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中国孕期及产后女性抑郁症患病率及其与生活质量的关联:一项多中心研究

The Prevalence of Depression and Its Association With Quality of Life Among Pregnant and Postnatal Women in China: A Multicenter Study.

作者信息

Bo Hai-Xin, Yang Yuan, Zhang Dong-Ying, Zhang Meng, Wang Pei-Hong, Liu Xiao-Hua, Ge Li-Na, Lin Wen-Xuan, Xu Yang, Zhang Ya-Lan, Li Feng-Juan, Xu Xu-Juan, Wu Hong-He, Jackson Todd, Ungvari Gabor S, Cheung Teris, Xiang Yu-Tao

机构信息

Department of Nursing, Peking Union Medical College Hospital, Beijing, China.

Department of Public Health and Medicinal Administration, Faculty of Health Sciences, University of Macau, Macao, China.

出版信息

Front Psychiatry. 2021 Apr 1;12:656560. doi: 10.3389/fpsyt.2021.656560. eCollection 2021.

Abstract

This study examined the prevalence of depressive symptoms (depression hereafter) and its association with quality of life (QOL) among pregnant and postnatal women in China. In this multi-center, cross-sectional study, 1,060 pregnant and postnatal women from eight hospitals were assessed. Depression and QOL were measured using the Edinburgh Postnatal Depression Scale and the World Health Organization Quality of Life Questionnaire - brief version, respectively. The prevalence of depression was 7.45% (95% CI: 5.87-9.04%) in the sample. Women with depression had lower QOL in physical, psychological, social and environmental domains compared to those without. Women with physical comorbidities were more likely to suffer from depression (OR = 2.391, 95% CI = 1.384-4.130, = 0.002). Due to its negative association with QOL, increased attention should be paid to depression in pregnant and postnatal women. Regular screening assessment and preventive measures should be adopted to reduce risk of depression in this population.

摘要

本研究调查了中国孕妇和产后女性抑郁症状(以下简称抑郁症)的患病率及其与生活质量(QOL)的关联。在这项多中心横断面研究中,对来自八家医院的1060名孕妇和产后女性进行了评估。分别使用爱丁堡产后抑郁量表和世界卫生组织生活质量问卷简版来测量抑郁和生活质量。样本中抑郁症的患病率为7.45%(95%置信区间:5.87 - 9.04%)。与未患抑郁症的女性相比,患抑郁症的女性在生理、心理、社会和环境领域的生活质量较低。患有躯体合并症的女性更易患抑郁症(比值比 = 2.391,95%置信区间 = 1.384 - 4.130,P = 0.002)。鉴于抑郁症与生活质量呈负相关,应更加关注孕妇和产后女性的抑郁症。应采取定期筛查评估和预防措施以降低该人群患抑郁症的风险。

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1
Risk Factors for Postpartum Depression: An Umbrella Review.产后抑郁症的危险因素:伞式综述。
J Midwifery Womens Health. 2020 Jan;65(1):96-108. doi: 10.1111/jmwh.13067. Epub 2020 Jan 22.
10
Depression and Suicidality during Pregnancy.孕期的抑郁与自杀倾向
Psychiatr Danub. 2018 Mar;30(1):85-90. doi: 10.24869/psyd.2018.85.

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