Ruan Ji-Ming, Wu Ling-Juan
Department of Obstetrics and Gynecology, Huzhou Maternity and Child Health Care Hospital, Huzhou 313000, Zhejiang Province, China.
World J Psychiatry. 2024 Jan 19;14(1):119-127. doi: 10.5498/wjp.v14.i1.119.
Postpartum depression (PPD) not only affects the psychological and physiological aspects of maternal health but can also affect neonatal growth and development. Partners who are in close contact with parturient women play a key role in communication and emotional support. This study explores the PPD support relationship with partners and its influencing factors, which is believed to establish psychological well-being and improve maternal partner support.
To explore the correlation between PPD and partner support during breastfeeding and its influencing factors.
Convenience sampling was used to select lactating women (200 women) who underwent postpartum examinations at the Huzhou Maternity and Child Health Care Hospital from July 2022 to December 2022. A cross-sectional survey was conducted on the basic information (general information questionnaire), depression level [edinburgh postnatal depression scale (EPDS)], and partner support score [dyadic coping inventory (DCI)] of the selected subjects. Pearson's correlation analysis was used to analyze the correlation between PPD and DCI in lactating women. Factors affecting PPD levels during lactation were analyzed using multiple linear regression.
The total average score of EPDS in 200 lactating women was (9.52 ± 1.53), and the total average score of DCI was (115.78 ± 14.90). Dividing the EPDS, the dimension scores were: emotional loss (1.91 ± 0.52), anxiety (3.84 ± 1.05), and depression (3.76 ± 0.96). Each dimension of the DCI was subdivided into: Pressure communication (26.79±6.71), mutual support (39.76 ± 9.63), negative support (24.97 ± 6.68), agent support (6.87 ± 1.92), and joint support (17.39 ± 4.19). Pearson's correlation analysis demonstrated that the total mean score and individual dimension scores of EPDS during breastfeeding were inversely correlated with the total score of partner support, stress communication, mutual support, and co-support ( < 0.05). The total mean score of the EPDS and its dimensions were positively correlated with negative support ( < 0.05). Multiple linear regression analysis showed that the main factors affecting PPD during breastfeeding were marital harmony, newborn health, stress communication, mutual support, negative support, co-support, and the total score of partner support ( < 0.05).
PPD during breastfeeding was associated with marital harmony, newborn health, stress communication, mutual support, negative support, joint support, and the total DCI score.
产后抑郁症（PPD）不仅影响产妇健康的心理和生理方面，还会影响新生儿的生长发育。与产妇密切接触的伴侣在沟通和情感支持方面起着关键作用。本研究探讨PPD与伴侣支持关系及其影响因素，认为这有助于建立心理健康并改善产妇伴侣支持。
探讨母乳喂养期间PPD与伴侣支持之间的相关性及其影响因素。
采用便利抽样法，选取2022年7月至2022年12月在湖州市妇幼保健院进行产后检查的哺乳期妇女（200名）。对入选对象的基本信息（一般信息问卷）、抑郁水平[爱丁堡产后抑郁量表（EPDS）]和伴侣支持得分[二元应对量表（DCI）]进行横断面调查。采用Pearson相关分析分析哺乳期妇女PPD与DCI之间的相关性。采用多元线性回归分析哺乳期影响PPD水平的因素。
200名哺乳期妇女EPDS总平均分是（9.52±1.53），DCI总平均分是（115.78±14.90）。将EPDS进行维度划分，各维度得分分别为：情绪失落（1.91±0.52）、焦虑（3.84±1.05）、抑郁（3.76±0.96）。DCI各维度细分为：压力沟通（26.79±6.71）、相互支持（39.76±9.63）、消极支持（24.97±6.68）、代理支持（6.87±1.92）、共同支持（17.39±4.19）。Pearson相关分析表明，母乳喂养期间EPDS的总平均分及各维度得分与伴侣支持总分、压力沟通、相互支持和共同支持呈负相关（<0.05）。EPDS的总平均分及其维度与消极支持呈正相关（<0.05）。多元线性回归分析显示，母乳喂养期间影响PPD的主要因素是婚姻和谐、新生儿健康、压力沟通、相互支持、消极支持、共同支持以及伴侣支持总分（<0.05）。
母乳喂养期间的PPD与婚姻和谐、新生儿健康、压力沟通、相互支持、消极支持、共同支持以及DCI总分相关。
