非裔美国孕妇抑郁症状的患病率及预测因素
Prevalence and Predictors of Depressive Symptoms in Pregnant African American Women.
作者信息
Jallo Nancy, Elswick R K, Kinser Patricia, Masho Saba, Price Sarah Kye, Svikis Dace S
机构信息
a Virginia Commonwealth University , School of Nursing , Richmond , Virginia , USA.
b Virginia Commonwealth University, Department of Family Medicine and Population Health, Department of Obstetrics and Gynecology, and the Institute for Women's Health , Richmond , Virginia , USA.
出版信息
Issues Ment Health Nurs. 2015;36(11):860-9. doi: 10.3109/01612840.2015.1048014.
African American women may be especially vulnerable to antepartum depression, a major health concern during pregnancy. This study investigated the prevalence and predictors of depressive symptoms in a sample of African American women who were between 14-17 weeks pregnant, a timeframe that is typically thought to be a time of general well-being. Two-thirds reported a CES-D score ≥ 16 indicative of depressive symptomatology. Age, perceived stress (as measured by the Perceived Stress Scale [PSS]), and anxiety (as measured by the State Trait Anxiety Inventory [STAI]) predicted depressive symptoms; the interaction between PSS and STAI scores was also a significant predictor. Our study findings suggest that early identification of stress and anxiety, in addition to depressive symptoms, is vital for intervention with this group.
非裔美国女性可能特别容易患产前抑郁症，这是孕期的一个主要健康问题。本研究调查了怀孕14至17周的非裔美国女性样本中抑郁症状的患病率及预测因素，这一时间段通常被认为是总体健康的时期。三分之二的人报告CES - D得分≥16，表明有抑郁症状。年龄、感知压力（通过感知压力量表[PSS]测量）和焦虑（通过状态特质焦虑量表[STAI]测量）可预测抑郁症状；PSS和STAI得分之间的相互作用也是一个显著的预测因素。我们的研究结果表明，除了抑郁症状外，早期识别压力和焦虑对该群体的干预至关重要。
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