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2021 年 COVID-19 大流行期间产妇产后焦虑和抑郁的患病率及相关因素。

The prevalence and related factors of post-partum anxiety and depression among mothers during COVID-19 pandemic in 2021.

机构信息

School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.

Department of Epidemiology and Biostatistics, School of Health, Anesthesiology and Critical Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

BMC Public Health. 2024 Sep 3;24(1):2394. doi: 10.1186/s12889-024-19843-6.

Abstract

BACKGROUND

There are many factors effective on occurrence of post-partum anxiety and depression. COVID-19 pandemic, as a major health crisis, affected many countries and had undesirable mental health outcomes, especially for the vulnerable population. The aim of this study was to evaluate the prevalence of post-partum anxiety and depression and their related factors during COVID-19 pandemic.

METHODS

The present descriptive cross-sectional study was conducted on 360 mothers who delivered their child during COVID-19 pandemic and had referred to the comprehensive urban health canter of Lenjan city two months after their delivery (from November 10th, 2021, until March 19th, 2022). Data were gathered using 3 questionnaires including demographic characteristics, Edinburgh Postnatal Depression Scale (EPDS), and Beck Anxiety Inventory (BAI). Data were analyzed using SPSS software version 24 and the level of significance was set at p < 0.05.

RESULTS

The prevalence of anxiety and post-partum depression was 27% and 20%, respectively. None of the demographic characteristics had a significant relationship with anxiety and depression. Related factors to post-partum anxiety included desired pregnancy, premenstrual syndrome, marital conflicts, history of mother's hospitalization due to COVID-19, compliance rate with preventive health measures for COVID-19, stressful events, and social support.

CONCLUSION

It is suggested to screen mothers to detect significant related factors of post-partum anxiety and depression in other future pandemics or epidemics to support them.

摘要

背景

有许多因素会影响产后焦虑和抑郁的发生。COVID-19 大流行是一场重大的卫生危机,影响了许多国家,对弱势群体的心理健康产生了不良影响。本研究旨在评估 COVID-19 大流行期间产后焦虑和抑郁的发生率及其相关因素。

方法

本研究采用描述性横断面研究,对 360 名在 COVID-19 大流行期间分娩并在分娩后两个月(2021 年 11 月 10 日至 2022 年 3 月 19 日)到 Lenjan 市综合城市卫生中心就诊的产妇进行了研究。使用包括人口统计学特征、爱丁堡产后抑郁量表(EPDS)和贝克焦虑量表(BAI)在内的 3 份问卷收集数据。使用 SPSS 软件版本 24 进行数据分析,显著性水平设为 p<0.05。

结果

焦虑和产后抑郁的发生率分别为 27%和 20%。人口统计学特征与焦虑和抑郁均无显著关系。产后焦虑的相关因素包括期望怀孕、经前综合征、婚姻冲突、因 COVID-19 住院的母亲史、对 COVID-19 预防保健措施的遵医嘱率、压力事件和社会支持。

结论

建议在未来的大流行或流行病中对母亲进行筛查,以发现产后焦虑和抑郁的显著相关因素,为她们提供支持。

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