Marín-Morales Dolores, Toro-Molina Susana, Peñacoba-Puente Cecilia, Losa-Iglesias Marta, Carmona-Monge Francisco Javier
Obstetrics Department, Universitary Fuenlabrada Hospital, C/República Checa, 9, 3° B, 28032, Madrid, Spain.
Health Sciences Department, Rey Juan Carlos University, Madrid, Spain.
Matern Child Health J. 2018 Jun;22(6):866-873. doi: 10.1007/s10995-018-2461-x.
Objectives The aims of this study were to evaluate the predictive relationship between psychological symptomatology 24 h postpartum and depression 4 months postpartum, and analyze the relationship between estradiol and postpartum mood. Methods Two hundred women participated in an assessment 24 h postpartum and gave a blood sample for estradiol analysis. One hundred eleven of these women completed the second assessment 4 months postpartum. The Beck Depression Inventory II and the Scale of State-Trait Anxiety were used to assess psychological symptoms. Results At 24 h postpartum, symptoms of depression, trait anxiety, and state anxiety were all significantly correlated with each other. Depression at 24 h postpartum was the only significant independent predictor of depression at 4 months postpartum, explaining 28.7% of the variance. No statistically significant relationship was found between levels of estradiol and mood. Symptoms of depression immediately postpartum thus appear to be a predictor of postpartum depression. Conclusions for Practice These results suggest that early postpartum psychological evaluation of the mother, and intervention as warranted, might prevent or lessen postpartum depression.
目的 本研究旨在评估产后24小时心理症状与产后4个月抑郁之间的预测关系，并分析雌二醇与产后情绪之间的关系。方法 200名女性在产后24小时参与评估，并提供血样进行雌二醇分析。其中111名女性在产后4个月完成了第二次评估。使用贝克抑郁量表第二版和状态-特质焦虑量表评估心理症状。结果 在产后24小时，抑郁症状、特质焦虑和状态焦虑之间均显著相关。产后24小时的抑郁是产后4个月抑郁的唯一显著独立预测因素，解释了28.7%的变异。未发现雌二醇水平与情绪之间存在统计学显著关系。因此，产后立即出现的抑郁症状似乎是产后抑郁症的一个预测因素。实践结论 这些结果表明，对母亲进行早期产后心理评估，并在必要时进行干预，可能预防或减轻产后抑郁症。
