Majorie Ensayan Janting, Cheah Whye Lian, Hazmi Helmy
Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia.
Malays J Med Sci. 2023 Aug;30(4):147-156. doi: 10.21315/mjms2023.30.4.13. Epub 2023 Aug 24.
Postpartum depression (PD) among women, if left untreated, may result in long-term health and social consequences for them and their families. This cross-sectional study aimed to determine the factors contributing to PD among working mothers in Kuching, Sarawak, Malaysia.
Systematic sampling was used to recruit working mothers who attended Kuching's maternal and child health clinics. They were interviewed with a validated translated questionnaire to obtain data on sociodemographics, health profiles, and Edinburgh Postnatal Depression Scale (EPDS) and postpartum symptoms. Data were analysed using IBM SPSS version 21.0.
Out of the total 281 respondents, 15.3% of respondents had depression symptoms. Fatigue (42.7%), back or neck pain (36.3%), breast discomfort (16.4%), dizziness (13.5%) and nipple irritation (11.0%) were the most common physical symptoms experienced by the mothers. Regression analysis showed that working mothers who exhibited higher scores of physical symptoms were 1.26 times more likely to develop PD (adjusted odd ratio 1.26, < 0.01; 95% CI: 1.071, 1.487).
Physical symptoms were the predictors of PD among working mothers.
女性产后抑郁症(PD)若不治疗,可能会给她们自身及其家庭带来长期的健康和社会后果。这项横断面研究旨在确定马来西亚砂拉越古晋职业母亲产后抑郁症的影响因素。
采用系统抽样法招募到古晋母婴健康诊所就诊的职业母亲。使用经过验证的翻译问卷对她们进行访谈,以获取社会人口统计学、健康状况、爱丁堡产后抑郁量表(EPDS)和产后症状的数据。数据采用IBM SPSS 21.0版进行分析。
在总共281名受访者中,15.3%的受访者有抑郁症状。疲劳(42.7%)、背部或颈部疼痛(36.3%)、乳房不适(16.4%)、头晕(13.5%)和乳头刺痛(11.0%)是母亲们最常出现的身体症状。回归分析显示,身体症状得分较高的职业母亲患产后抑郁症的可能性高1.26倍(调整后的比值比为1.26,<0.01;95%置信区间:1.071,1.487)。
身体症状是职业母亲产后抑郁症的预测因素。