Department of Nursing, Cumhuriyet University Faculty of Health Sciences, Sivas 58140, Turkey.
Matern Child Health J. 2010 Jul;14(4):485-91. doi: 10.1007/s10995-009-0459-0. Epub 2009 Feb 24.
The aim of this study was to evaluate prevalence and correlates of depression in pregnancy among Turkish women in Sivas, a semi-urban region consisting partly of people with low or middle socioeconomic status. This cross-sectional population-based study was conducted in 19 primary health care centers from urban areas of Sivas in Turkey. Two hundred fifty-eight eligible pregnant women were interviewed at their home to gather the study data. A questionnaire was used to determine the socio-demographics and obstetric characteristics of the study sample. The Turkish version of the Edinburg Postnatal Depression Scale (EPDS) was used to estimate the prevalence of depression. The Multidimensional Scale of Perceived Social Support (MSPSS) was used to determine the social support of pregnant women. We found that with the cutoff of 13, of 258 pregnant women, 71 (27.5%) had prenatal depression. Mean EPDS score of the study population was 9.5 +/- 5.2. We found a significant positive mild-moderate correlation between the EPDS score and maternal age (r = 0.30; P = 0.000). Significant positive mild correlations were found between the EPDS score and gravidity (r = 0.26; P = 0.000) and number of living children (r = 0.15; P = 0.042). There was a significant negative moderate correlation between the EPDS score and perceived social support score (r = -0.43; P = 0.000). The EPDS score of multiparas was significantly higher than that of primiparas (P = 0.000). EPDS scores of women with unplanned pregnancy were higher than those of women with planned pregnancies (P = 0.006). EPDS scores of women with a history of stillbirth were higher than those of women with no history of stillbirth (P = 0.044). Depression is a major public concern that needs to be at the forefront of antenatal assessments in Turkey as in other countries. Health professionals, especially nurses in prenatal settings, are in a unique position to detect antenatal depression. Nurses need to monitor pregnant women for depressive symptoms, especially those who are at increased risk of developing depression.
本研究旨在评估土耳其锡瓦斯半城市地区孕妇抑郁的患病率及其相关因素，该地区部分人群社会经济地位较低或中等。这是一项在土耳其锡瓦斯城市地区的 19 个初级保健中心进行的横断面人群研究。对 258 名符合条件的孕妇进行家访以收集研究数据。使用问卷确定研究样本的社会人口统计学和产科特征。使用土耳其版爱丁堡产后抑郁量表 (EPDS) 评估抑郁的患病率。使用多维感知社会支持量表 (MSPSS) 确定孕妇的社会支持情况。我们发现，在 258 名孕妇中，有 71 名（27.5%）孕妇产前抑郁，其 cutoff 值为 13。研究人群的平均 EPDS 得分为 9.5 +/- 5.2。我们发现 EPDS 评分与母亲年龄呈显著正相关（r = 0.30；P = 0.000），与孕次（r = 0.26；P = 0.000）和活产子女数（r = 0.15；P = 0.042）呈显著正弱相关。EPDS 评分与感知社会支持评分呈显著负中度相关（r = -0.43；P = 0.000）。多产妇的 EPDS 评分显著高于初产妇（P = 0.000）。计划外妊娠的妇女的 EPDS 评分高于计划妊娠的妇女（P = 0.006）。有死胎史的妇女的 EPDS 评分高于无死胎史的妇女（P = 0.044）。抑郁是一个主要的公共卫生问题，需要像其他国家一样，在土耳其的产前评估中处于前沿地位。卫生专业人员，特别是产前环境中的护士，处于独特的位置，可以发现产前抑郁。护士需要监测孕妇的抑郁症状，尤其是那些有更高抑郁风险的孕妇。
