Al-Azri Mohammed, Al-Lawati Iman, Al-Kamyani Raya, Al-Kiyumi Maisa, Al-Rawahi Aisha, Davidson Robin, Al-Maniri Abdullah
Department of Family Medicine & Public Health, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman;
Directorate General of Primary Health Care, Ministry of Health, Muscat, Oman;
Sultan Qaboos Univ Med J. 2016 Feb;16(1):e35-41. doi: 10.18295/squmj.2016.16.01.007. Epub 2016 Feb 2.
This study aimed to identify the prevalence of antenatal depression and the risk factors associated with its development among Omani women. No previous studies on antenatal depression have been conducted in Oman.
This descriptive cross-sectional study was carried out between January and November 2014 in Muscat, Oman. Pregnant Omani women ≥32 gestational weeks who were attending one of 12 local primary care health centres in Muscat for routine antenatal care were invited to participate in the study (n = 986). An Arabic version of the validated self-administered Edinburgh Postnatal Depression Scale questionnaire was used to measure antenatal depression. A cut-off score of ≥13 was considered to indicate probable depression.
A total of 959 women participated in the study (response rate: 97.3%). Of these, 233 were found to have antenatal depression (24.3%). A bivariate analysis showed that antenatal depression was associated with unplanned pregnancies (P = 0.010), marital conflict (P = 0.001) and a family history of depression (P = 0.019). The adjusted odds ratio (OR) after logistic multivariate regression analysis showed that antenatal depression was significantly associated with unplanned pregnancies (OR: 1.37; 95% confidence interval [CI]: 1.02-1.86) and marital conflict (OR: 13.83; 95% CI: 2.99-63.93).
The prevalence of antenatal depression among the studied Omani women was high, particularly in comparison to findings from other Arab countries. Thus, antenatal screening for depression should be considered in routine primary antenatal care. Couples should also be encouraged to seek psychological support should marital conflicts develop during pregnancy.
本研究旨在确定阿曼女性产前抑郁症的患病率及其发生的相关危险因素。阿曼此前尚未开展过关于产前抑郁症的研究。
本描述性横断面研究于2014年1月至11月在阿曼马斯喀特进行。邀请孕周≥32周、在马斯喀特12家当地初级保健健康中心之一接受常规产前护理的阿曼孕妇参与研究（n = 986）。使用经过验证的阿拉伯文版爱丁堡产后抑郁量表自填问卷来测量产前抑郁症。截断分数≥13分被认为表明可能患有抑郁症。
共有959名女性参与研究（应答率：97.3%）。其中，233人被发现患有产前抑郁症（24.3%）。双变量分析显示，产前抑郁症与意外怀孕（P = 0.010）、婚姻冲突（P = 0.001）和抑郁症家族史（P = 0.019）有关。逻辑多元回归分析后的调整优势比（OR）显示，产前抑郁症与意外怀孕（OR：1.37；95%置信区间[CI]：1.02 - 1.86）和婚姻冲突（OR：13.83；95%CI：2.99 - 63.93）显著相关。
在所研究的阿曼女性中，产前抑郁症的患病率较高，特别是与其他阿拉伯国家的研究结果相比。因此，应在常规初级产前护理中考虑对抑郁症进行产前筛查。还应鼓励夫妻在孕期出现婚姻冲突时寻求心理支持。
