表）。结果与婆婆的冲突、婚姻不满意、既往抑郁和产前抑郁可独立预测产后抑郁的发生。peiyue的文化习俗-中国产后习俗的强制性家庭支持-与更好的社会支持和产后抑郁症的风险略低。结论社会文化方面的立即产褥期形状产妇的情感幸福。在许多亚洲社会中，姻亲冲突是家庭困境的一个重要根源。研究结果对临床实践和未来的研究具有启示意义。资金详情见鸣谢。
Background Although there have been many studies of the biological and psychosocial causations of postnatal depression, studies of sociocultural risk factors are rare.Aims To investigate the sociocultural risk factors of postnatal depression using ethnographically informed epidemiological methods.Method A total of 959 women were assessed at their first ante-partum visit (baseline), in the third trimester, immediately after delivery, and 3 months post-partum. Six domains of risk factors were examined. The dependent variable was postnatal depression (as defined by the Edinburgh Postnatal Depression Scale) at 3 months post-partum.Results Conflict with mother-in-law, marital dissatisfaction, past depression and antenatal depression independently predicted the occurrence of postnatal depression. The cultural practice of peiyue - a Chinese post-partum custom of mandated family support - was associated with better social support and a slightly lower risk of postnatal depression.Conclusions Sociocultural aspects of the immediate puerperium shape maternal emotional well-being. In-law conflict is an important source of household distress in many Asian societies. The findings have implications for clinical practice and future studies.Declaration of interest None. Funding detailed in Acknowledgements.