Senturk Cankorur Vesile, Duman Berker, Taylor Clare, Stewart Robert
Department of Psychiatry, Ankara University Faculty of Medicine, Ankara, Turkey.
King's College London (Institute of Psychiatry), London, United Kingdom.
PLoS One. 2017 Mar 29;12(3):e0174558. doi: 10.1371/journal.pone.0174558. eCollection 2017.
Child gender preference is important in some cultures and has been found to modify risk for antenatal and postnatal depression. We investigated discrepancies in the child gender preference between participating women and other key family members and the extent to which these predicted perinatal depression.
In a large cohort study of perinatal depression in urban and rural Turkey, participants had been asked about child gender preferences: their own, and those of their husband, parents, and parents in-law. Of 730 participants recruited in their third trimester (94.6% participation), 578 (79.2%) were reassessed at a mean (SD) 4.1 (3.3) months after childbirth, and 488 (66.8%) were reassessed at 13.7 (2.9) months.
No associations were found between any gender preference reported in the antenatal period and depression at any examination. On the other hand, we found associations of antenatal depression with differences in participant-reported gender preference and that reported for their mother-in-law (OR 1.81, 1.08-3.04). This non-agreement also predicted depression at the 4 month (OR 2.24, 1.24-4.03) and 14 month (OR 2.07, 1.05-4.04) post-natal examinations. These associations with postnatal depression persisted after adjustment for a range of covariates (ORs 3.19 (1.54-6.59) and 3.30 (1.49-7.33) respectively).
Reported disagreement in child gender preferences between a woman and her mother-in-law was a predictor of post-natal depression and may reflect wider family disharmony as an underlying factor.
在某些文化中，对孩子性别的偏好很重要，并且已发现其会改变产前和产后抑郁的风险。我们调查了参与研究的女性与其他主要家庭成员在孩子性别偏好上的差异，以及这些差异在多大程度上预测围产期抑郁。
在一项针对土耳其城乡围产期抑郁的大型队列研究中，参与者被问及对孩子性别的偏好：自己的、丈夫的、父母的以及公婆的。在孕晚期招募的730名参与者中（参与率94.6%），578名（79.2%）在产后平均（标准差）4.1（3.3）个月时接受了重新评估，488名（66.8%）在13.7（2.9）个月时接受了重新评估。
在孕期报告的任何性别偏好与任何一次检查时的抑郁之间均未发现关联。另一方面，我们发现产前抑郁与参与者报告的性别偏好与其婆婆报告的性别偏好之间的差异有关（比值比1.81，1.08 - 3.04）。这种不一致也预测了产后4个月（比值比2.24，1.24 - 4.03）和14个月（比值比2.07，1.05 - 4.04）检查时的抑郁。在对一系列协变量进行调整后，这些与产后抑郁的关联仍然存在（比值比分别为3.19（1.54 - 6.59）和3.30（1.49 - 7.33））。
女性与其婆婆在孩子性别偏好上报告的不一致是产后抑郁的一个预测因素，可能反映出更广泛的家庭不和谐是一个潜在因素。
