Department of Psychiatry, Trabzon Kanuni Research and Training Hospital , Trabzon , Turkey.
Int J Psychiatry Clin Pract. 2013 Oct;17(4):298-306. doi: 10.3109/13651501.2013.821493. Epub 2013 Sep 25.
It remains unclear whether or not the vulnerability of depression in women of reproductive age is related with pregnancy or perinatal period. The aim of the study was to determine the prevalence of depressive disorders and related factors in a large sample of non-perinatal women of reproductive age.
This study involved 589 women of reproductive age. At baseline, sociodemographic data and premenstrual assessment forms were completed, and screening tests for the assessment of the severity of depressive symptoms were administered to all of the participants. Participants who had over scale scores of the cut-off point in the screening instruments were assessed with module A of the Structured Clinical Interview for DSM Disorders (SCID-I) to determine DSM IV Axis I disorders.
The prevalence of depressive disorders was 32.8%. Depressive disorders had high rates in women who were married at younger ages and who had three or more children. Although the prevalence of depressive disorders was 32.8%, only 10.4% of the women had follow-up and treatment in a psychiatric outpatient clinic.
Low education levels, early maternal age, and having more than three children and higher premenstrual symptom scores were risk factors for depressive disorders in non-perinatal reproductive age.
目前尚不清楚生育期女性的抑郁脆弱性是否与妊娠或围产期有关。本研究的目的是在大量非围产期生育期女性中确定抑郁障碍的患病率及其相关因素。
本研究纳入了 589 名生育期女性。在基线时，完成了社会人口统计学数据和经前评估表，并对所有参与者进行了评估严重程度的抑郁症状筛查测试。在筛查工具的得分超过截断点的参与者中，使用 DSM 障碍的结构临床访谈模块 A（SCID-I）进行评估，以确定 DSM-IV 轴 I 障碍。
抑郁障碍的患病率为 32.8%。在较年轻结婚和有三个或更多孩子的女性中，抑郁障碍的发生率较高。尽管抑郁障碍的患病率为 32.8%，但只有 10.4%的女性在精神病门诊进行了随访和治疗。
低教育水平、初产妇年龄、有三个以上孩子和经前症状评分较高是生育期非围产期抑郁障碍的危险因素。
