Weidner Kerstin, Bittner Antje, Pirling Sarah, Galle Michaela, Junge-Hoffmeister Juliane, Einsle Franziska, Stöbel-Richter Yve
Dr. rer. nat. Antje Bittner, Universitätsklinikum Carl Gustav Carus Dresden, Klinik und Poliklinik für Psychotherapie und Psychosomatik, Fetscherstr. 74, 01307 Dresden, E-Mail:
Z Psychosom Med Psychother. 2013;59(4):391-407.
This article examines the associations between protective factors und the occurrence of postpartum depressive symptoms.
Using a prospective-longitudinal design 303 pregnant women were examined at 3 points in time (T1: 1st trimester, T2: 3rd trimester, T3: 3-5 months postpartum). The analyses are based on T1 and T3.
Sense of coherence (SOC-L9, Schumacher et al. 2000) at 1st trimester was on average 51.7 (SD = 7.2) - significantly above the mean of a comparison sample. 37 women (15.4 %) had a score of 10 or more on the Edinburgh Postnatal Depression Scale (EPDS, Cox et al. 1987) 3 to 5 months postpartum. Pregnant women who stated that their pregnancy had been planned and desired, with a higher marital and overall life satisfaction as well as a higher sense of coherence, had a significantly lower risk for the development of postpartum depression. Using multiple regression it was found that only sense of coherence significantly predicted postpartum depression.
The results suggest that a higher sense of coherence at first trimester is an important protective factor for the occurrence of postpartum depression.
本文探讨保护因素与产后抑郁症状发生之间的关联。
采用前瞻性纵向设计，在三个时间点对303名孕妇进行检查（T1：孕早期，T2：孕晚期，T3：产后3至5个月）。分析基于T1和T3的数据。
孕早期的连贯感（SOC-L9，舒马赫等人，2000年）平均为51.7（标准差=7.2），显著高于对照样本的均值。37名女性（15.4%）在产后3至5个月时爱丁堡产后抑郁量表（EPDS，考克斯等人，1987年）得分达到或超过10分。那些表示自己的怀孕是计划之中且是期望的，婚姻和总体生活满意度较高以及连贯感较强的孕妇，产后抑郁发作的风险显著较低。通过多元回归发现，只有连贯感能显著预测产后抑郁。
结果表明，孕早期较高的连贯感是产后抑郁发生的一个重要保护因素。
