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沙特阿拉伯西部吉达市女性产后抑郁症的患病率及相关危险因素

Prevalence of Postpartum Depression and Associated Risk Factors Among Women in Jeddah, Western Saudi Arabia.

作者信息

Alsayed Najma A, Altayyeb Jamelah F, Althuniyyan Laura S, Alzubaidi Shatha K, Farahat Fayssal

机构信息

College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, SAU.

Medicine, King Abdullah International Medical Research Center, Jeddah, SAU.

出版信息

Cureus. 2021 Apr 21;13(4):e14603. doi: 10.7759/cureus.14603.

Abstract

Background Postpartum depression (PPD) is a significant psychological disorder that can affect women during or after pregnancy. Its risk increases throughout the first 90 days and may last up to almost two years, which can create an overall burden on society. Although the etiology is unknown yet, there are risk factors that contribute to developing PPD. This study aims to assess the prevalence of PPD and the risk factors among women in Jeddah, western Saudi Arabia in 2019. Methods A cross-sectional study was conducted in infant vaccination clinics of the primary healthcare centers (PHC) of the Ministry of Health (MOH) and Ministry of National Guard (MNGHA) Jeddah, Saudi Arabia. Data were collected through a self-administered questionnaire with Edinburgh Postnatal Depression Scale (EPDS) from mothers up to four months postpartum. Results Of the 172 postpartum women, the study estimated the prevalence of postpartum depression to be 20.9%. The significant risk factors predicted by multivariate regression analysis were history of previous depression (odds ratio {OR}=4.7; 95% confidence interval {CI} 1.9 to 11.5), difficult life event interval (OR=3.5; 95% CI 1.1 to 10.7), and attitude toward pregnancy (OR=2.1; 95% CI 0.9 to 4.5). Conclusion A fairly high prevalence of postpartum depression was revealed among the females in Jeddah. Therefore, we recommend screening of mothers after delivery to help early intervention and management along with psychosocial support.

摘要

背景

产后抑郁症(PPD)是一种严重的心理障碍,可在孕期或产后影响女性。其风险在产后前90天内不断增加,可能持续近两年,这会给社会带来总体负担。尽管病因尚不清楚,但有一些风险因素会导致产后抑郁症的发生。本研究旨在评估2019年沙特阿拉伯西部吉达市女性产后抑郁症的患病率及其风险因素。

方法

在沙特阿拉伯吉达市卫生部(MOH)和国民卫队卫生部(MNGHA)的初级卫生保健中心(PHC)的婴儿疫苗接种诊所进行了一项横断面研究。通过一份自填式问卷,使用爱丁堡产后抑郁量表(EPDS)收集产后四个月内母亲的数据。

结果

在172名产后女性中,该研究估计产后抑郁症的患病率为20.9%。多因素回归分析预测的显著风险因素为既往抑郁症病史(比值比{OR}=4.7;95%置信区间{CI}为1.9至11.5)、困难生活事件间隔(OR=;95%CI为1.1至10.7)以及对怀孕的态度(OR=2.1;95%CI为0.9至4.5)。

结论

吉达市女性中产后抑郁症的患病率相当高。因此,我们建议在分娩后对母亲进行筛查,以帮助进行早期干预和管理,并提供心理社会支持。

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