Yanikkerem Emre, Ay Semra, Mutlu Selviye, Goker Asli
School of Health, Celal Bayar University, Istasyon mevki, Manisa, Turkey.
J Pak Med Assoc. 2013 Apr;63(4):472-7.
To assess the prevalence and associated risk factors for antenatal depression.
From April to September 2011, a total of 651 pregnant women who had no chronic diseases, were at low risk for obstetric complications and who had no diagnosed depression before pregnancy were recruited for interview at Merkez Efendi Hospital, Maternal and Child out-patient department in western Turkey. The evaluation of depression was scored according to the Beck Depression Inventory. Statistical analysis was carried out using Chi-square, Fisher exact, t test and stepwise multiple regression analyses.
Of the total, 71 (10.9%) women scored > or = 17 on the inventory. Low level of education, unplanned pregnancy, lack of social support and pregnancy-related physical symptoms were found to be the most important risk factors for antenatal depression.
Early identification and treatment of antenatal depression may improve pregnancy outcomes, and healthcare providers need to be sensitive to the risk factors for depression and strengthen the women's skills in coping with stress to improve their emotional health.
评估产前抑郁症的患病率及相关危险因素。
2011年4月至9月，在土耳其西部梅尔凯兹埃芬迪医院母婴门诊部招募了651名无慢性病、产科并发症风险低且孕前未诊断出抑郁症的孕妇进行访谈。根据贝克抑郁量表对抑郁症进行评分。采用卡方检验、费舍尔精确检验、t检验和逐步多元回归分析进行统计分析。
总共有71名（10.9%）女性在量表上得分≥17分。低教育水平、意外怀孕、缺乏社会支持和与怀孕相关的身体症状被发现是产前抑郁症最重要的危险因素。
早期识别和治疗产前抑郁症可能改善妊娠结局，医疗保健提供者需要对抑郁症的危险因素保持敏感，并加强女性应对压力的技能，以改善她们的情绪健康。
