Prevalence of and Risk Factors for Depressive Symptoms in Korean Women throughout Pregnancy and in Postpartum Period
Prevalence of and Risk Factors for Depressive Symptoms in Korean Women throughout Pregnancy and in Postpartum Period
复制标题
DOI：
10.1016/j.anr.2015.03.004
复制
发表时间：
2015-09-01
影响因子：
2.2
通讯作者：
Zhang, Hongmei
中科院分区：
文献类型：
--
作者：
Park, Jeong-Hwan;Karmaus, Wilfried;Zhang, Hongmei
目的：产前抑郁症是产后抑郁症的重要预测因素。然而，有一个缺乏研究的危险因素，韩国妇女有关产前抑郁症和产前抑郁症之间的关系，在三个孕期和产后抑郁症。因此，本研究的目的是（1）确定所有三个孕期和产后期间抑郁症的患病率，（2）评估每个孕期产前抑郁症与产后抑郁症之间的关系，（3）根据韩国妇女的社会人口学因素确定产前抑郁症的关系和差异。153名韩国妇女从韩国的三个妇产科诊所招募。采用韩国版爱丁堡产后抑郁量表（Edinburgh Postnatal Depression Scale-Korean）对100例孕妇在妊娠早期、妊娠中期（24-26周）、妊娠晚期（32-34周）及产后4周进行产前及产后抑郁症的评估。孕中晚期抑郁与产后抑郁显著相关。失业和家庭收入是产前抑郁症的危险因素，在第一和第二trimesters.Conclusions：为了帮助妇女患有产后抑郁症，并防止其影响，妇女应筛查产前抑郁症在所有三个孕期。对于具有产前抑郁症高危因素的韩国妇女，我们建议韩国政府建立与抑郁症筛查相关的医疗保健政策，作为常规产前护理和心理健康转诊系统。Copyright（C）2015，Korean Society of Nursing Science.由Elsevier出版。All rights reserved.
Purpose: Prenatal depression is a significant predictor for postpartum depression. However, there is a lack of research on risk factors for Korean women related to prenatal depression and the relationship between prenatal depression during the three trimesters and postpartum depression. Therefore, aims of this study were (1) to identify the prevalence of depression during all three trimesters and the postpartum period, (2) to evaluate the relationship between prenatal depression in each trimester and postpartum depression, and (3) to identify the relationship and differences in prenatal depression based on sociodemographic factors in Korean women.Methods: One hundred and fifty three Korean women were recruited from three maternity clinics in Korea. Prenatal and postpartum depressions were evaluated in the first, second (24-26 weeks), third (32-34 weeks) trimester and 4 weeks postpartum with the Edinburgh Postnatal Depression Scale-Korean.Results: The prevalence of depression in the prenatal and postpartum period ranged from 40.5% to 61.4%. Depression in the second and the third trimester was significantly correlated with depression in the postpartum period. Unemployment and household income were risk factors for prenatal depression in the first and second trimesters.Conclusions: To assist women suffering from postpartum depression and prevent its effects, women should be screened for prenatal depression during all three trimesters. For Korean women with high risk factors for prenatal depression, we suggest that the Korean government establish healthcare policies related to depression screening as routine prenatal care and mental health referral systems. Copyright (C) 2015, Korean Society of Nursing Science. Published by Elsevier. All rights reserved.