Aljoudi Mays Nabeel, Ejheisheh Moath Abu, Aqtam Ibrahim, Ayed Ahmad, Batran Ahmad
Al-Ahli Hospital, Hebron, Palestine.
Faculty of Allied Medical Sciences, Department of Nursing, Ahliya University, Bethlehem, Palestine.
BMC Psychol. 2025 Apr 11;13(1):370. doi: 10.1186/s40359-025-02698-w.
Depression during pregnancy poses significant challenges for both the mother and fetus, especially in cases where pregnancy complications become life-threatening. Recognizing the prevalence and risk factors associated with prenatal depression in critically ill pregnant women is essential, particularly in resource-limited settings like Palestine.
A cross-sectional study was conducted among 304 critically ill pregnant women in eight Palestinian hospitals between January and March 2024. Data were collected through the Clinically Useful Depression Outcome Scale (CUDOS) and analyzed using SPSS Version 25. Descriptive statistics and multiple regression were applied to identify significant factors associated with depression severity.
The study found high levels of prenatal depression, with a mean CUDOS score of 55.72. Frequent crying (51%) and persistent fatigue (42.4% always, 41.1% sometimes) were common symptoms. Financial instability (p = 0.003), history of miscarriage (p = 0.005), unintended pregnancies (p = 0.001), and residing in rented housing (p = 0.004) were significant predictors, explaining a substantial variance in depression scores (adjusted R² = 0.56, p < 0.001).
These results underscore the importance of routine mental health evaluations for critically ill pregnant women. Early detection and targeted interventions can improve outcomes for both mothers and their babies, offering essential insights for healthcare providers and policymakers.
Incorporating mental health screening and support within maternal care programs in Palestine can help mitigate depression among high-risk pregnant women, improving maternal and fetal health outcomes.
孕期抑郁症对母亲和胎儿都构成了重大挑战，尤其是在妊娠并发症危及生命的情况下。认识到危重症孕妇产前抑郁症的患病率及其相关风险因素至关重要，在巴勒斯坦这样资源有限的地区尤为如此。
2024年1月至3月期间，在巴勒斯坦的八家医院对304名危重症孕妇进行了一项横断面研究。通过临床有用的抑郁结果量表（CUDOS）收集数据，并使用SPSS 25版进行分析。应用描述性统计和多元回归来确定与抑郁严重程度相关的重要因素。
该研究发现产前抑郁症的发生率很高，CUDOS平均得分为55.72。经常哭泣（51%）和持续疲劳（总是42.4%，有时41.1%）是常见症状。经济不稳定（p = 0.003）、流产史（p = 0.005）、意外怀孕（p = 0.001）以及居住在出租房（p = 0.004）是显著的预测因素，解释了抑郁得分的很大差异（调整后R² = 0.56，p < 0.001）。
这些结果强调了对危重症孕妇进行常规心理健康评估的重要性。早期发现和有针对性的干预可以改善母亲及其婴儿的结局，为医疗保健提供者和政策制定者提供重要见解。
在巴勒斯坦的孕产妇护理项目中纳入心理健康筛查和支持，有助于减轻高危孕妇的抑郁症，改善母婴健康结局。
