Confinement and other psychosocial factors in perinatal depression: A transcultural study in Singapore
Confinement and other psychosocial factors in perinatal depression: A transcultural study in Singapore
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DOI：
10.1016/j.jad.2005.09.004
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发表时间：
2005-12-01
影响因子：
6.6
通讯作者：
Fones, CSL
中科院分区：
文献类型：
--
作者：
Chee, CYI;Lee, DTS;Fones, CSL
背景资料：调查新加坡妇女围产期抑郁症的患病率，社会文化和心理社会的危险因素。方法：一个前瞻性队列的559名妇女进行了产前和产后6周在一家三级医院。妇女进行了采访，抑郁症的诊断使用两个阶段的设计，筛选问卷和诊断inter-view.Results：产后，一个负面的禁闭经验与抑郁症。其他独立因素包括情感支持差，抑郁症病史，计划外怀孕和感知的潜在冲突与亲属在照顾产前和不满，产后工具支持差。产前和产后抑郁症的患病率分别为12.2%和6.8%，respectively.Limitations：社会支持的满意度的措施是基于自我报告;有高辍学率在产后六周;和其他调制社会因素，如预先存在的人际冲突weren 't studied.Conclusions：围产期抑郁症在新加坡妇女是常见的。与预期相反，负面的“分娩”经历是产后抑郁症的一个重要风险因素，并不受到女性的普遍欢迎。产前和产后抑郁症是由不同的心理社会因素调节的。(c)2005 Elsevier B. V.保留所有权利。
Background: To investigate the prevalence, socio-cultural and psychosocial risk factors for perinatal depression in Singaporean women.Method: A prospective cohort of 559 women was interviewed antenatally and at six weeks' postpartum at a tertiary hospital. Women were interviewed for diagnosis of depression using a two-stage design, with a screening questionnaire and diagnostic inter-view.Results: Postnatally, a negative confinement experience was associated with depression. Other independent factors included poor emotional support, a past history of depression, unplanned pregnancy and perceived potential conflicts with relatives over childcare antenatally and dissatisfaction, poor instrumental support postnatally. The prevalence of depression antenatally and postnatally was 12.2% and 6.8%, respectively.Limitations: Measures of satisfaction with social support were based on self-report; there were high dropout rates at six weeks' postpartum; and other modulating social factors such as pre-existing interpersonal conflicts were not studied.Conclusions: Perinatal depression in Singaporean women is common. Contrary to expectations, a negative 'confinement' experience is a significant risk factor for postnatal depression, and is not universally welcomed by women. Depression is modulated by dissimilar sets of psychosocial factors antenatally and postnatally. (c) 2005 Elsevier B.V. All rights reserved.