Department of Applied Pharmaceutical Sciences, Faculty of Pharmacy, Isra University, Amman, Jordan.
Int J Soc Psychiatry. 2022 Mar;68(2):403-410. doi: 10.1177/00207640211000100. Epub 2021 Mar 14.
The magnitude of postpartum depression in Jordan is under documented, and little is known about its potential sociodemographic and clinical correlates.
The aim of this study was to explore the prevalence and risk factors associated with postpartum depression among Jordanian mothers in the first 18 months after delivery.
This descriptive cross-sectional study was carried out from April to June 2020 in Jordan. A web-based survey was used for recruiting eligible participants. An Arabic version of the validated self-administered Edinburgh Postnatal Depression Scale questionnaire was used to measure postpartum depression with a cut-off score of ⩾12 which indicates probable depression.
A total of 1,071 Jordanian women participated in the study. Of those, 567 women had postpartum depression (52.9%). Multivariate logistic regression analysis revealed that postpartum depression was significantly associated with marital conflict (OR: 4.91; 95% CI: 2.36-10.20), negative attitude from the pregnancy (OR: 0.67; 95% CI: 0.45-0.99), unplanned pregnancies (OR: 1.73; 95% CI: 1.16-2.60), lack of social support (OR: 1.93; 95% CI: 1.12-3.32), time from last delivery (OR: 0.99; 95% CI: 0.98-1.00), insomnia (OR: 0.53; 95% CI: 0.35-0.82), and depression during the pregnancy (OR: 0.51; 95% CI: 0.33-0.78). Most of the participants (65.7%) sought social support to avoid, reduce, or treat postpartum depression.
Postpartum depression among Jordanian women was the highest in comparison to that of women in other countries in the region. Therefore, screening for the presence of depressive symptoms should be implemented during regular pregnancy care visits. Social support should be encouraged in order to avoid, reduce, or treat postpartum depression.
约旦的产后抑郁症严重程度尚未被充分记录,其潜在的社会人口学和临床相关性也知之甚少。
本研究旨在探讨约旦母亲在分娩后 18 个月内产后抑郁症的患病率及其相关风险因素。
这是一项描述性的横断面研究,于 2020 年 4 月至 6 月在约旦进行。使用基于网络的调查来招募符合条件的参与者。使用经过验证的自评式爱丁堡产后抑郁量表的阿拉伯语版本来衡量产后抑郁症,得分 ⩾12 表示可能患有抑郁症。
共有 1071 名约旦妇女参与了这项研究。其中,567 名妇女患有产后抑郁症(52.9%)。多变量逻辑回归分析显示,产后抑郁症与婚姻冲突(OR:4.91;95%CI:2.36-10.20)、对怀孕的消极态度(OR:0.67;95%CI:0.45-0.99)、非计划怀孕(OR:1.73;95%CI:1.16-2.60)、缺乏社会支持(OR:1.93;95%CI:1.12-3.32)、上次分娩后时间(OR:0.99;95%CI:0.98-1.00)、失眠(OR:0.53;95%CI:0.35-0.82)和怀孕期间的抑郁(OR:0.51;95%CI:0.33-0.78)显著相关。大多数参与者(65.7%)寻求社会支持以避免、减少或治疗产后抑郁症。
与该地区其他国家的女性相比,约旦女性的产后抑郁症患病率最高。因此,应在常规妊娠护理就诊时进行抑郁症状筛查。应鼓励提供社会支持,以避免、减少或治疗产后抑郁症。