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姜黄素对初产妇产后抑郁和焦虑的影响:一项双盲随机安慰剂对照临床试验

The effect of curcumin on postpartum depression and anxiety in primiparous women: a double-blind randomized placebo-controlled clinical trial.

作者信息

Hamlbar Elham Pishevar, Mirghafourvand Mojgan, Shaseb Elnaz, Kamalifard Mahin

机构信息

Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.

Social Determinants of Health Research Center, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

BMC Complement Med Ther. 2025 Apr 25;25(1):157. doi: 10.1186/s12906-025-04798-x.

Abstract

Postpartum depression and anxiety are common problems in primiparous women, which can negatively affect Maternal-infant bonding and lead to sexual disorders. It's important to prevent and treat these issues, especially since medication options during breastfeeding may be limited. Our study aimed to investigate the effect of curcumin, a natural substance known for its beneficial properties, on postpartum depression and anxiety in primiparous women. A randomized controlled clinical trial was conducted on 96 primiparous women in Tabriz City. Participants were randomly assigned to either the intervention group (n = 48) or the control group (n = 48) using the random block method. The intervention group received curcumin capsules with a dose of 500 mg, while the control group received a placebo with the same dose once daily for eight weeks. Data was collected using the Edinburgh Postnatal Depression Scale (EPDS) and postpartum-specific Anxiety Scale research short-form (PSAS-RSF) questionnaires. After the intervention, the mean score of depression (mean difference: -2.5; 95% confidence interval: -3.3 to -1.7; P < 0.001) and anxiety (Mean difference: -1.4; 95% confidence interval: -2.1 to -0.7; P < 0.001) in the intervention group were significantly lower than the control group. It seems that curcumin can improve the mental health and quality of life of primiparous women postpartum due to its efficacy in reducing postpartum anxiety and depression, easy accessibility, and cost-effectiveness.

摘要

产后抑郁和焦虑是初产妇常见的问题,会对母婴关系产生负面影响并导致性功能障碍。预防和治疗这些问题很重要,尤其是考虑到母乳喂养期间的药物选择可能有限。我们的研究旨在调查姜黄素(一种因其有益特性而闻名的天然物质)对初产妇产后抑郁和焦虑的影响。在大不里士市对96名初产妇进行了一项随机对照临床试验。采用随机区组法将参与者随机分为干预组(n = 48)或对照组(n = 48)。干预组每天服用一次剂量为500毫克的姜黄素胶囊,而对照组服用相同剂量的安慰剂,持续八周。使用爱丁堡产后抑郁量表(EPDS)和产后特异性焦虑量表研究简表(PSAS-RSF)问卷收集数据。干预后,干预组的抑郁平均得分(平均差异:-2.5;95%置信区间:-3.3至-1.7;P < 0.001)和焦虑平均得分(平均差异:-1.4;95%置信区间:-2.1至-0.7;P < 0.001)显著低于对照组。由于姜黄素在减轻产后焦虑和抑郁方面的功效、易于获取和成本效益,它似乎可以改善初产妇产后的心理健康和生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/221d/12023657/f00b90efd75a/12906_2025_4798_Fig1_HTML.jpg

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