Giallo Rebecca, Gartland Deirdre, Woolhouse Hannah, Brown Stephanie
Healthy Mothers Healthy Families Research Group, Murdoch Childrens Research Institute, W5, Royal Children's Hospital, 50 Flemington Road, Parkville, Victoria, 3052, Australia.
RMIT University, Melbourne, Australia.
Arch Womens Ment Health. 2016 Feb;19(1):25-34. doi: 10.1007/s00737-014-0494-8. Epub 2015 Jan 11.
Depressive and fatigue symptoms are common health concerns for women in the postnatal period. Few studies have sought to investigate the role of fatigue in the development and maintenance of depressive symptoms. The aim of this paper was to examine the relationship between depressive symptoms and fatigue over the course of the first 4 years postpartum, in particular focusing on the extent to which fatigue at earlier time points predicted later depressive symptoms and vice versa. Data from over 1000 women participating in a longitudinal study of Australian women's physical and psychological health and recovery after childbirth were used. An autoregressive cross-lagged panel model was tested to assess the mutual influences of fatigue and depressive symptoms across five time points at 3, 6, 12 and 18 months postpartum, and at 4 years postpartum. A complex bidirectional relationship between fatigue and depressive symptoms from 3 months to 4 years postpartum was observed, where fatigue at earlier time points predicted depressive symptoms at later time points, and vice versa. The findings of this study suggest interventions targeting the prevention and management of fatigue may also confer some benefit in improving or preventing the development of depression symptoms in the early parenting period.
抑郁和疲劳症状是产后女性常见的健康问题。很少有研究试图探究疲劳在抑郁症状的发生和维持中所起的作用。本文的目的是研究产后头4年中抑郁症状与疲劳之间的关系，尤其关注早期时间点的疲劳对后期抑郁症状的预测程度，反之亦然。研究使用了来自1000多名参与澳大利亚女性产后身心健康与恢复纵向研究的女性的数据。测试了自回归交叉滞后面板模型，以评估产后3个月、6个月、12个月、18个月和4年这五个时间点疲劳与抑郁症状之间的相互影响。观察到产后3个月至4年期间疲劳与抑郁症状之间存在复杂的双向关系，即早期时间点的疲劳可预测后期时间点的抑郁症状，反之亦然。本研究结果表明，针对疲劳的预防和管理的干预措施可能也有助于在育儿早期改善或预防抑郁症状的发生。
