The effect of social restrictions, loss of social support, and loss of maternal autonomy on postpartum depression in 1 to 12-months postpartum women during the COVID-19 pandemic.
The effect of social restrictions, loss of social support, and loss of maternal autonomy on postpartum depression in 1 to 12-months postpartum women during the COVID-19 pandemic.
复制标题
DOI：
10.1016/j.jad.2022.03.056
复制
发表时间：
2022-06-15
影响因子：
6.6
通讯作者：
Tabuchi T
中科院分区：
文献类型：
--
作者：
Tsuno K;Okawa S;Matsushima M;Nishi D;Arakawa Y;Tabuchi T
这项研究的重点是产后妇女，她们是COVID-19大流行期间最脆弱的人群之一，旨在揭示社会限制、失去社会支持和失去自主权对心理健康的影响。我们于2020年10月在日本对产后妇女进行了一项横断面研究（N = 600）。采用爱丁堡产后抑郁量表（EPDS）测量产后抑郁。通过对数二项回归模型估计患病率，调整了年龄、教育程度、家庭收入、居住区域、平价、分娩时间和既往抑郁症史。产后抑郁患病率分别为28.7% （EPDS≥9，日本常用）、18.6%（≥11）和13.1%（≥13）。社会限制，包括取消保健专业人员的家访和取消婴儿检查或接种疫苗，在怀孕期间或分娩后失去支持，包括失去与保健专业人员或朋友咨询的机会，取消父母或其他家庭成员的访问支持，以及失去分娩或母乳喂养的自主权，这些都与产后抑郁症有关。在COVID-19大流行期间分娩和抚养婴儿的妇女中，至少有13%出现了产后抑郁症状。与COVID-19相关的社会限制以及卫生保健专业人员、家庭和朋友的社会支持的丧失与产后抑郁症显著相关。此外，产妇分娩和母乳喂养自主权的丧失与产后抑郁症有关。结果表明，正式和非正式的支持不应局限于预防大流行期间的产后抑郁症。
This study focused on postpartum women, who are one of the most vulnerable populations during the COVID-19 pandemic, aiming to reveal mental health consequences of social restrictions, loss of social support, and loss of autonomy. We conducted a cross-sectional study for postpartum women in October 2020 in Japan (N = 600). The Edinburgh Postpartum Depression Scale (EPDS) was used to measure postpartum depression. The prevalence ratios were estimated by log-binomial regression models, adjusting for age, education, household income, residential area, parity, the timing of delivery, and a prior history of depression. The prevalence of postpartum depression was 28.7% (EPDS ≥9, which is frequently used in Japan), 18.6% (≥11), and 13.1% (≥13). Social restrictions, including cancellation of home visits by healthcare professionals and cancellation of infant checkups or vaccinations, loss of support during pregnancy or after delivery, including loss of opportunities to consult with healthcare professionals or friends and cancellation of parents or other family members' visits to support, and loss of autonomy about delivery or breastfeeding, were associated with postnatal depression. At least 13% of women who delivered and raised babies during the COVID-19 pandemic had postpartum depressive symptoms. COVID-19 related social restrictions and loss of social support from healthcare professionals, families, and friends were significantly associated with postpartum depression. In addition, loss of maternal autonomy in delivery and breastfeeding was associated with postpartum depression. The results indicate that both formal and informal support should not be limited to preventing postpartum depression during a pandemic.
登录
查看更多内容
影响因子：
2.9
作者：
Miyawaki A;Tabuchi T;Tomata Y;Tsugawa Y
通讯作者：
Tsugawa Y
影响因子：
2.8
作者：
OHara, MW;Swain, AM
通讯作者：
Swain, AM
影响因子：
6.6
作者：
Lebel, Catherine;MacKinnon, Anna;Giesbrecht, Gerald
通讯作者：
Giesbrecht, Gerald
影响因子：
7.6
作者：
COLLINS, NL;DUNKELSCHETTER, C;SCRIMSHAW, SCM
通讯作者：
SCRIMSHAW, SCM
影响因子：
2.3
作者：
An R;Chen X;Wu Y;Liu J;Deng C;Liu Y;Guo H
通讯作者：
Guo H