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调查产后生活质量和抑郁症状。

Investigating quality of life and depressive symptoms in the postpartum period.

机构信息

General Hospital, School of Medicine, University of Caxias do Sul, Caxias do Sul, Brazil.

出版信息

Women Birth. 2011 Mar;24(1):10-6. doi: 10.1016/j.wombi.2010.05.002. Epub 2010 Aug 24.

Abstract

BACKGROUND

Mood disturbances represent the most frequent form of maternal psychiatric morbidity in the postpartum period. Nevertheless, few studies have examined the impact of postpartum depression on the mother's quality of life. RESEARCH QUESTION OR PROBLEM: The present study aims to assess the quality of life of a sample of mothers in Southern Brazil, in order to investigate the association between postpartum depression and quality of life (QoL) standards.

PARTICIPANTS AND METHODS

This study investigates a sample of 101 adult volunteers who completed the Portuguese version World Health Organization Quality of Life Assessment-Bref (WHOQOL-Bref) and Multicultural Quality of Life Index (MQLI) questionnaires. Postnatal depressive symptoms were evaluated through the Postpartum Depression Screening Scale (PDSS) and Edinburgh Postnatal Depression Scale (EPDS). Multiple regression analyses were conducted to predict the overall PDSS and EPDS scores. Pearson Product-Moment Correlation coefficients were computed between the global scores of the quality of life measurements and the screening questionnaires for postnatal depression.

RESULTS

Both socio-economic status and quality of life have influenced significantly the depressive symptomatology and correlated epiphenomena. Significant correlations were observed among scores of postpartum depression screening tools and quality of life questionnaires. The socio-economic status of research participants was only significantly correlated to the scores generated by the WHOQOL-Bref questionnaire.

CONCLUSIONS

These findings confirm that socio-economic deficiencies and low quality of life can facilitate the expression of depressive symptomatology during the postpartum period. The results also emphasize the salience of psychosocial risk factors in the diathesis of postnatal depression.

摘要

背景

情绪障碍是产后女性精神疾病中最常见的形式。然而,很少有研究探讨产后抑郁症对母亲生活质量的影响。

研究问题

本研究旨在评估巴西南部的一组母亲的生活质量,以调查产后抑郁症与生活质量(QoL)标准之间的关系。

参与者和方法

本研究调查了 101 名成年志愿者的样本,他们完成了葡萄牙语版世界卫生组织生活质量评估量表-简短版(WHOQOL-Bref)和多元文化生活质量指数(MQLI)问卷。通过产后抑郁筛查量表(PDSS)和爱丁堡产后抑郁量表(EPDS)评估产后抑郁症状。采用多元回归分析预测总体 PDSS 和 EPDS 评分。计算生活质量测量和产后抑郁症筛查问卷的全球评分之间的 Pearson 产品矩相关系数。

结果

社会经济状况和生活质量都显著影响抑郁症状和相关的偶发症状。产后抑郁症筛查工具和生活质量问卷的评分之间存在显著相关性。研究参与者的社会经济地位仅与 WHOQOL-Bref 问卷的评分显著相关。

结论

这些发现证实,社会经济缺陷和低生活质量可能在产后期间促进抑郁症状的表达。研究结果还强调了心理社会风险因素在产后抑郁发病机制中的重要性。

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