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寻求社会支持与产后抑郁:一项关于感知变化的初步回顾性研究。

Seeking social support and postpartum depression: A pilot retrospective study of perceived changes.

作者信息

O'Neill Peggy, Cycon Annette, Friedman Liz

机构信息

Smith College School for Social Work, Lilly Hall Northampton, MA 01063, United States.

MotherWoman, Inc, 220 Russell Road, Hadley, MA 01035, United States.

出版信息

Midwifery. 2019 Apr;71:56-62. doi: 10.1016/j.midw.2019.01.003. Epub 2019 Jan 8.

Abstract

UNLABELLED

Postpartum depression prevalence rates reach as high as 25% (Gavin, 2006). Negative effects on mothers and children are well established. Although low social support is an important predictor of perinatal depression (Leahy-Warren, McCarthy, and Corcoran, 2012), the value of peer group support remains equivocal and is examined in this pilot study.

OBJECTIVE

Evaluations of interventions that focus on social support in real world settings for women experiencing PPD are lacking. In this pilot study we asked how perceived changes over time in three types of social support (significant other, family, and friends) in participants who sought help and attended postpartum peer support groups related to perceived changes in depression over the same time period.

DESIGN

Retrospective design and Internet survey.

SETTING

On-line survey referring to in-person participation in peer support groups for postpartum women.

PARTICIPANTS

Fifty-seven women who attended postpartum peer support groups.

METHODS

We investigated how self-reported changes over time in three types of social support (significant other, family, and friends) relate to perceived changes in depression over the same period. Parametric statistical analyses using SPSS 20.0 included Cronbach's alpha tests, paired sample t-tests and Pearson correlational analyses.

FINDINGS

Significant improvement was reported. Pre-post change scores of perceived social support from friends and significant other were significantly correlated to pre-post depression change scores suggesting that social support contributed to a reduction in depression in this sample of postpartum women.

IMPLICATIONS FOR PRACTICE

Seeking social support may contribute to a reduction in depression, particularly as it relates to perceived support from friends and significant other. Other variables not measured are discussed.

摘要

未标注

产后抑郁症的患病率高达25%(加文,2006年)。其对母亲和孩子的负面影响已得到充分证实。尽管社会支持不足是围产期抑郁症的一个重要预测因素(利ahy - 沃伦、麦卡锡和科科伦,2012年),但同伴群体支持的价值仍不明确,本试点研究对此进行了探讨。

目的

在现实世界环境中,针对患有产后抑郁症的女性进行的、侧重于社会支持的干预措施评估尚显不足。在本试点研究中,我们询问了在寻求帮助并参加产后同伴支持小组的参与者中,随着时间推移,三种社会支持类型(重要他人、家人和朋友)的感知变化与同一时期抑郁症感知变化之间的关系。

设计

回顾性设计与网络调查。

背景

在线调查,涉及亲自参与产后女性同伴支持小组。

参与者

57名参加产后同伴支持小组的女性。

方法

我们调查了随着时间推移,三种社会支持类型(重要他人、家人和朋友)的自我报告变化与同一时期抑郁症感知变化之间的关系。使用SPSS 20.0进行的参数统计分析包括克朗巴哈系数检验、配对样本t检验和皮尔逊相关分析。

结果

报告显示有显著改善。来自朋友和重要他人的感知社会支持的前后变化得分与抑郁症前后变化得分显著相关,这表明社会支持有助于降低该样本产后女性的抑郁症水平。

对实践的启示

寻求社会支持可能有助于降低抑郁症,特别是与来自朋友和重要他人的感知支持有关时。文中还讨论了未测量的其他变量。

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