Impact of some social and clinical factors on the development of postpartum depression in Chinese women
Impact of some social and clinical factors on the development of postpartum depression in Chinese women
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DOI：
10.1186/s12884-020-02906-y
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发表时间：
2020-04-16
影响因子：
3.1
通讯作者：
Liu, Yungang
中科院分区：
文献类型：
--
作者：
Li, Qing;Yang, Shunyu;Liu, Yungang
背景产后抑郁症（PPD）很普遍，可能对母亲和儿童的健康产生重大不利影响。根据以往的研究，产后抑郁症的病因大多来自西方社会，可能有复杂的病因，如遗传、社会和心理因素。本研究的目的是探讨一些社会和临床因素，特别是中国特有的因素与显着的产后抑郁症症状的关联。方法采用自我报告式问卷，随机招募 556 名孕 36 至 40 周的孕妇进行横断面研究，收集母亲的社会人口学和临床信息。在产后第 2 至第 4 个月，522 名参与者对我们根据爱丁堡产后抑郁量表评分 >= 9 进行的显着 PPD 症状筛查做出了回应。 结果 共有 90 名 (17.3%) 参与者被确定患有显着 PPD 症状，并且在有显着 PPD 症状 (PPD+) 的女性中比症状较少 (PPD-) 的女性更常见以下因素： 公公婆婆对参与者生活的深入参与（与她同居、照顾她或歧视女婴）、丈夫缺乏支持、剖腹产、母乳不足（补充配方奶粉）。经多元Logistic回归分析发现，公公婆婆重男轻女、对丈夫支持不满、剖腹产、混合喂养与显着PPD症状呈强相关。结论“重男轻女”习惯、剖腹产、混合喂养等显着PPD症状的潜在危险因素值得持续、特别是基于临床诊断的纵向研究予以证实。
BackgroundPostpartum depression (PPD) is prevalent and may present major adverse impacts on mother and child health. According to previous studies, mostly from the western society, PPD may have complicated etiologies, such as genetic, social and psychological factors. The aim of this study was to explore the associations of some social and clinical factors, particularly those unique in Chinese, with significant PPD symptoms.MethodsA sample of 556 pregnant women in their 36th to 40th gestational week were randomly recruited in a cross-sectional study using a self-reported questionnaire, which collected maternal sociodemographic and clinical information. During their 2nd to 4th postpartum months, 522 participants responded to our screening of significant PPD symptoms, based on a score of Edinburgh Postnatal Depression Scale >= 9.ResultsA total of 90 (17.3%) participants were identified with significant PPD symptoms, and the following factors were observed more frequently in women with significant PPD symptoms (PPD+) than with fewer symptoms (PPD-): intensive involvement of parents-in-law in a participant's life (living together with her, taking care of her, or discriminating against a female baby), lack of support from husband, cesarean delivery, and breast milk insufficiency (supplemented with formula). After multiple logistic regression analysis, parents-in-law's preference to baby boy while devaluing baby girl, dissatisfaction with husband's support, cesarean delivery, and mixed feeding were strongly associated with significant PPD symptoms.ConclusionThe potential risk factors for significant PPD symptoms, i.e., "son preference" custom, cesarean delivery and mixed feeding, deserve confirmation in continued, especially clinical diagnosis-based longitudinal studies.