Matsushima Midori, Horiguchi Hanna
University of Tsukuba, Faculty of Humanities and Social Sciences, Tsukuba, Ibaraki, Japan.
Graduate School of Medicine Osaka University, Midwifery and Reproductive Health Division of Health Sciences, Osaka, Japan.
Disaster Med Public Health Prep. 2022 Aug 5;17:e223. doi: 10.1017/dmp.2022.167.
This study explores the depressive symptoms in postpartum women during the coronavirus disease 2019 (COVID-19) crisis in Japan.
An online survey conducted from May 31 to June 6, 2020 resulted in 3073 responses obtained from mothers with infants < 12 mo.
The point prevalence of the Edinburgh Postnatal Depression Scale (EPDS) score of ≥ 9 was 28.66% for primipara and 25.83% for multipara. Logistic regression analysis indicated a negative association between the COVID-19 crisis and EPDS ≥ 9; specifically, decreased social support and financial concern were identified as risk factors. The COVID-19-related experiences significantly increased the score of each factor of EPDS, ie, anxiety, anhedonia, and depression.
During the COVID-19 crisis, the number of mothers who faced depreciation in social support and income had increased. Moreover, spending their perinatal period during the crisis increased the propensity of facing unexpected changes, such as changes of hospitals for delivery, or cancellation of parenting classes. These multiple factors were associated with an elevated risk of depression in postpartum women. In a prolonged crisis, postpartum mental health should be treated carefully with the prevention of infection.
本研究探讨了日本2019年冠状病毒病（COVID-19）疫情期间产后女性的抑郁症状。
2020年5月31日至6月6日进行的一项在线调查，共收到3073名婴儿年龄小于12个月的母亲的回复。
初产妇爱丁堡产后抑郁量表（EPDS）得分≥9的时点患病率为28.66%，经产妇为25.83%。逻辑回归分析表明，COVID-19疫情与EPDS≥9之间存在负相关；具体而言，社会支持减少和经济担忧被确定为风险因素。与COVID-19相关的经历显著增加了EPDS各因素的得分，即焦虑、快感缺失和抑郁。
在COVID-19疫情期间，社会支持和收入下降的母亲人数有所增加。此外，在疫情期间度过围产期增加了面临意外变化的可能性风险，如分娩医院的变更或育儿课程的取消。这些多重因素与产后女性抑郁风险升高有关。在长期危机中，应在预防感染的同时谨慎对待产后心理健康。
