Social support after stillbirth for prevention of maternal depression
Social support after stillbirth for prevention of maternal depression
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DOI：
10.3109/00016340903317974
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发表时间：
2009-12-01
影响因子：
4.3
通讯作者：
Dickman, Paul W.
中科院分区：
文献类型：
--
作者：
Surkan, Pamela J.;Radestad, Ingela;Dickman, Paul W.
Objective.探讨社会支持与死产后母亲抑郁的关系。设计数据来自基于人口的全国邮政问卷。设置.瑞典.人口共有314（83%）的所有380瑞典语的妇女谁生下单胎死产婴儿在瑞典在1991年期间，确定通过瑞典医疗出生登记。方法.邮寄问卷调查，解决产妇的社会支持和人口统计学完成三年后死产。采用多变量回归模型评估支持相关因素与后期母亲抑郁症之间的关联。主要结果测量。流行病学研究中心抑郁量表。结果在校正分析中，父亲拒绝与母亲谈论死产婴儿与后期母亲抑郁症状的风险几乎增加了5倍[校正风险比（RR）4.6，95%置信区间（CI）1.5-14.5]。母亲认为她可以与婴儿的父亲谈论孩子与风险降低有关（调整后的RR 0.5，95% CI 0.1-0.9）。结论.父亲不愿与母亲讨论死胎与随后的母亲抑郁性精神病有关。
Objective. To study how social support is associated with ensuing maternal depression following stillbirth. Design. Data from a population-based national postal questionnaire. Setting. Sweden. Population. A total of 314 (83%) of all 380 Swedish-speaking women who gave birth to singleton stillborn infants in Sweden during 1991, identified through the Swedish Medical Birth Register. Methods. Postal questionnaires addressing maternal social support and demographics were completed three years following the stillbirth. The association between support-related factors and later maternal depression was assessed using multivariable regression models. Main outcome measure. The Center for Epidemiologic Studies Depression Scale. Results. In adjusted analyses, a father's refusal to talk about a stillborn baby with the mother was associated with an almost five-fold risk of later maternal depressive symptoms [adjusted risk ratio (RR) 4.6, 95% confidence interval (CI) 1.5-14.5]. The mother's belief that she could talk with the infant's father about the child was associated with a reduced risk (adjusted RR 0.5, 95% CI 0.1-0.9). Conclusions. Unwillingness of the father to discuss a stillborn infant with the mother was related to subsequent maternal depressive symptomatology.