Department of Psychiatric Nursing, College of Nursing, Christian Medical College, Vellore, India.
Int J Soc Psychiatry. 2010 Jan;56(1):94-102. doi: 10.1177/0020764008097756. Epub 2009 Nov 11.
Post-partum depression, although heterogeneous, is often considered a medical disease when viewed from the biomedical perspective. However, recent reports from the Indian subcontinent have documented psychosocial causal factors.
This study employed qualitative methodology in a representative sample of women in rural South India. Women in the post-partum period were assessed using the Tamil versions of the Short Explanatory Model Interview, the Edinburgh Postnatal Depression Scale and a semi-structured interview to diagnose ICD 10 depression. Socio-demographic and clinical details were also recorded.
Some 137 women were recruited and assessed, of these, 26.3% were diagnosed to have post-partum depression. The following factors were associated with post-partum depression after adjusting for age and education: age less than 20 or over 30 years, schooling less than five years, thoughts of aborting current pregnancy, unhappy marriage, physical abuse during current pregnancy and after childbirth, husband's use of alcohol, girl child delivered in the absence of living boys and a preference for a boy, low birth weight, and a family history of depression. Post-partum depression was also associated with an increased number of causal models of illness, a number of non-medical models, treatment models and non-medical treatment models.
Many social and cultural factors have a major impact on post-partum depression. Post-partum depression, when viewed from a biomedical framework, fails to acknowledge the role of context in the production of emotional distress in the post-partum period.
从生物医学角度来看，产后抑郁症虽然具有异质性，但通常被视为一种医学疾病。然而，最近来自印度次大陆的报告记录了心理社会因果因素。
本研究在印度南部农村的代表性妇女样本中采用定性方法。使用泰米尔语版简短解释性模型访谈、爱丁堡产后抑郁量表和半结构化访谈对处于产后阶段的妇女进行评估，以诊断 ICD 10 抑郁症。还记录了社会人口统计学和临床详细信息。
共招募和评估了 137 名妇女，其中 26.3%被诊断为产后抑郁症。在调整年龄和教育程度后，以下因素与产后抑郁症相关：年龄小于 20 岁或大于 30 岁、受教育程度少于 5 年、当前怀孕时堕胎的想法、不幸福的婚姻、怀孕期间和分娩后遭受身体虐待、丈夫酗酒、没有活的男孩而只有女孩、偏好男孩、低出生体重，以及家族抑郁症病史。产后抑郁症也与更多的疾病因果模型、更多的非医学模型、治疗模型和非医学治疗模型相关。
许多社会和文化因素对产后抑郁症有重大影响。从生物医学框架来看，产后抑郁症未能承认背景在产后期间产生情绪困扰中的作用。
