School of Social Development and Public Policy, Beijing Normal University, Beijing, China.
School of Social Development and Public Policy, China Institute of Health, Beijing Normal University, Beijing, China.
J Affect Disord. 2013 Nov;151(2):566-572. doi: 10.1016/j.jad.2013.06.048. Epub 2013 Jul 18.
On May 12, 2008, a powerful 8.0 magnitude earthquake struck China's Sichuan province. While some studies have assessed the mental and physical wellbeing of disaster victims, few have examined the long-term impact of natural disasters on pregnant women's mental health. As such, this study aims to assess whether the Sichuan earthquake continues to negatively affect women's mental health, 4 years since its occurrence. In addition, predictive and protective risk factors of depressive symptoms among pregnant women were also identified.
From June 2012 to October 2012, 520 pregnant women were interviewed, of whom 253 were from an earthquake struck area and 267 were from a non-earthquake struck area. Symptoms of antenatal depression were measured using the Edinburgh Postnatal Depression Scale (EPDS) with a cutoff of≥10.
The prevalence rate of depression among pregnant women in the earthquake area was 34.5% (95% CI, 28.9-40.6), while the rate in the non-earthquake area was 39.6% (95% CI, 33.9-45.5). The perceived stresses associated with pregnancy and social support from husbands are significantly correlated with antenatal depression.
Lack of diagnosis for antenatal depression and it is a self-report evaluation.
This study found that the Sichuan earthquake does not necessarily have a long-lasting effect on pregnant women who were once victims of the disaster. It was found that pregnant women who experience high levels of pressures from the pregnancy and receive medium support from husbands are more susceptible to experience antenatal depression than pregnant women who perceive higher levels of support from husbands.
2008 年 5 月 12 日，中国四川省发生了一场强烈的 8.0 级地震。虽然一些研究评估了灾难受害者的身心健康，但很少有研究调查自然灾害对孕妇心理健康的长期影响。因此，本研究旨在评估四川地震是否仍在对 4 年前发生地震的孕妇的心理健康产生负面影响。此外，还确定了孕妇抑郁症状的预测和保护风险因素。
2012 年 6 月至 2012 年 10 月，对 520 名孕妇进行了访谈，其中 253 名来自地震灾区，267 名来自非地震灾区。采用爱丁堡产后抑郁量表（EPDS）对产前抑郁症状进行测量，截断值为≥10。
地震灾区孕妇的抑郁发生率为 34.5%（95%CI，28.9-40.6），非地震灾区为 39.6%（95%CI，33.9-45.5）。与妊娠相关的感知压力和来自丈夫的社会支持与产前抑郁显著相关。
缺乏对产前抑郁症的诊断，且这是一种自我报告的评估。
本研究发现，四川地震对曾经是灾难受害者的孕妇不一定有持久的影响。研究发现，与感知到丈夫给予更高支持的孕妇相比，经历较高妊娠压力且从丈夫处获得中等支持的孕妇更容易出现产前抑郁。
