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美国移民阿拉伯女性产后抑郁症的风险:一项可行性研究。

Risk For Postpartum Depression Among Immigrant Arabic Women in the United States: A Feasibility Study.

作者信息

Alhasanat Dalia, Fry-McComish Judith, Yarandi Hossein N

出版信息

J Midwifery Womens Health. 2017 Jul;62(4):470-476. doi: 10.1111/jmwh.12617. Epub 2017 Jul 21.

Abstract

INTRODUCTION

Postpartum depression (PPD) affects approximately 14% of women in the United States and 10% to 37% of Arabic women in the Middle East. Evidence suggests that immigrant women experience higher rates, but information on PPD among immigrant women of Arabic descent in the United States is nonexistent.

METHODS

A cross-sectional descriptive feasibility study was conducted to assess the practicality of implementing a larger proposed research study to examine predictors of PPD in US immigrant women of Arabic descent residing in Dearborn, Michigan. Fifty women were recruited from an Arab community center and completed demographic data, the Arabic version of the Edinburgh Postpartum Depression Scale (EPDS), and the Postpartum Depression Predictors Inventory-Revised (PDPI-R).

RESULTS

Among participants, 36% were considered at high risk for developing PPD. Lack of social support, antenatal anxiety, antenatal depression, maternity blues (feeling depressed during the first 4 weeks postpartum), and life stress were significantly related to risk for PPD. Multiple regression analysis revealed that social support (t = -3.77, P < .0001) and maternity blues (t = 2.19, P = .03) were the only significant predictors for postpartum depressive symptoms.

DISCUSSION

Findings of this study describe the prevalence of PPD in a sample of US immigrant women of Arabic descent and support the feasibility of a larger and more in-depth understanding of their immigration and acculturation experiences. Study participants reported high risk for PPD. Maternity blues and lack of social support were significant predictors to the risk for PPD. Future research tailored to this minority group is recommended.

摘要

引言

产后抑郁症(PPD)影响着美国约14%的女性以及中东地区10%至37%的阿拉伯女性。有证据表明移民女性的发病率更高,但关于美国阿拉伯裔移民女性产后抑郁症的信息却不存在。

方法

开展了一项横断面描述性可行性研究,以评估实施一项更大规模的拟议研究的可行性,该研究旨在调查居住在密歇根州迪尔伯恩的美国阿拉伯裔移民女性产后抑郁症的预测因素。从一个阿拉伯社区中心招募了50名女性,她们完成了人口统计学数据、爱丁堡产后抑郁量表(EPDS)阿拉伯语版以及产后抑郁预测因子量表修订版(PDPI-R)。

结果

在参与者中,36%被认为有患产后抑郁症的高风险。缺乏社会支持、产前焦虑、产前抑郁、产后情绪低落(产后前4周感到抑郁)和生活压力与产后抑郁症风险显著相关。多元回归分析显示,社会支持(t = -3.77,P <.0001)和产后情绪低落(t = 2.19,P =.03)是产后抑郁症状的唯一显著预测因素。

讨论

本研究结果描述了美国阿拉伯裔移民女性样本中产后抑郁症的患病率,并支持了对她们的移民和文化适应经历进行更深入、更全面了解的可行性。研究参与者报告了患产后抑郁症的高风险。产后情绪低落和缺乏社会支持是产后抑郁症风险的显著预测因素。建议针对这一少数群体开展未来研究。

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