West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, 610041, China.
Department of Radiation Oncology, National Cancer Center and Cancer Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China.
BMC Psychiatry. 2021 Mar 12;21(1):151. doi: 10.1186/s12888-021-03155-9.
Perinatal depression is the most common complication of gestation and childbearing affecting women and their families, and good social support and family function are considered protective and modifiable factors. This study aimed to investigate depression status and explore inter-relationships between social support and perinatal depression considering the influence of family function in rural areas of Southwest China.
This is a cross-sectional study. The following instruments were used: the Edinburgh Postpartum Depression Scale, the APGAR Family Care Index Scale, and the Social Support Rate Scale. A structural equation modelling was used to test the hypothesis relationships among the variables.
A total of 490 rural antenatal (N = 249) and postpartum (N = 241) women (mean age (standard deviation), 28.17 ± 5.12) participated. We found that the prevalence of depression symptoms was 10.4%. Path analysis showed that family function had a direct negative correlation with depression (β = - 0.251, 95%CI: - 0.382 to - 0.118). Social support had a direct positive correlation with family function (β =0.293, 95%CI: 0.147 to 0.434) and had an indirect negative correlation with depression (β = - 0.074, 95%CI: - 0.139 to - 0.032), family function fully mediated the relationship between social support and depression.
Findings of this study highlight that family function should be considered as the key target for interventions aiming to lower the prevalence of perinatal depression. Family members interventions are critical to reduce depression among antenatal and postpartum women.
围产期抑郁是妊娠和分娩最常见的并发症，影响着妇女及其家庭，良好的社会支持和家庭功能被认为是具有保护作用和可改变的因素。本研究旨在调查中国西南部农村地区围产期抑郁的状况，并探讨社会支持与围产期抑郁之间的关系，同时考虑家庭功能的影响。
这是一项横断面研究。使用的工具包括：爱丁堡产后抑郁量表、APGAR 家庭关怀指数量表和社会支持率量表。采用结构方程模型检验变量之间的假设关系。
共纳入 490 名农村产前（N=249）和产后（N=241）妇女（平均年龄（标准差），28.17±5.12）。我们发现，抑郁症状的患病率为 10.4%。路径分析显示，家庭功能与抑郁呈直接负相关（β=-0.251，95%CI：-0.382 至-0.118）。社会支持与家庭功能呈直接正相关（β=0.293，95%CI：0.147 至 0.434），与抑郁呈间接负相关（β=-0.074，95%CI：-0.139 至-0.032），家庭功能完全介导了社会支持与抑郁之间的关系。
本研究结果强调，家庭功能应作为降低围产期抑郁患病率的干预目标的关键。家庭成员的干预对于降低产前和产后妇女的抑郁至关重要。
