Maliszewska Karolina, Bidzan Mariola, Świątkowska-Freund Małgorzata, Preis Krzysztof
Department of Obstetrics, Medical University of Gdańsk.
Ginekol Pol. 2016;87(12):814-819. doi: 10.5603/GP.2016.0094.
The purpose of this study was to assess the prevalence of risk for postpartum mood disorders in mothers during the early postnatal period and to search for coexisting conditions.
We studied 546 women in the first week after delivery. The subjects filled out a questionnaire concerning their health, social and demographic status, the Edinburgh Postnatal Depression Scale, the Patient Health Questionnaire, the NEO-FFI Personality Inventory and the Berlin Social Support Scales.
Probable mood disorders affected 15.85% of these patients. The risk increased with a current cesarean section (ORa = 2.54), a higher level of neuroticism (ORa = 1.65), greater fear of childbirth (ORa = 1.18), a lower level of extraversion (ORa = 0.77) and greater need for social support (ORa = 2.68).
High level of neuroticism and introversion, as well as higher fear of delivery and the need of social support are among factors increasing the probability of mood disturbances in early postpartum period. A cesarean section might elevate the risk similarly. The mental health of such patients should be carefully examined.
本研究旨在评估产后早期母亲产后情绪障碍的风险患病率，并寻找并存情况。
我们对546名产后第一周的女性进行了研究。受试者填写了一份关于其健康、社会和人口统计学状况的问卷，包括爱丁堡产后抑郁量表、患者健康问卷、NEO-FFI人格量表和柏林社会支持量表。
可能的情绪障碍影响了15.85%的这些患者。风险随着当前剖宫产（ORa = 2.54）、较高的神经质水平（ORa = 1.65）、对分娩的更大恐惧（ORa = 1.18）、较低的外向性水平（ORa = 0.77）和对社会支持的更大需求（ORa = 2.68）而增加。
高神经质水平和内向性，以及对分娩的更高恐惧和对社会支持的需求是增加产后早期情绪障碍可能性的因素。剖宫产可能同样会增加风险。应仔细检查此类患者的心理健康。
