Sorbonne Université, INSERM, Institut Pierre Louis d' Epidemiologie et de Santé Publique (IPLESP), Equipe de Recherche en Epidémiologie Sociale (ERES), Paris, France.
Ecole des Hautes Etudes en Santé Publique (EHESP), Réseau Doctoral en Santé Publique, Rennes, France.
Int J Soc Psychiatry. 2020 Aug;66(5):431-441. doi: 10.1177/0020764020911409. Epub 2020 Apr 18.
Insufficient social support has been intensively studied as a risk factor of postpartum depression (PPD) among mothers. However, to date, no study has examined the role of informal and formal dimensions of social support during pregnancy with regard to joint maternal and paternal depression after birth.
Study associations between insufficient informal and formal support during pregnancy and joint parental PPD.
Using data from the nationally representative French ELFE () cohort study ( = 12,350), we estimated associations between insufficient informal and formal support received by the mother during pregnancy and joint parental PPD in multi-imputed multivariate multinomial regression models.
In 166 couples (1.3%), both parents were depressed. The likelihood of joint parental PPD was increased in case of insufficient informal support (insufficient partner support: odds ratio (OR) = 1.68 (95% confidence interval (CI): 1.57-1.80); frequent quarrels: OR = 1.38 (95% CI: 1.19-1.60)). We also observed associations between formal support during pregnancy and joint parental PPD (early prenatal psychosocial risk assessment: OR = 1.13 (95% CI: 1.05-1.22); antenatal education: OR = 1.13 (95% CI: 1.05-1.23)), which disappeared when analyses were restricted to women with no psychological difficulties during pregnancy.
Insufficient informal social support during pregnancy appears to predict risk of joint PPD in mothers and fathers and should be identified early on to limit complications and the impact on children.
社会支持不足已被广泛研究为产妇产后抑郁（PPD）的危险因素。然而，迄今为止，尚无研究探讨孕期非正式和正式社会支持维度与产后母婴共同抑郁之间的关系。
研究孕期非正式和正式支持不足与母婴共同 PPD 的关系。
使用全国代表性的法国 ELFE（）队列研究（ = 12350）的数据，我们在多元多项多变量回归模型中估计了母亲在孕期获得的非正式和正式支持不足与母婴共同 PPD 之间的关系。
在 166 对夫妇（1.3%）中，父母双方均抑郁。如果非正式支持不足（伴侣支持不足：优势比（OR）=1.68（95%置信区间（CI）：1.57-1.80）；经常争吵：OR=1.38（95% CI：1.19-1.60）），则母婴共同 PPD 的可能性增加。我们还观察到孕期正式支持与母婴共同 PPD 之间存在关联（产前心理社会风险评估：OR=1.13（95% CI：1.05-1.22）；产前教育：OR=1.13（95% CI：1.05-1.23）），但当分析仅限于孕期无心理困难的女性时，这种关联消失了。
孕期非正式社会支持不足似乎预测了母婴共同 PPD 的风险，应及早发现，以限制并发症的发生并减轻对儿童的影响。
