Ishii Kayoko, Goto Aya, Watanabe Kazuyo, Tsutomi Hiroshi, Sasaki Mie, Komiya Hiromi, Yasumura Seiji
Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima, Japan.
Center for Integrated Science and Humanities, Fukushima Medical University, Fukushima, Japan.
Health Care Women Int. 2020 Mar;41(3):330-344. doi: 10.1080/07399332.2019.1643350. Epub 2019 Jul 23.
Postpartum depression is a serious problem not only for mothers, but also for their children and families. Evidence is scarce on the effectiveness of couple-targeted antenatal interventions aimed at preventing postpartum depression in Asia. Therefore, we implemented an antenatal parenting support program from Australia ("empathy program") at three sites in Japan, and assessed the characteristics of participating couples and changes in their mental health indicators before and after the program (during pregnancy and 6 weeks postpartum, respectively). In this program, participant couples discussed concerns during pregnancy and a "difficult day" scenario with other same-gender participants and then with their own partners. In total, 100 couples attended the program. Among 60 participating mothers, 20% screened positive for maternal depression symptoms (defined as an Edinburgh Postnatal Depression Scale greater than 9). Changes in paternal empathy and maternal antenatal Edinburgh Postnatal Depression Scale score were significantly associated with maternal postpartum Edinburgh Postnatal Depression Scale score in multivariable analyses. Our results indicate that a key in preventing postpartum depression is paternal involvement and long-term support from antenatal phase.
产后抑郁不仅对母亲来说是个严重问题，对她们的孩子和家庭也是如此。在亚洲，针对夫妻的旨在预防产后抑郁的产前干预措施的有效性方面证据不足。因此，我们在日本的三个地点实施了一项来自澳大利亚的产前育儿支持项目（“共情项目”），并评估了参与项目的夫妻的特征以及项目前后（分别在孕期和产后6周）他们心理健康指标的变化。在这个项目中，参与的夫妻先与其他同性别的参与者讨论孕期的担忧和一个“艰难的一天”的场景，然后再与自己的伴侣讨论。总共有100对夫妻参加了该项目。在60位参与项目的母亲中，20%的人筛查出有产后抑郁症状呈阳性（定义为爱丁堡产后抑郁量表得分大于9）。在多变量分析中，父亲的共情变化和母亲产前爱丁堡产后抑郁量表得分与母亲产后爱丁堡产后抑郁量表得分显著相关。我们的结果表明，预防产后抑郁的关键在于父亲的参与以及从产前阶段开始的长期支持。
