Mori Emi, Iwata Hiroko, Sakajo Akiko, Maehara Kunie, Tamakoshi Koji
Graduate School of Nursing, Chiba University, Chiba, Japan.
Graduate School of Medicine, Nagoya University, Nagoya, Japan.
Int J Nurs Pract. 2017 Jun;23 Suppl 1. doi: 10.1111/ijn.12545.
To examine the relationship between physical symptoms and depressive symptoms among new mothers during the first 6 months postpartum.
Prospective cohort study design was used in this study. Participants were recruited in 13 Japanese hospitals between 2012 and 2013. A total of 2709 women (response rate of those invited 71.9%) provided longitudinal data using self-report questionnaires at 5 time points: during the hospital stay and at 1, 2, 4, and 6 months postpartum. Depressive symptoms were measured using the Japanese version of the Edinburgh Postnatal Depression Scale. Also, 37 physical symptoms were measured using a yes-or-no checklist. To examine the association between physical symptoms and depressive symptoms, logistic regression analysis was used.
There was a significant positive association between physical symptoms and depressive symptoms during the first 6 months postpartum. Fifteen physical symptoms were associated with significantly increased odds of depression at 1, 2, 4, and 6 months post-partum. These symptoms included: loss of appetite, tiredness/languor, and palpitation/shortness of breath.
Multiple physical symptoms after childbirth were associated with depressive symptomatology. Health professionals should assess for postpartum depression when puerperal women report multiple physical symptoms as independent complaints.
探讨产后6个月内初产妇身体症状与抑郁症状之间的关系。
本研究采用前瞻性队列研究设计。2012年至2013年期间，在13家日本医院招募了参与者。共有2709名女性（受邀者的回复率为71.9%）在5个时间点使用自我报告问卷提供纵向数据：住院期间以及产后1个月、2个月、4个月和6个月。使用爱丁堡产后抑郁量表日语版测量抑郁症状。此外，使用是或否清单测量37种身体症状。为了研究身体症状与抑郁症状之间的关联，采用了逻辑回归分析。
产后6个月内身体症状与抑郁症状之间存在显著正相关。15种身体症状与产后1个月、2个月、4个月和6个月时抑郁几率的显著增加相关。这些症状包括：食欲不振、疲倦/乏力、心悸/呼吸急促。
产后多种身体症状与抑郁症状有关。当产妇报告多种身体症状为独立主诉时，卫生专业人员应评估其是否患有产后抑郁症。
