Ishii Kayoko, Goto Aya, Komiya Hiromi, Yasumura Seiji, Yasuda Shun, Ota Misao, Fujimori Keiya
Department of Midwifery and Maternal Nursing, Fukushima Medical University School of Nursing, 1 Hikarigaoka, Fukushima-shi, Fukushima, 960-1295, Japan.
Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University, Fukushima, Japan.
Sci Rep. 2025 Feb 12;15(1):5238. doi: 10.1038/s41598-024-84327-x.
This study aimed to identify trends and factors in postpartum depression after the Fukushima nuclear accident among women who participated in the Fukushima Health Management Survey (FHMS). We analyzed the prevalence of depressive symptoms and concerns about radiation exposure using FHMS data from FY2011-FY2018. We also analyzed the characteristics of women who did not have depressive symptoms in the postpartum period but had developed them at 4 years after childbirth and women with depressive symptoms in the postpartum period but had improved at 4 years after childbirth. In this survey, depressive symptoms were evident in 23.1% of women in the postpartum period. Factors significantly associated with developing depressive symptoms at 4 years after childbirth were younger maternal age, not being healthy, lacking maternal confidence, history of mental illness, and not intending to become pregnant again because of radiation effects. Improvement from initial depressive symptoms at 4 years after childbirth was associated with being very healthy, having maternal confidence, no medical history, no history of mental illness, having received sufficient perinatal care, and intending to become pregnant again. Our results suggest the need for comprehensive assessment of depression risks for prevention and thorough continuous professional care for disaster affected women with postpartum depression.
本研究旨在确定参与福岛健康管理调查（FHMS）的女性在福岛核事故后产后抑郁症的趋势和影响因素。我们使用2011财年至2018财年的FHMS数据，分析了抑郁症状的患病率以及对辐射暴露的担忧。我们还分析了产后无抑郁症状但在产后4年出现抑郁症状的女性，以及产后有抑郁症状但在产后4年症状有所改善的女性的特征。在这项调查中，23.1%的女性在产后出现了抑郁症状。与产后4年出现抑郁症状显著相关的因素包括产妇年龄较小、身体不健康、缺乏母亲自信、有精神疾病史以及因辐射影响而不打算再次怀孕。产后4年抑郁症状从最初状态得到改善与身体非常健康、有母亲自信、无病史、无精神疾病史、接受了充分的围产期护理以及打算再次怀孕有关。我们的研究结果表明，需要对抑郁症风险进行全面评估以预防产后抑郁症，并为受灾难影响的产后抑郁症女性提供全面持续的专业护理。
