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韩国产后不同时间点社会支持与产后抑郁的关联

Association of Social Support and Postpartum Depression According to the Time After Childbirth in South Korea.

作者信息

Kim Seongju, Kim Dong Jun, Lee Mi-Sun, Lee Hooyeon

机构信息

Department of Public Health and Healthcare Management, Graduate School, The Catholic University of Korea, Seoul, Republic of Korea.

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

出版信息

Psychiatry Investig. 2023 Aug;20(8):750-757. doi: 10.30773/pi.2023.0042. Epub 2023 Aug 11.

Abstract

OBJECTIVE

This study examined the association between social support and postpartum depression (PPD) according to the time after childbirth within 12 months in South Korea.

METHODS

Data were collected from 1,481 women in Chungnam Province, South Korea from September 21 to 30, 2022. Multivariate logistic regression models were used to examine the association between social support and PPD. Subgroup analysis of the associations of support from family, friends, and significant others with PPD according to the time after childbirth was undertaken using crude and adjusted models.

RESULTS

Of the participants, 39.91% had PPD. The prevalence of PPD was 36.05% at <3 months, 37.50% at 3≤ to <6 months, and 44.41% at 6≤ to <12 months. A 1-point increase in the social support score was associated with an increase in the adjusted odds ratio of PPD of 0.91 (95% confidence interval=0.90-0.93). Social support from family was significantly associated with PPD regardless of the time after childbirth. Support from significant others was significantly associated with PPD after 6≤ to <12 months.

CONCLUSION

Family support should be provided consistently to women after birth; social connections with significant others can prevent PPD.

摘要

目的

本研究调查了韩国产后12个月内不同时间点社会支持与产后抑郁症(PPD)之间的关联。

方法

于2022年9月21日至30日收集了韩国忠清南道1481名女性的数据。采用多变量逻辑回归模型来研究社会支持与产后抑郁症之间的关联。使用原始模型和校正模型,根据产后时间对来自家人、朋友及重要他人的支持与产后抑郁症之间的关联进行亚组分析。

结果

参与者中,39.91%患有产后抑郁症。产后抑郁症的患病率在产后<3个月时为36.05%,3≤至<6个月时为37.50%,6≤至<12个月时为44.41%。社会支持得分每增加1分,产后抑郁症校正比值比增加0.91(95%置信区间=0.90-0.93)。无论产后时间如何,来自家人的社会支持与产后抑郁症显著相关。来自重要他人的支持在产后6≤至<12个月时与产后抑郁症显著相关。

结论

产后应持续为女性提供家庭支持;与重要他人的社交联系可预防产后抑郁症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1469/10460980/9891b30861a4/pi-2023-0042f1.jpg

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