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沙特阿拉伯利雅得产后抑郁症的患病率及预测因素:一项横断面研究。

Prevalence and predictors of postpartum depression in Riyadh, Saudi Arabia: A cross sectional study.

机构信息

College of Pharmacy, Al Maarefa University, Riyadh, Saudi Arabia.

出版信息

PLoS One. 2020 Feb 10;15(2):e0228666. doi: 10.1371/journal.pone.0228666. eCollection 2020.

Abstract

OBJECTIVE

Postpartum depression (PPD) is inversely correlated with women's functioning, marital and personal relationships, mother-infant interaction quality, and children's social, behavioural, and cognitive development. The purpose of this study was to determine the prevalence of postpartum depression (PPD) in Riyadh and correlate them with possible predictors by a cross-sectional approach.

METHODS

In this study, 174 mothers receiving treatments in different hospitals of Riyadh completed self-administered measures of the Edinburgh Postnatal Depression Scale (EPDS) along with a list of probable predictors. The data was analyzed by logistic regression analysis using SPSS-IBM 25.

RESULTS

Of 174 participants of the study, 38.50% (n = 67) reported postpartum depression. Around (115) of the participants were in an age group of 25-45 years with most of them highly educated (101) but unemployed (136). Significant association was noted between occurrence of PPD with unsupportive spouse (P value = 0.023) and recent stressful life events (P value = 0.003). The significant predictors for PPD were unsupportive spouse (OR = 4.53, P = 0.049), recent stressful life events (OR = 2.677, P = 0.005), and Caesarean section as a mode of delivery (OR = 1.958, P = 0.049).

CONCLUSION

The prevalence of PPD among the study participants was high, especially those with recent stressful life event and unsupportive spouse. To promote health and wellbeing of mothers, it was recommended to screen all high-risk mothers for PPD, when they visit hospitals for postnatal follow ups. Prevention of PPD is not only essential for wellbeing of mothers but it is important to provide good conducive atmosphere for the new born.

摘要

目的

产后抑郁症(PPD)与女性的功能、婚姻和人际关系、母婴互动质量以及儿童的社会、行为和认知发展呈负相关。本研究旨在通过横断面研究确定利雅得产后抑郁症(PPD)的患病率,并将其与可能的预测因素相关联。

方法

在这项研究中,174 名在利雅得不同医院接受治疗的母亲完成了爱丁堡产后抑郁量表(EPDS)的自我评估,以及一份可能的预测因素清单。使用 SPSS-IBM 25 进行逻辑回归分析对数据进行分析。

结果

在 174 名研究参与者中,38.50%(n=67)报告了产后抑郁症。大约(115)名参与者的年龄在 25-45 岁之间,其中大多数受过高等教育(101)但失业(136)。在发生 PPD 与配偶不支持(P 值=0.023)和近期生活压力事件(P 值=0.003)之间存在显著关联。PPD 的显著预测因素是不支持的配偶(OR=4.53,P=0.049)、近期生活压力事件(OR=2.677,P=0.005)和剖宫产作为分娩方式(OR=1.958,P=0.049)。

结论

在研究参与者中,PPD 的患病率较高,尤其是那些有近期生活压力事件和不支持配偶的人。为了促进母亲的健康和福祉,建议在母亲产后随访时,对所有高危母亲进行 PPD 筛查。预防 PPD 不仅对母亲的健康至关重要,而且为新生儿提供良好的有利环境也很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d283/7010279/a06d057ba720/pone.0228666.g001.jpg

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