Correlates of postnatal depression in mothers and fathers
Correlates of postnatal depression in mothers and fathers
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DOI：
10.1192/bjp.169.1.36
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发表时间：
1996-07-01
影响因子：
10.5
通讯作者：
Figueiredo, E
中科院分区：
文献类型：
--
作者：
Areias, MEG;Kumar, R;Figueiredo, E
背景作为纵向研究的一部分，我们比较和对比了第一个孩子活产后父亲和母亲抑郁的一些相关因素。54个第一次在葡萄牙波尔图参加产科服务的母亲和42个她们的丈夫或伴侣参加了一项关于她们心理健康的纵向研究。所有受试者在出生前6个月和出生后12个月进行半结构化临床访谈（SADS），子样本在出生后3个月进行访谈。在所有这些时间里，所有的母亲和父亲还完成了抑郁症自评量表的翻译版本，爱丁堡产后抑郁量表（EPDS）和一系列其他问卷调查和访谈，以测量不同的心理社会变量。采用Logistic回归分析方法，对出生后第一年抑郁症的危险因素进行分析。在母亲中，除了抑郁症史，唯一其他有力的产后抑郁症预测因子是生活事件的平均客观负面影响评分。父亲的“产后”抑郁症与他们自己的抑郁症史以及他们的妻子或伴侣在怀孕期间和分娩后不久的抑郁症有关。预防和早期治疗父亲的抑郁症不仅对他们自己有利，而且对他们的配偶和子女也有好处。
Background. We compare and contrast some correlates of paternal and maternal depression after the live birth of a first child, as part of a longitudinal study.Method. Fifty-four first-time mothers attending obstetric services in Oporto, Portugal, and 42 of their husbands or partners participated in a longitudinal study of their mental health. All subjects were given a semi-structured clinical interview (SADS) at six months antenatally and at 12 months postnatally and sub-samples were interviewed at three months postnatally. At all these times all the mothers and fathers also completed a translated version of a self-rating scale for depression, the Edinburgh Postnatal Depression Scale (EPDS) and a series of other questionnaires and interviews to measure different psychosocial variables. Profiles of risk factors associated with depression in the first postnatal year were analysed by means of logistic regressions.Results. In the mothers, aside from a history of depression, the only other powerful predictor of postnatal depression was the mean objective negative impact score of life events. 'Postnatal' depression in fathers was associated with a history of depression in themselves and with the presence of depression in their wives or partners during pregnancy and soon after delivery.Conclusion. Prevention and early treatment of depression in fathers may benefit not only themselves but also their spouses and their children.