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沙特阿拉伯母亲产后抑郁症的患病率及相关因素:一项横断面研究

Prevalence and Factors Associated with Maternal Postpartum Depression among Mothers in Saudi Arabia: A Cross-Sectional Study.

作者信息

Abdelmola Amani Osman, Bahari Ahmed, Gosadi Ibrahim, Aburasain Khdeeja Shami, Osaisi Njoud Ali, Jilan Nidaa Sameer, Alsanosy Sarah Rashad, Mahnashi Haneen Ali, Gadri Hadeel Fuad, Khobrani Amnah Ahmad, Darraj Alaa Ahmad, Mahfouz Mohamed Salih, Kariri Hadi Dhafer Hassan, Abdelwahab Siddig Ibrahim

机构信息

Department of Family and Community Medicine, College of Medicine, Jazan University, GGGD6622, Jazan 45142, Saudi Arabia.

Department of Psychology, College of Education, Jazan University, GGGD6622, Jazan 45142, Saudi Arabia.

出版信息

Healthcare (Basel). 2023 Jan 25;11(3):343. doi: 10.3390/healthcare11030343.

Abstract

Postpartum depression (PPD) is a serious public health problem in many Middle Eastern countries. Mothers with PPD experience various extreme symptoms that affect their daily lives. This study aims to discover how common PPD is in the Jazan region, the most significant risk factors, and how likely depressed women are to seek help. An observational cross-sectional survey targeting a sample of 444 mothers in their first year after delivery using a pre-tested and validated EDPS standard tool to evaluate the prevalence of postpartum depression amongst them has been conducted. The data was collected and then analyzed using SPSS. Descriptive statistics and inferential statistics were used for data analysis. Multivariate logistic regression was used to assess the risk factors associated with PPD. The results indicate an extremely high prevalence of PPD in Jazan (75.7%). The prevalence of mothers having suicidal ideation was 6.3% quite often, 5.0% sometimes, and 7.9% hardly. Regarding the duration of depression symptoms, 34.78% were less than a month, 20.72% were less than six months, and 13.06% were less than one year. The study shows that the development of depression symptoms occurred within less than a week for 30.4% of the women. The most significant association with PPD was a lack of family support, which significantly increased the risk of PPD (OR = 5.9; -value < 0.001). The mothers who had unexpected pregnancies had a risk of PPD (OR = 2.5; -value < 0.001). Current research has revealed a high prevalence of postpartum depression among mothers in the Jazan region and that it is associated with different risk factors that increase the probability of PPD development. Pregnant women need to raise their awareness about PPD and learn how to avoid or deal with it.

摘要

产后抑郁症(PPD)在许多中东国家是一个严重的公共卫生问题。患有产后抑郁症的母亲会经历各种极端症状,这些症状会影响她们的日常生活。本研究旨在了解产后抑郁症在吉赞地区的普遍程度、最重要的风险因素,以及抑郁女性寻求帮助的可能性。一项观察性横断面调查针对444名产后第一年的母亲进行,使用经过预测试和验证的EDPS标准工具来评估她们中产后抑郁症的患病率。收集数据后,使用SPSS进行分析。描述性统计和推断性统计用于数据分析。多变量逻辑回归用于评估与产后抑郁症相关的风险因素。结果表明,吉赞地区产后抑郁症的患病率极高(75.7%)。有自杀念头的母亲患病率相当高的为6.3%,有时有自杀念头的为5.0%,很少有自杀念头的为7.9%。关于抑郁症状的持续时间,34.78%的症状持续时间不到一个月,20.72%的症状持续时间不到六个月,13.06%的症状持续时间不到一年。研究表明,30.4%的女性在不到一周的时间内就出现了抑郁症状。与产后抑郁症最显著的关联是缺乏家庭支持,这显著增加了产后抑郁症的风险(OR = 5.9;P值<0.001)。意外怀孕的母亲患产后抑郁症的风险(OR = 2.5;P值<0.0)。当前的研究表明,吉赞地区母亲中产后抑郁症的患病率很高,并且它与增加产后抑郁症发生可能性的不同风险因素有关。孕妇需要提高对产后抑郁症的认识,并学习如何避免或应对它。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b36e/9914230/a640f68753af/healthcare-11-00343-g001.jpg

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