Angela Chow is with the Department of Applied Health Science, School of Public Health, Indiana University, Bloomington. Christoffer Dharma and Malcolm R. Sears are with the Department of Medicine, McMaster University, Hamilton, Ontario. Edith Chen is with the Department of Psychology and the Institute for Policy Research, Northwestern University, Evanston, IL. Piushkumar J. Mandhane and Anita L. Kozyrskyj are with the Department of Pediatrics, University of Alberta, Edmonton. Stuart E. Turvey is with the Department of Pediatrics, The University of British Columbia, and BC Children's Hospital, Vancouver. Susan J. Elliott is with the Department of Geography and Environmental Management, University of Waterloo, Waterloo, Ontario. Allan B. Becker is with the Manitoba Institute of Child Health, the Department of Pediatrics & Child Health, University of Manitoba, Winnipeg. Padmaja Subbarao is with the Departments of Pediatrics and Physiology, and the Hospital for Sick Children, University of Toronto, Toronto, Ontario.
Am J Public Health. 2019 Jun;109(S3):S197-S204. doi: 10.2105/AJPH.2018.304624.
To identify trajectory patterns of maternal depressive symptoms and perceived stress from midpregnancy to 2 years postpartum and determine relationships with selected sociodemographic factors including income, education, immigration, and postpartum employment. Pregnant women (n = 3307) recruited from the general population in 4 regions in Canada provided 6 waves of data from pregnancy to 2 years postpartum. The study was conducted from 2009 to 2015. We determined 5 trajectory groups distinguished by time and magnitude for both depressive symptoms and perceived stress. Immigrants living in Canada for more than 5 up to 10 years, but not more recent arrivals, were at higher risk for persistent stress and depression independent of income status. Being employed at 1 year postpartum was associated with a lower likelihood of postpartum depression and perceived stress, while mothers reporting work exhaustion were substantially more likely to experience persistent depression and stress. The study highlighted the heterogeneous nature of depressive symptoms and perceived stress. Targeting interventions toward women 5 to 10 years after immigration and those experiencing exhaustion from postpartum work may be particularly beneficial.
为了识别从中孕期到产后 2 年的产妇抑郁症状和感知压力的轨迹模式，并确定与收入、教育、移民和产后就业等选定社会人口因素的关系。研究人员从加拿大 4 个地区的普通人群中招募了 3307 名孕妇，从怀孕到产后 2 年共提供了 6 波数据。该研究于 2009 年至 2015 年进行。我们确定了 5 个轨迹组，这些组在抑郁症状和感知压力方面都根据时间和幅度进行了区分。在加拿大生活了 5 年至 10 年但不是最近才到达的移民，其持续的压力和抑郁的风险较高，而不论其收入状况如何。产后 1 年就业与产后抑郁和感知压力的可能性降低有关，而报告工作疲惫的母亲则更有可能经历持续的抑郁和压力。该研究强调了抑郁症状和感知压力的异质性。针对移民后 5 至 10 年的妇女和产后工作疲惫的妇女的干预措施可能特别有益。
