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美国拉丁裔女性从孕期到产后早期的抑郁状况:风险因素的纵向研究

Depression among Latina women in the United States from pregnancy to early postpartum: longitudinal examination of risk factors.

作者信息

Rodas Naomi V, Liu Sabrina R, Chavira Denise A, Godino Job G

机构信息

Laura Rodriguez Research Institute, Family Health Centers of San Diego, 1750 5th Ave, San Diego, CA, 92101, USA.

Department of Human Development, California State University, San Marcos, CA, USA.

出版信息

BMC Pregnancy Childbirth. 2025 Apr 25;25(1):501. doi: 10.1186/s12884-025-07548-6.

DOI:10.1186/s12884-025-07548-6
PMID:40281502
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12023503/
Abstract

BACKGROUND

The present study examined the prevalence of symptoms of depression throughout pregnancy and the early postpartum period (first trimester through six weeks postpartum) in low-income Latina women. Further, this study examined whether established risk factors in non-Latina women also predict perinatal depressive symptom trajectories in low-income Latinas.

METHODS

The sample included 240 Latina women from a federally qualified health center (FQHC).

RESULTS

Latent growth curve modeling found that, on average, symptoms of depression decreased from the first trimester of pregnancy through six weeks postpartum. Change in symptoms of depression from the first trimester through six weeks postpartum were predicted by limited English proficiency and age.

CONCLUSIONS

Findings of the current study add to existing evidence that can guide clinical care for Latina maternal mental health throughout the perinatal period.

摘要

背景

本研究调查了低收入拉丁裔女性在整个孕期及产后早期(孕早期至产后六周)的抑郁症状患病率。此外,本研究还探讨了非拉丁裔女性中已确定的风险因素是否也能预测低收入拉丁裔女性围产期抑郁症状的发展轨迹。

方法

样本包括来自一家联邦合格健康中心(FQHC)的240名拉丁裔女性。

结果

潜在增长曲线模型发现,平均而言,抑郁症状从孕早期到产后六周有所下降。英语水平有限和年龄可预测从孕早期到产后六周抑郁症状的变化。

结论

本研究结果为现有证据增添了内容,可指导围产期拉丁裔孕产妇心理健康的临床护理。

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本文引用的文献

1
Depression, anxiety, and stress in pregnancy and postpartum: A longitudinal study during the COVID-19 pandemic.妊娠期及产后抑郁、焦虑和压力:COVID-19 大流行期间的纵向研究。
Midwifery. 2023 Jun;121:103655. doi: 10.1016/j.midw.2023.103655. Epub 2023 Mar 18.
2
The effects of social support on depression and anxiety in the perinatal period: A mixed-methods systematic review.社会支持对围产期抑郁和焦虑的影响:一项混合方法系统评价。
J Affect Disord. 2022 Dec 15;319:119-141. doi: 10.1016/j.jad.2022.09.005. Epub 2022 Sep 13.
3
The longitudinal course of depressive symptoms during the perinatal period: A systematic review.围产期抑郁症状的纵向病程:系统评价。
J Affect Disord. 2022 Oct 15;315:213-223. doi: 10.1016/j.jad.2022.06.087. Epub 2022 Jul 6.
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Advancing research on perinatal depression trajectories: Evidence from a longitudinal study of low-income women.推进围产期抑郁轨迹研究:来自一项对低收入妇女的纵向研究的证据。
J Affect Disord. 2022 Mar 15;301:44-51. doi: 10.1016/j.jad.2022.01.026. Epub 2022 Jan 4.
5
Role of Race, Ethnicity, and Immigration in Perceived Stress and Depressive Symptomatology Trends During Pregnancy.种族、民族和移民在怀孕期间感知压力和抑郁症状趋势中的作用。
J Immigr Minor Health. 2022 Jun;24(3):561-569. doi: 10.1007/s10903-021-01235-2. Epub 2021 Jul 4.
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Depression and anxiety symptoms across pregnancy and the postpartum in low-income Black and Latina women.低收入的黑人和拉丁裔女性在整个孕期和产后的抑郁和焦虑症状。
Arch Womens Ment Health. 2021 Dec;24(6):979-986. doi: 10.1007/s00737-021-01139-y. Epub 2021 May 10.
7
Trajectories of Depressive Symptoms and Anxiety during Pregnancy and Associations with Pregnancy Stress.怀孕期间抑郁症状和焦虑的轨迹及其与妊娠压力的关系。
Int J Environ Res Public Health. 2021 Mar 8;18(5):2733. doi: 10.3390/ijerph18052733.
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Maternal personality, social support, and changes in depressive, anxiety, and stress symptoms during pregnancy and after delivery: A prospective-longitudinal study.母亲个性、社会支持与孕期及产后抑郁、焦虑和压力症状变化:一项前瞻性纵向研究。
PLoS One. 2020 Aug 24;15(8):e0237609. doi: 10.1371/journal.pone.0237609. eCollection 2020.
9
Impact of Perinatal Depression and Anxiety on Birth Outcomes: A Retrospective Data Analysis.围产期抑郁和焦虑对分娩结局的影响:回顾性数据分析。
Matern Child Health J. 2020 Jun;24(6):718-726. doi: 10.1007/s10995-020-02906-6.
10
Postpartum depressive symptoms in low-income Latinas: Cultural and contextual contributors.低收入拉丁裔女性产后抑郁症状:文化和背景因素。
Cultur Divers Ethnic Minor Psychol. 2020 Oct;26(4):544-556. doi: 10.1037/cdp0000325. Epub 2020 Feb 27.