Rabiei Leili, Mazaheri Maryam Amidi, Masoudi Reza, Hasheminia Sayed Ali Mohammad
Health Services Department, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Nursing, Shahrekord University of Medical Sciences, Shahrekord, Iran.
J Res Med Sci. 2014 Mar;19(3):251-6.
Postpartum depression is endangering the health of mothers and has negative impacts on the evolution of social communication and newborns evolution. This study was conducted to determine the effects of Fordyce Happiness program on the postpartum depression.
This quasi-experimental intervention carried out on postpartum mothers that referred to 4 health centers in Isfahan. A total of 133 mothers were selected by convenient sampling and then randomly allocated in two groups (63 and 70 mothers for intervention and control respectively). Maternal depression 3 times before, immediate and 1 months after intervention in both groups was evaluated with Beck Depression Inventory-II-Persian standardized questionnaires. Educational sessions based on the Fordyce happiness program were conducted for intervention group. Data was analyzed in SPSS17 (SPSS Inc, Chicago, Illinois) descriptive and analytic statistical tests at significance level of 0.05.
No significant differences in demographic variables between the two groups (P ≥ 0.05). No significant differences in depression scores in the two groups before training. However after 2 months a significant difference in depression score was observed between two groups (control group: 19.38 ± 3.94; intervention group: 16.24 ± 4.8; P < 0.001). Furthermore in intervention group showed significant differences in depression scores before and after intervention (19.15 ± 3.41 and 16.24 ± 4.83; P < 0.001). However in the control group had not any significant change.
Fordyce happiness program was effective in reducing postpartum depression in our study. With attention to the effectiveness and low cost of this program, it is recommended that this program might be considered for all mothers after childbirth in health centers or other community-based settings.
产后抑郁症危及母亲健康，并对社会交往的发展和新生儿的成长产生负面影响。本研究旨在确定福代斯幸福计划对产后抑郁症的影响。
本准实验性干预研究在伊斯法罕的4个健康中心的产后母亲中进行。通过便利抽样共选取了133名母亲，然后随机分为两组（干预组63名母亲，对照组70名母亲）。两组均在干预前、干预即刻和干预后1个月使用贝克抑郁量表-II-波斯语标准化问卷评估产妇抑郁情况。对干预组开展基于福代斯幸福计划的教育课程。在SPSS17（SPSS公司，伊利诺伊州芝加哥）中进行数据分析，采用描述性和分析性统计检验，显著性水平为0.05。
两组在人口统计学变量上无显著差异（P≥0.05）。训练前两组抑郁评分无显著差异。然而，2个月后两组抑郁评分出现显著差异（对照组：19.38±3.94；干预组：16.24±4.8；P<0.001）。此外，干预组干预前后抑郁评分有显著差异（19.15±3.41和16.24±4.83；P<0.001）。然而，对照组没有任何显著变化。
在我们的研究中，福代斯幸福计划在降低产后抑郁症方面是有效的。鉴于该计划的有效性和低成本，建议在健康中心或其他社区环境中，考虑对所有产后母亲实施该计划。
