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在产后第一年,社会支持与韩国女性的产后抑郁、焦虑和感知压力有关吗?

Is social support associated with postpartum depression, anxiety and perceived stress among Korean women within the first year postpartum?

机构信息

Department of Preventive Medicine, College of Medicine, The Catholic University of Korea, Seoul, South Korea.

Department of Psychiatry, Dankook University Hospital, Cheonan, South Korea.

出版信息

J Psychosom Obstet Gynaecol. 2023 Dec;44(1):2231629. doi: 10.1080/0167482X.2023.2231629.

Abstract

PURPOSE

This study aimed to examine the association between social support, postpartum depression (PPD), anxiety and perceived stress among women within 12 months of childbirth in South Korea.

METHODS

A cross-sectional, web-based survey was conducted from 21 to 30 September 2022 and included women within 12 months of childbirth in Chungnam Province, South Korea. A total of 1486 participants were included. Multiple linear regression models were used to evaluate the association between social support and mental health.

RESULTS

In total, 40.0% of the participants had mild to moderate PPD; 12.0%, anxiety symptoms; and 8.2%, perceived severe stress. Social support (from family and significant others) is significantly associated with PPD, anxiety and perceived severe stress. Current maternal health problems, unplanned pregnancy and low household income were risk factors for PPD, anxiety and perceived stress. The increase in the time elapsed after childbirth showed a positive association with PPD and perceived severe stress.

CONCLUSIONS

Our findings provide insights to identify at-risk mothers and emphasize the importance of social support in families, early screening and continuous monitoring for postpartum women to prevent PPD, anxiety and stress.

摘要

目的

本研究旨在探讨韩国产后 12 个月内女性的社会支持、产后抑郁(PPD)、焦虑和感知压力之间的关系。

方法

本研究采用横断面、基于网络的调查,于 2022 年 9 月 21 日至 30 日在韩国忠清南道进行,纳入产后 12 个月内的女性。共纳入 1486 名参与者。采用多元线性回归模型评估社会支持与心理健康之间的关系。

结果

共有 40.0%的参与者存在轻度至中度 PPD;12.0%有焦虑症状;8.2%有严重的压力感。社会支持(来自家庭和重要他人)与 PPD、焦虑和严重压力感显著相关。当前的产妇健康问题、意外怀孕和低家庭收入是 PPD、焦虑和压力感的危险因素。产后时间的延长与 PPD 和严重压力感呈正相关。

结论

本研究结果为识别高危产妇提供了新的视角,并强调了家庭支持、早期筛查和对产后女性的持续监测对预防 PPD、焦虑和压力感的重要性。

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