Correlates of early postpartum depressive symptoms.
Correlates of early postpartum depressive symptoms.
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DOI：
10.1007/s10995-005-0048-9
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发表时间：
2006-03
影响因子：
2.3
通讯作者：
Leventhal H
中科院分区：
文献类型：
--
作者：
Howell EA;Mora P;Leventhal H
背景：产后抑郁症状对母亲和婴儿的生活质量和日常功能产生负面影响。很少有研究探讨的影响，如身体症状负担和功能的情况下，产后早期抑郁症状。目的：探讨产后早期抑郁症状的情况因素之间的关联。方法：对720名产后2 ~ 6周的母亲进行横断面电话调查。母亲报告的人口因素，身体和心理症状，日常功能，婴儿的行为，社会支持，以及在管理婴儿和家庭的技能。这些因素与产后抑郁症状之间的关联进行了调查与双变量和多变量analysis.Results：近，39%的患者筛查阳性的抑郁症状。双变量分析显示，有症状的患者更有可能是非白人、收入较低、受教育程度较低、有抑郁症病史、身体症状负担较高、身体功能限制较多、婴儿绞痛较多、获得的社会支持较少。与没有抑郁症症状的患者相比，自我效能评分较低。在预测抑郁症状的多变量模型中，（比值比（OR）为1.96，95%置信区间（CI）为1.38，2.78），身体症状更多（OR 1.16，95% CI 1.01，1.32），婴儿绞痛（OR 1.79，95% CI 1.29，2.50）缺乏社会支持（OR 0.90，95% CI 0.86，0.95），自我效能评分较低（OR 0.90，95%CI 0.86，0.94）与抑郁症状相关。非白人种族、身体症状负担、婴儿绞痛、缺乏社会支持和较低的自我效能得分与产后早期抑郁症状相关。需要进一步的研究来调查提供社会支持和教学技能以提高自我效能是否会减少产后早期抑郁症状的发生率。
Background: Postpartum depressive symptoms negatively affect the quality of life and daily functioning of mothers and infants. Little research has examined the impact of situational factors such as physical symptom burden and function on early postpartum depressive symptoms.Objectives: To explore the association between situational factors and early postpartum depressive symptoms. To predict correlates of early postpartum depressive symptoms.Methods: Cross sectional telephone survey of 720 mothers between 2 and 6 weeks postpartum. Mothers reported on demographic factors, physical and psychological symptoms, daily function, infant behaviors, social support, and skills in managing infant and household. The association between these factors and postpartum depressive symptoms were investigated with bivariate and multivariable analyses.Results: Nearly, 39% of patients screened positive for depressive symptoms. Bivariate analyses showed symptomatic patients were more likely to be nonwhite, have lower incomes, less education, a past history of depression, have higher physical symptom burdens, more physical functional limitations, more infant colic, receive less social support, and have lower-self-efficacy scores as compared with patients without symptoms of depression. In a multivariable model predicting depressive symptoms, nonwhite race (odds ratio (OR) of 1.96, 95% confidence interval (CI) of 1.38, 2.78), more physical symptoms (OR 1.16, 95% CI 1.01, 1.32), infant colic (OR 1.79, 95% CI 1.29, 2.50) lack of social support (OR 0.90, 95% CI 0.86, 0.95), and lower self-efficacy scores (OR 0.90, 95% CI 0.86, 0.94) were associated with depressive symptoms.Conclusions: Nonwhite race, physical symptom burden, infant colic, lack of social support, and lower self-efficacy scores are associated with early postpartum depressive symptoms. Further research is needed to investigate whether providing social support and teaching skills to enhance self-efficacy will reduce the incidence of early postpartum symptoms of depression.
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影响因子：
120.7
作者：
WELLS, KB;STEWART, A;WARE, J
通讯作者：
WARE, J
影响因子：
3.2
作者：
Zayas, LH;Cunningham, M;Jankowski, KRB
通讯作者：
Jankowski, KRB
DOI：
10.1016/0091-2182(88)90080-8
发表时间：
1988-11-01
期刊：
JOURNAL OF NURSE-MIDWIFERY
影响因子：
--
作者：
FAWCETT, J;TULMAN, L;MYERS, ST
通讯作者：
MYERS, ST
影响因子：
7.2
作者：
Josefsson, A;Angelsiöö, L;Sydsjö, G
通讯作者：
Sydsjö, G
影响因子：
120.7
作者：
Bodenheimer, T;Lorig, K;Grumbach, K
通讯作者：
Grumbach, K