Depressive Symptoms in Mothers With Infants: The Quantitative Evidence of the Association of COVID-19 Crisis-Related Factors in Japan
Depressive Symptoms in Mothers With Infants: The Quantitative Evidence of the Association of COVID-19 Crisis-Related Factors in Japan
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有婴儿的母亲的抑郁症状：日本 COVID-19 危机相关因素关联的定量证据
DOI：
10.1017/dmp.2022.167
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发表时间：
2022
影响因子：
2.7
通讯作者：
Matsushima Midori; Horiguchi Hanna
中科院分区：
文献类型：
--
作者：
Tsuno K;Okawa S;Matsushima M;Nishi D;Arakawa Y;Tabuchi T.;Matsushima Midori; Horiguchi Hanna
目的探讨日本2019年冠状病毒病(新冠肺炎)疫情期间产后妇女的抑郁症状。方法于2020年5月31日至6月6日，对3073名婴儿及12个月大的产妇进行在线调查。结果初产妇和经产妇的爱丁堡产后抑郁量表(≥-9)得分分别为28.66%和25.83%。Logistic回归分析显示，新冠肺炎危机与EPDS≥9呈负相关；具体而言，社会支持减少和经济关注被确定为危险因素。与新冠肺炎相关的经历显著提高了母亲的焦虑、快感、抑郁等因子分。结论在新冠肺炎危机期间，面临社会支持和收入贬值的母亲人数有所增加。此外，在危机期间度过围产期增加了面临意外变化的倾向，例如更换分娩医院或取消育儿课程。这些多重因素与产后妇女患抑郁症的风险增加有关。在长期的危机中，产后心理健康应慎重对待，预防感染。
ObjectiveThis study explores the depressive symptoms in postpartum women during the coronavirus disease 2019 (COVID-19) crisis in Japan.MethodsAn online survey conducted from May 31 to June 6, 2020 resulted in 3073 responses obtained from mothers with infants < 12 mo.ResultsThe point prevalence of the Edinburgh Postnatal Depression Scale (EPDS) score of ≥ 9 was 28.66% for primipara and 25.83% for multipara. Logistic regression analysis indicated a negative association between the COVID-19 crisis and EPDS ≥ 9; specifically, decreased social support and financial concern were identified as risk factors. The COVID-19–related experiences significantly increased the score of each factor of EPDS, ie, anxiety, anhedonia, and depression.ConclusionsDuring the COVID-19 crisis, the number of mothers who faced depreciation in social support and income had increased. Moreover, spending their perinatal period during the crisis increased the propensity of facing unexpected changes, such as changes of hospitals for delivery, or cancellation of parenting classes. These multiple factors were associated with an elevated risk of depression in postpartum women. In a prolonged crisis, postpartum mental health should be treated carefully with the prevention of infection.