College of Nursing, University of Saskatchewan, Saskatoon, SK, Canada.
J Epidemiol Community Health. 2009 May;63(5):414-6. doi: 10.1136/jech.2008.078832. Epub 2009 Jan 20.
Antenatal depression is potentially deleterious to the mother and baby. Canadian Aboriginal women have an increased risk for living in poverty, family violence, and substance use; however, little is known about antenatal depression in this group. The aim of this study was to determine the prevalence and correlates of depression in socially high-risk, mostly Aboriginal pregnant women.
Women (Aboriginal and non-Aboriginal), in two prenatal outreach programmes were approached and depressive symptoms between the two groups were compared, using the Edinburgh Postnatal Depression Scale (EPDS).
Sixty per cent (n = 402) of potential participants were recruited for the study. The prevalence of depression was 29.5% (n = 402). Depression was associated with a history of depression, mood swings, increased stressors, current smoker, and lack of social support. Aboriginal women were more likely to be depressed, but this was not significantly higher than non-Aboriginal women; however, they did experience significantly more self-harm thoughts. Exercise was a significant mediator for depression.
The prevalence of antenatal depression confirms rates in other high-risk, ethnic minority groups of women. A previous history of depression and mood problems were associated with depression, thus prenatal care should include a careful mental health assessment. On a positive note, the present study suggests that exercise may mediate antenatal depression.
产前抑郁症可能对母亲和婴儿都有害。加拿大原住民妇女面临更高的贫困、家庭暴力和药物滥用风险；然而，对于这一群体的产前抑郁症知之甚少。本研究旨在确定社会高危、主要是原住民孕妇中抑郁的患病率及其相关因素。
在两个产前外展计划中，接触了妇女（原住民和非原住民），并使用爱丁堡产后抑郁量表（EPDS）比较了两组之间的抑郁症状。
研究招募了 60%（n=402）的潜在参与者。抑郁的患病率为 29.5%（n=402）。抑郁与抑郁症史、情绪波动、压力增加、当前吸烟者和缺乏社会支持有关。原住民妇女更容易抑郁，但这一比例并不明显高于非原住民妇女；然而，她们确实经历了更多的自残想法。运动是抑郁的一个重要调节因素。
产前抑郁症的患病率证实了其他高风险、少数民族妇女群体的发病率。既往的抑郁和情绪问题与抑郁有关，因此产前护理应包括仔细的心理健康评估。积极的是，本研究表明，运动可能会调节产前抑郁症。
