Alloghani Maryam Mubarak, Baig Mirza R, Alawadhi Suhaila Mohammed Shareef
Emirates Health Services, Kalba Hospital, Sharjah, UAE.
Department of Pharmacy Practice, Dubai Pharmacy College for Girls, Dubai, UAE.
Iran J Psychiatry. 2024 Feb;19(2):174-184. doi: 10.18502/ijps.v19i2.15103.
Post-partum depression (PPD) has been reported in about one-seventh to one-tenth of women. The aim of this study is to identify the demographic, obstetrics, social, and psychological risk factors of PPD among the eastern region of the United Arab Emirates. A community-based cross-sectional study was performed on 200 women who had a recent singleton pregnancy and delivered newborn within past six months via convenience sampling and email snowballing. Several demographics, obstetrics, social, and psychological factors of the respondents were assessed using a survey form. The Edinburgh depression rating scale (EDRS) was used for the identification of women with possible PPD. Descriptive statistics were utilized for the representation of demographic variables, whereas Chi-square test was employed to assess categorical variables. Also, logistic regression was applied to evaluate the association of investigated variables and PPD. The median EDRS score amongst the study participants was found to be 11 (0-26). The prevalence of PPD was found to be 57% in the studied population. Significant differences were observed in the adverse life events, emotional supports, marital conflicts and history of depression of the participants with and without PPD (P < 0.01). The risk factors significantly associated with PPD were age of the newborn (OR = 6.50, 95%CI: 1.17-19.91), marital relationship (OR = 4.15, 95%CI: 1.31-15.22), maternal educational level (OR = 5.10, 95%CI: 4.30-16.58), adverse life events (OR = 9.32, 95%CI: 1.33-35.32), and history of depression (OR = 5.24, 95%CI: 3.14-11.96). Given the findings, there is an urgent need for policy initiatives to address the identified risk factors, such as improving access to education, strengthening supportive marital relationships, and providing comprehensive mental health services for pregnant women.
据报道,约七分之一至十分之一的女性会患产后抑郁症(PPD)。本研究的目的是确定阿拉伯联合酋长国东部地区PPD的人口统计学、产科、社会和心理风险因素。通过便利抽样和电子邮件滚雪球抽样法,对200名近期单胎妊娠且在过去六个月内分娩新生儿的女性进行了一项基于社区的横断面研究。使用调查问卷评估了受访者的一些人口统计学、产科、社会和心理因素。采用爱丁堡抑郁量表(EDRS)来识别可能患有PPD的女性。描述性统计用于呈现人口统计学变量,而卡方检验用于评估分类变量。此外,采用逻辑回归来评估所研究变量与PPD之间的关联。研究参与者的EDRS得分中位数为11(0 - 26)。在所研究的人群中,PPD的患病率为57%。在有PPD和无PPD的参与者的不良生活事件、情感支持、婚姻冲突和抑郁病史方面观察到显著差异(P < 0.01)。与PPD显著相关的风险因素包括新生儿年龄(OR = 6.50,95%CI:1.17 - 19.91)、婚姻关系(OR = 4.15,95%CI:1.31 - 15.22)、母亲教育水平(OR = 5.10,95%CI:4.30 - 16.58)、不良生活事件(OR = 9.32,95%CI:1.33 - 35.32)和抑郁病史(OR = 5.24,95%CI:3.14 - 11.96)。鉴于这些发现,迫切需要出台政策举措来应对已确定的风险因素,例如改善教育机会、加强支持性的婚姻关系以及为孕妇提供全面的心理健康服务。