Badr Lina Kurdahi, Ayvazian Nelly, Lameh Salma, Charafeddine Lama
Azusa Pacific University, 701 E Foothill Blv., Azusa California, 91702.
Obstetrics and Gynecology, America n University of Beirut Medical Center, Beirut, Lebanon.
Infant Behav Dev. 2018 May;51:15-23. doi: 10.1016/j.infbeh.2018.02.003. Epub 2018 Mar 10.
Although the negative consequences of maternal depression on infants has been documented in several Western societies, similar studies have not been conducted in Middle-Eastern countries where cultural norms and traditions may differ. The main objective of this study was to determine the risk factors for postpartum depression (PPD) and its relationship to mother -infant bonding in a Lebanese population.
One hundred and fifty participants were administered the Edinburgh Postpartum Depression Scale (EPDS), and the social support scale at 2-3 days postpartum. At 10-12 weeks mother-infant bonding using the Postpartum Bonding Questionnaire (PBQ) and depression using the Beck Inventory (BDI-II) were assessed during a telephone interview.
The prevalence of depression was 19% with an average score of 10.9 ± 6.02 on the EPDS. At 10-12 weeks 2.7% of the whole sample was depressed with an average score of 18.60 ± 16.87 on the BDI-II. Risk factors of PPD on the EPDS were; history of alcohol use, complications during pregnancy, not a good marital relationship, baby admitted to an intensive care unit, history of depression and low social support. Risk factors for impaired bonding were age, history of depression, BDI-II scores above 20 and low social support. The multiple regression analysis found that impaired bonding was associated with older age, history of depression and low social support, which explained 39% of the variance, F = 7.12, p = 0.02.
The prevalence of PPD was higher than previously reported at day 2-3 post-delivery, but lower at 10-12 weeks postpartum. Impaired mother- infant bonding was associated older mothers, history of depression, low social support and BDI-II scores above 20 which should alert practitioner to assessing these factors in post-partum mothers.
尽管在一些西方社会已记录了母亲抑郁对婴儿的负面影响，但在文化规范和传统可能不同的中东国家尚未进行类似研究。本研究的主要目的是确定黎巴嫩人群中产后抑郁症（PPD）的风险因素及其与母婴联结的关系。
150名参与者在产后2 - 3天接受爱丁堡产后抑郁量表（EPDS）和社会支持量表测试。在产后10 - 12周通过电话访谈使用产后联结问卷（PBQ）评估母婴联结情况，并使用贝克抑郁量表（BDI-II）评估抑郁状况。
抑郁患病率为19%，EPDS平均得分为10.9 ± 6.02。在产后10 - 12周，整个样本中有2.7%的人抑郁，BDI-II平均得分为18.60 ± 16.87。EPDS上PPD的风险因素有：饮酒史、孕期并发症、婚姻关系不佳、婴儿入住重症监护病房、抑郁病史和社会支持低。联结受损的风险因素有年龄、抑郁病史、BDI-II得分高于20以及社会支持低。多元回归分析发现，联结受损与年龄较大、抑郁病史和社会支持低有关，这解释了39%的方差，F = 7.12，p = 0.02。
PPD患病率在产后第2 - 3天高于先前报道，但在产后10 - 12周较低。母婴联结受损与母亲年龄较大、抑郁病史、社会支持低以及BDI-II得分高于20有关，这应提醒从业者在产后母亲中评估这些因素。
