Bakhteh Azam, Salari Nader, Jaberghaderi Nasrin, Khosrorad Tahereh
Department of Reproductive Health, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Department of Biostatistics, School of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Iran J Nurs Midwifery Res. 2023 Jul 24;28(4):411-416. doi: 10.4103/ijnmr.ijnmr_269_21. eCollection 2023 Jul-Aug.
Depression is the most important postpartum mental disorder that can lead to irreversible damage to family health if not addressed, including inability to provide maternal care, impaired mother-child relationship, impaired growth, and development of the child, to marital problems, and sometimes the risk of suicide and infant death. The aim of this study was to investigate the relationship between self-compassion and body image with postpartum depression.
In this study, 150 pregnant women in the third trimester and 6 weeks postpartum completed the Short Form Self-Compassion Questionnaire (SCS-SF), Multidimensional Self-Body Relationships (MBSRQ), and Edinburgh Postpartum Depression Inventory (EPDS). Depending on the type of study, descriptive statistics such as mean, median, and standard deviation were calculated for quantitative, frequency, and relative frequency variables. Kolmogorov-Smirnov test was used to evaluate the normality of the distribution of scores in each questionnaire. Data were analyzed using parametric proportional statistical tests (paired t-test, Pearson correlation, and linear regression) at the level of significance less than 0.05.
Based on the findings, the relationship between self-compassion and postpartum depression was not significant. Self-kindness had a significant positive relationship, and self-judgement had a significant negative relationship with depression ( < 0.01). Body image had a significant predictive effect on postpartum depression ( < 0.05).
Negative body image as a risk factor for postpartum depression should be considered by healthcare providers and used in the prevention and treatment of postpartum depression.
抑郁症是最重要的产后精神障碍，如果不加以解决，可能会对家庭健康造成不可逆转的损害，包括无法提供母婴护理、母婴关系受损、儿童成长和发育受影响、婚姻问题，有时还存在自杀和婴儿死亡风险。本研究的目的是调查自我同情和身体意象与产后抑郁症之间的关系。
在本研究中，150名孕晚期和产后6周的孕妇完成了简短自我同情问卷（SCS-SF）、多维自我身体关系问卷（MBSRQ）和爱丁堡产后抑郁量表（EPDS）。根据研究类型，对定量、频率和相对频率变量计算均值、中位数和标准差等描述性统计量。采用柯尔莫哥洛夫-斯米尔诺夫检验评估各问卷得分分布的正态性。数据采用参数比例统计检验（配对t检验、皮尔逊相关和线性回归）进行分析，显著性水平小于0.05。
根据研究结果，自我同情与产后抑郁症之间的关系不显著。自我仁慈与抑郁症呈显著正相关，自我评判与抑郁症呈显著负相关（<0.01）。身体意象对产后抑郁症有显著的预测作用（<0.05）。
负面身体意象作为产后抑郁症的一个风险因素，医疗保健提供者应予以考虑，并将其用于产后抑郁症的预防和治疗。
