埃塞俄比亚亚的斯亚贝巴父亲产后心理困扰的程度及其相关因素：基于机构的横断面研究。
Magnitude of paternal postpartum psychological distress and associated factors in Addis Ababa, Ethiopia: a facility-based cross-sectional study.
机构信息
Department of Psychiatry, Tirunesh Beijing General Hospital, Addis Ababa, Ethiopia.
Department of Family Medicine, St. Peter's Specialized Hospital, Addis Ababa, Ethiopia.
出版信息
BMC Psychiatry. 2023 Jun 1;23(1):387. doi: 10.1186/s12888-023-04891-w.
BACKGROUND
The psychological distress of fathers in the postpartum period can have adverse effects on the well-being of the family and the newborn's development in particular. However, fathers' mental health throughout the postpartum has remained understudied and clinically overlooked in many developing countries, including Ethiopia. This study aims to assess the prevalence of psychological distress among fathers in the postpartum period and to examine the associated factors in an Ethiopian population.
METHODS
A facility-based, cross-sectional study was conducted at Tikur Anbessa Specialized Hospital (TASH) and Gandhi Memorial Hospital (GMH) in Addis Ababa, Ethiopia. A systematic sampling method was employed to include 280 fathers whose partners gave birth 6 to 8 weeks before the interview. Psychological distress was assessed using a validated Amharic version of the Kessler Psychological Distress Scale (K10) through a telephone interview. The collected data was analyzed using SPSS version 26. Descriptive statistics were used to summarize the data. Multivariable logistic regression was run to determine the variables associated with paternal postpartum psychological distress (K10 total score ≥ 7, a validated cut-off score in an urban Ethiopian setting), and odds ratio with 95% confidence intervals were obtained. A two-tailed p-value < 0.05 was considered for statistical significance.
RESULTS
About one-fifth of the fathers endorsed having distress symptoms during the postpartum period. Those with lower income (AOR = 11.31, 95% CI: 4.10, 31.15), unintended pregnancy (AOR = 3.96, 95% CI: 1.02, 15.46), poor social support (AOR =3.28 95% CI: 1.43, 7.50), poor infantile health (AOR = 8.20, 95% CI: 2.35, 28.66) and maternal postpartum distress (AOR = 12.10, 95% CI: 3.15, 46.48) had significantly higher odds of having paternal postpartum distress.
CONCLUSIONS
Paternal postpartum distress was present in one-fifth of the fathers included in this study. This calls for due attention and efforts for early detection of those at risk of paternal distress and the development of interventions that consider their specific needs.
背景
父亲在产后期间的心理困扰会对家庭的幸福和新生儿的发展产生不良影响。然而，在许多发展中国家，包括埃塞俄比亚，父亲在产后期间的心理健康仍然研究不足，临床上也被忽视。本研究旨在评估埃塞俄比亚人群中父亲在产后期间心理困扰的患病率，并探讨相关因素。
方法
在埃塞俄比亚亚的斯亚贝巴的提库安巴萨专科医院（TASH）和甘地纪念医院（GMH）进行了一项基于机构的横断面研究。采用系统抽样法纳入 280 名其伴侣在访谈前 6-8 周分娩的父亲。通过电话访谈使用经过验证的阿姆哈拉语版 Kessler 心理困扰量表（K10）评估心理困扰。使用 SPSS 版本 26 分析收集的数据。使用描述性统计对数据进行总结。进行多变量逻辑回归以确定与父亲产后心理困扰相关的变量（K10 总分≥7，这是在城市埃塞俄比亚环境中的一个有效截断值），并获得比值比及其 95%置信区间。双侧 p 值<0.05 被认为具有统计学意义。
结果
约五分之一的父亲在产后期间表示有困扰症状。那些收入较低（AOR=11.31，95%CI：4.10，31.15）、意外怀孕（AOR=3.96，95%CI：1.02，15.46）、社会支持较差（AOR=3.28，95%CI：1.43，7.50）、婴儿健康状况较差（AOR=8.20，95%CI：2.35，28.66）和产妇产后困扰（AOR=12.10，95%CI：3.15，46.48）的父亲发生父亲产后困扰的可能性显著更高。
结论
本研究纳入的父亲中有五分之一存在父亲产后困扰。这呼吁对那些有父亲困扰风险的人给予应有的关注和努力，以进行早期发现，并制定考虑到他们特定需求的干预措施。
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