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产后抑郁及其与积极和消极完美主义的关系。

Postpartum depression and its relationship with the positive and negative perfectionism.

作者信息

Rahimi Hanieh, Mousavi Fatemeh Sadat, Rahmanian Seyyedeh Adeleh, Khalajinia Zohre, Khavari Farideh

机构信息

Student of Medicine, Student Research Center, Tehran University of Medical Sciences, Tehran, Iran.

Department of Midwifery, Student Research Committee, Qom University of Medical Sciences, Qom, Iran.

出版信息

J Educ Health Promot. 2024 Mar 28;13:110. doi: 10.4103/jehp.jehp_162_23. eCollection 2024.

Abstract

BACKGROUND

Depression is a common mental disorder after childbirth, which has serious consequences for the mother, baby, and family. A wide range of causes, including some personality traits of mothers, are involved in its etiology. Therefore, this study was conducted aiming to determine the factors related to postpartum depression (PPD) and its relationship with positive and negative perfectionism in Qom, Iran.

MATERIALS AND METHODS

This cross-sectional analytical study was conducted on 162 mothers who had been referred to health centers in Qom during 6-8 weeks after normal vaginal delivery (NVD) in 2020. After randomly classifying the health centers, the convenience sampling method was carried out. Data collection tools included social-individual information form, Edinburg Postnatal Depression Scale (EPDS), and Positive and Negative Perfectionism Questionnaire of Terry-Short. The data were analyzed using the Chi-square and Pearson correlation tests and multivariate logistic regression analysis.

RESULT

The prevalence of PPD in this study was 29.6%. The results showed that with the increase in the negative dimension of perfectionism, the chance of PPD in people increases by 14% (OR = 1.14, CI = 1.06-1.21), while there was no significant correlation between the positive dimension of perfectionism and PPD (r = 0.006, > 0.05). Furthermore, the chance of PPD was higher in student mothers, mothers who had a history of PPD, and unintended pregnancy. Moreover, some factors such as multigravidity, breastfeeding, and not worrying about body image reduce the chance of occurrence.

CONCLUSION

Since mothers' negative perfectionism is associated with PPD, it is recommended to identify perfectionist individuals during pregnancy and after delivery and provide counseling service to them.

摘要

背景

抑郁症是产后常见的精神障碍,对母亲、婴儿和家庭都会造成严重后果。其病因涉及多种因素,包括母亲的一些人格特质。因此,本研究旨在确定伊朗库姆地区与产后抑郁症(PPD)相关的因素及其与正负完美主义的关系。

材料与方法

本横断面分析研究针对2020年正常阴道分娩(NVD)后6 - 8周转诊至库姆地区健康中心的162名母亲进行。在对健康中心进行随机分类后,采用便利抽样法。数据收集工具包括社会 - 个人信息表、爱丁堡产后抑郁量表(EPDS)以及特里 - 肖特正负完美主义问卷。数据采用卡方检验、皮尔逊相关检验和多因素逻辑回归分析。

结果

本研究中PPD的患病率为29.6%。结果显示,随着完美主义负面维度的增加,人们患PPD的几率增加14%(OR = 1.14,CI = 1.06 - 1.21),而完美主义正面维度与PPD之间无显著相关性(r = 0.006,P > 0.05)。此外,学生母亲、有PPD病史的母亲以及意外怀孕的母亲患PPD的几率更高。而且,多胎妊娠、母乳喂养以及不担心身体形象等因素会降低发病几率。

结论

由于母亲的负面完美主义与PPD相关,建议在孕期和产后识别出完美主义者并为其提供咨询服务。

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