Cherif R, Feki I, Gassara H, Baati I, Sellami R, Feki H, Chaabene K, Masmoudi J
Service de psychiatrie A, CHU Hédi Chaker, Sfax, Tunisie.
Service de psychiatrie A, CHU Hédi Chaker, Sfax, Tunisie.
Gynecol Obstet Fertil Senol. 2017 Oct;45(10):528-534. doi: 10.1016/j.gofs.2017.06.011. Epub 2017 Jul 24.
The objective of our study was to estimate the prevalence of the post-partum depressive symptomatology in a sample of Tunisian women, to study associated factors and to assess its relationship to quality of life.
This is a prospective study carried out in two stages: during the first week (T1), then between sixth and eighth week post-partum (T2). Depressive symptomatology and quality of life were assessed respectively by the Edinburgh Postnatal Depression Scale and the World Health Organization Quality of Life scale.
In the first stage, the prevalence of depressive symptomatology in the total sample (150 women) was 14.7% and was related to age above 35 years, low school level, personal psychiatric history, multiparity, caesarean delivery or forceps in the previous pregnancy and unplanned pregnancy. This prevalence was 19.8% among the 126 women reviewed in T2 and was correlated with the exaggerated sympathetic signs during pregnancy, namely perversion of taste and fatigue. Quality of life was strongly correlated with depressive symptoms in T1 and T2.
Post-partum depressive symptoms were common in our sample and were correlated with quality of life. Therapeutic measures should be proposed for women with post-partum depressive symptoms and particularly with several risk factors in order to improve their quality of life.
我们研究的目的是评估突尼斯女性样本中产后抑郁症状的患病率，研究相关因素，并评估其与生活质量的关系。
这是一项分两个阶段进行的前瞻性研究：在第一周（T1），然后在产后第六至八周（T2）。分别采用爱丁堡产后抑郁量表和世界卫生组织生活质量量表评估抑郁症状和生活质量。
在第一阶段，总样本（150名女性）中抑郁症状的患病率为14.7%，与35岁以上年龄、低学历、个人精神病史、多胎妊娠、前次妊娠剖宫产或产钳助产以及意外妊娠有关。在T2阶段接受复查的126名女性中，这一患病率为19.8%，与孕期过度的交感神经症状相关，即味觉异常和疲劳。在T1和T2阶段，生活质量与抑郁症状密切相关。
产后抑郁症状在我们的样本中很常见，并且与生活质量相关。对于有产后抑郁症状尤其是有多种危险因素的女性，应采取治疗措施以改善其生活质量。
