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巴西产褥期妇女的童年创伤与产后抑郁的关系。

Association between childhood trauma and postpartum depression among Brazilian puerperal women.

机构信息

Universidade de Rio Verde, Faculdade de Enfermagem, Rio Verde, GO, Brazil.

Universidade de Rio Verde, Faculdade de Medicina, Rio Verde, GO, Brazil.

出版信息

Rev Lat Am Enfermagem. 2024 May 13;32:e4170. doi: 10.1590/1518-8345.6761.4170. eCollection 2024.

Abstract

OBJECTIVE

to evaluate the association between different forms of childhood trauma and postpartum depression in Brazilian puerperal women.

METHOD

this cross-sectional survey included 253 puerperal women who were evaluated using the Edinburgh Postnatal Depression Scale and the Childhood Trauma Questionnaire. Multivariate logistic regression analyses were performed to verify the association of different types of trauma and the co-occurrence of forms of abuse and neglect with postpartum depression.

RESULTS

postpartum depression was identified in 93 women (36.8%; 95% Confidence Interval: 30.8-42.7). All forms of childhood trauma assessed (emotional abuse, emotional neglect, physical abuse, physical neglect and sexual abuse) were independently associated with postpartum depression after adjusting for confounding variables. Emotional abuse remained associated with postpartum depression when the co-occurrence of all forms of childhood trauma was analyzed.

CONCLUSION

the results suggest an association between the different forms of childhood trauma and postpartum depression. In this sense, childhood trauma is an indicator for Nursing professionals to screen for risk factors of postpartum depression during obstetric_follow-up.

摘要

目的

评估巴西产褥期妇女不同形式的儿童期创伤与产后抑郁之间的关系。

方法

本横断面调查纳入了 253 名产褥期妇女,使用爱丁堡产后抑郁量表和儿童期创伤问卷进行评估。采用多变量逻辑回归分析来验证不同类型的创伤以及虐待和忽视形式的共存与产后抑郁之间的关联。

结果

93 名妇女(36.8%;95%置信区间:30.8-42.7)被诊断为产后抑郁。在调整了混杂变量后,评估的所有形式的儿童期创伤(情绪虐待、情绪忽视、身体虐待、身体忽视和性虐待)与产后抑郁均独立相关。当分析所有形式的儿童期创伤同时发生时,情绪虐待仍与产后抑郁相关。

结论

研究结果提示不同形式的儿童期创伤与产后抑郁之间存在关联。从这个意义上说,儿童期创伤是护理专业人员在产科随访期间筛查产后抑郁危险因素的一个指标。

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