Perinatal Distress and Depression in Culturally and Linguistically Diverse (CALD) Australian Women: The Role of Psychosocial and Obstetric Factors
Perinatal Distress and Depression in Culturally and Linguistically Diverse (CALD) Australian Women: The Role of Psychosocial and Obstetric Factors
复制标题
DOI：
10.3390/ijerph16162945
复制
发表时间：
2019-08-14
影响因子：
--
通讯作者：
Eastwood, John
中科院分区：
文献类型：
--
作者：
Ogbo, Felix Akpojene;Ezeh, Osita Kingsley;Eastwood, John
围产期痛苦和抑郁症可能对母亲和婴儿产生重大影响。本研究探讨了社会心理和产科因素与围产期的困扰和抑郁症状之间的文化和语言多样性（CALD）澳大利亚妇女在悉尼，新南威尔士州。该研究使用了澳大利亚两个地方卫生区（N = 25，407）的回顾性关联母婴健康数据。采用爱丁堡产后抑郁量表（EPDS，评分为10-12）和抑郁症状（EPDS评分为13或以上）测量围产期窘迫。多元多项逻辑回归模型被用来调查心理社会和产科因素与围产期窘迫和抑郁症状之间的关联。CALD澳大利亚妇女围产期窘迫和抑郁症状的患病率为产前窘迫10.1%;产前抑郁症状7.3%;产后窘迫6.2%和产后抑郁症状3.7%。产后抑郁和抑郁症状与缺乏伴侣支持、亲密伴侣暴力、母亲童年虐待史和儿童保护服务机构了解有关。产前窘迫和抑郁症状与产后窘迫和抑郁症状密切相关。较高的社会经济地位对产前和产后抑郁症状有保护作用。我们的研究表明，目前的围产期心理健康筛查和转诊临床评估是必不可少的，也支持重新审查围产期心理健康政策，以确保获得符合患者需求的文化敏感的心理健康护理。
Perinatal distress and depression can have significant impacts on both the mother and baby. The present study investigated psychosocial and obstetric factors associated with perinatal distress and depressive symptoms among culturally and linguistically diverse (CALD) Australian women in Sydney, New South Wales. The study used retrospectively linked maternal and child health data from two Local Health Districts in Australia (N = 25,407). Perinatal distress was measured using the Edinburgh Postnatal Depression Scale (EPDS, scores of 10-12) and depressive symptoms, with EPDS scores of 13 or more. Multivariate multinomial logistic regression models were used to investigate the association between psychosocial and obstetric factors with perinatal distress and depressive symptoms. The prevalence of perinatal distress and depressive symptoms among CALD Australian women was 10.1% for antenatal distress; 7.3% for antenatal depressive symptoms; 6.2% for postnatal distress and 3.7% for postnatal depressive symptoms. Antenatal distress and depressive symptoms were associated with a lack of partner support, intimate partner violence, maternal history of childhood abuse and being known to child protection services. Antenatal distress and depressive symptoms were strongly associated with postnatal distress and depressive symptoms. Higher socioeconomic status had a protective effect on antenatal and postnatal depressive symptoms. Our study suggests that current perinatal mental health screening and referral for clinical assessment is essential, and also supports a re-examination of perinatal mental health policy to ensure access to culturally responsive mental health care that meets patients' needs.