Kim Hyunkyoung
Department of Nursing, Kongju National University, Gongju 32588, Republic of Korea.
Healthcare (Basel). 2025 Apr 14;13(8):897. doi: 10.3390/healthcare13080897.
Maternal postpartum depression (PPD) is a major psychological problem affecting mothers, newborns, and their families after childbirth. This study investigated the factors influencing maternal PPD and developed a predictive model using machine learning. In this study, we applied machine learning techniques to identify significant predictors of PPD and to develop a model for classifying individuals at risk. Data from 2570 subjects were analyzed using the Korean Early Childhood Education and Care Panel (K-ECEC-P) dataset as of January 2025, utilizing Python version 3.12.8. We compared the performance of a decision tree classifier, random forest classifier, AdaBoost classifier, and logistic regression model using metrics such as precision, accuracy, recall, F1-score, and area under the curve. The logistic regression model was selected as the best model. Among the 13 features analyzed, conflict with a partner, stress, and the value of children emerged as significant predictors of PPD. Conflict with a partner and stress levels emerged as the strongest predictors. Higher levels of conflict and stress were associated with an increased likelihood of PPD, whereas a higher value of children reduced this risk. Maternal psychological status and environmental features should be managed carefully during the postpartum period.
产后抑郁(PPD)是一种影响产后母亲、新生儿及其家庭的主要心理问题。本研究调查了影响产后抑郁的因素,并使用机器学习开发了一个预测模型。在本研究中,我们应用机器学习技术来识别产后抑郁的重要预测因素,并开发一个对有风险个体进行分类的模型。截至2025年1月,我们使用韩国幼儿教育与照料面板(K-ECEC-P)数据集对2570名受试者的数据进行了分析,使用的是Python 3.12.8版本。我们使用精确率、准确率、召回率、F1分数和曲线下面积等指标,比较了决策树分类器、随机森林分类器、AdaBoost分类器和逻辑回归模型的性能。逻辑回归模型被选为最佳模型。在分析的13个特征中,与伴侣的冲突、压力和对孩子的重视程度成为产后抑郁的重要预测因素。与伴侣的冲突和压力水平是最强的预测因素。更高程度的冲突和压力与产后抑郁的可能性增加有关,而对孩子更高的重视程度则降低了这种风险。在产后期间,应谨慎管理产妇的心理状态和环境特征。