Mohammad Khitam I, Abu Awad Doaa, Creedy Debra K, Gamble Jenny
Maternal and Child Health and Midwifery Department, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan.
Maternal and Child Health Department, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan.
Res Nurs Health. 2018 Dec;41(6):519-524. doi: 10.1002/nur.21919. Epub 2018 Nov 15.
Postpartum depression (PPD) is recognized as a common maternal health problem, but few studies have investigated the postpartum mental health of refugee women. In this cross-sectional study, we investigated the prevalence of PPD symptoms and associated factors among Syrian refugee women living in north Jordan. Women (N = 365) were recruited from four health care centers in Ramtha and Jarash, cities in northern Jordan. Participants completed a demographic data form, the Edinburgh Postnatal Depression Scale (EPDS), and the Maternal Social Support Scale at 6-8 weeks postpartum. Half (49.6%; n = 181) of the Syrian refugee women scored >12 on the EPDS. PPD symptoms were significantly associated with low social support, low monthly income, and recent immigration (less than 2 years). There is a high level of PPD symptoms among Syrian refugee women, many of whom are living in poverty and with limited social support. The results highlight the need for immediate action by governments to support childbearing refugee women with early screening for psychosocial risk and respond to women's physical and mental health, and social needs through interservice collaboration. Social support programs would meet an important need for these women, as would ongoing assessment by health professionals and early intervention for women who screen positive for PPD.
产后抑郁症(PPD)被认为是一个常见的孕产妇健康问题,但很少有研究调查难民妇女的产后心理健康状况。在这项横断面研究中,我们调查了居住在约旦北部的叙利亚难民妇女中PPD症状的患病率及相关因素。从约旦北部城市拉姆塔和贾拉什的四个医疗保健中心招募了365名妇女。参与者在产后6至8周填写了一份人口统计学数据表、爱丁堡产后抑郁量表(EPDS)和孕产妇社会支持量表。一半(49.6%;n = 181)的叙利亚难民妇女在EPDS上的得分超过12分。PPD症状与社会支持低、月收入低以及近期移民(不到2年)显著相关。叙利亚难民妇女中PPD症状的发生率很高,其中许多人生活贫困且社会支持有限。研究结果凸显了政府需要立即采取行动,通过对心理社会风险进行早期筛查,支持生育期难民妇女,并通过跨部门合作满足妇女的身心健康及社会需求。社会支持项目将满足这些妇女的一项重要需求,卫生专业人员的持续评估以及对PPD筛查呈阳性的妇女进行早期干预也同样如此。