Postpartum depression among women in Nagoya indirectly exposed to the Great East Japan Earthquake.
Postpartum depression among women in Nagoya indirectly exposed to the Great East Japan Earthquake.
复制标题
名古屋女性产后抑郁症间接受到东日本大地震的影响。
DOI：
10.1038/s41598-018-30065-w
复制
发表时间：
2018
期刊：
影响因子：
--
通讯作者：
Ozaki N.
中科院分区：
文献类型：
--
作者：
Kubota C;Okada T;Morikawa M;Nakamura Y;Yamauchi A;Ando M;Shiino T;Ohara M;Murase S;Goto S;Kanai A;Masuda T;Aleksic B;Ozaki N.
本研究的目的是评估2011年3月11日发生的东日本大地震震中以外的名古屋的产后抑郁症和母亲亲密度的情况。在2010年3月11日至2013年3月10日期间分娩后1个月的参与者（n = 188）中，152人完全回答了爱丁堡产后抑郁量表（EPDS）和母婴依恋问卷（MIBQ）。将其分为震前组（n = 58）、震后0-6、6-12、12-18和18-24个月组（n = 20、26、29和19）。在EPDS中得分高于临界点的母亲比例从震前的12.1%增加到0-6个月组的35.0%（p = 0.022）。地震前和地震后0-6个月组的EPDS总分和焦虑子量表得分（平均值±标准误）也有显著差异（分别为4.45 ± 0.50 vs. 7.95 ± 1.47，p = 0.024; 2.16 ± 0.26 vs. 3.65 ± 0.57，p = 0.021）。0-6个月组的EPDS总分和焦虑评分最高，其次是6-12、12-18、18-24个月组（p = 0.019，p = 0.022）。MIBQ评分在震前和0-6个月组之间没有差异。主要由焦虑引起的抑郁症状在地震后增加，而母亲的关系没有变化。
This study aimed to assess the situation of postpartum depression and maternal bonding in Nagoya, a city distant from the epicenter of the Great East Japan Earthquake that occurred on March 11, 2011. Among the participants at 1 month after childbirth between March 11, 2010 and March 10, 2013 (n = 188), 152 fully responded to the Edinburgh Postnatal Depression Scale (EPDS) and Mother–Infant Bonding Questionnaire (MIBQ). They were divided into pre-quake (n = 58), and 0–6, 6–12, 12–18, and 18–24 months after the earthquake groups (n = 20, 26, 29, and 19, respectively). The rate of mothers who scored above the cutoff point for the EPDS increased from 12.1% in the pre-quake to 35.0% in the 0–6 months group (p = 0.022). The EPDS total and anxiety subscale scores (mean ± standard error) were also significantly different between the pre-quake and 0–6 months after the earthquake groups (4.45 ± 0.50 vs. 7.95 ± 1.47, p = 0.024; 2.16 ± 0.26 vs. 3.65 ± 0.57, p = 0.021, respectively). The EPDS total and anxiety scores were the highest for the 0–6 months group, followed by the 6–12, 12–18, 18–24 months groups (p = 0.019, p = 0.022). MIBQ scores did not differ between the pre-quake and 0–6 months groups. Depressive symptoms, mainly explained by anxiety, increased after the earthquake with no changes in maternal bonding.