Eskitzis Panagiotis, Michou Vasiliki, Arampatzi Christiana, Tsakiridis Ioannis, Papoutsis Dimitrios
Department of Midwifery, School of Healthcare Sciences, University of Western Macedonia, Keptse, 50200 Ptolemaida, Greece.
3rd Department of Obstetrics and Gynecology, Aristotle University of Thessaloniki, Ippokrateio General Hospital of Thessaloniki, Kostantinoupoleos Street 49, 54642 Thessaloníki, Greece.
Diagnostics (Basel). 2025 Apr 22;15(9):1065. doi: 10.3390/diagnostics15091065.
This study aimed to investigate the presence of emotional disorders, the risk factors associated with these disorders, and the level of sexual function observed after childbirth. Additionally, the study aimed to explore how sexual function affects post-partum depression and Post-Traumatic Stress Disorder (PTSD), as well as how these emotional disorders, in turn, impact sexual function. A total of 336 women participated in the study, who were asked to complete four questionnaires: a general women's personal information questionnaire, the Edinburgh Postnatal Depression Scale (EPDS), the PTSD Scale (PCL-5), and the Female Sexual Functioning Index (FSFI). The results showed that 33% of mothers scored on the EPDS above 14 points, which was considered a threshold value for the prognosis of post-partum depression. In addition, the women scored an average of 20.8 points on the FSFI, and thus, their level of sexual functioning was characterized as moderate. According to the total score of the PCL-5 scale, it was observed that 17.6% of the mothers show post-traumatic stress after childbirth and satisfy all four criteria of this scale. Lastly, multiple regression analysis showed that factors such as annual family income and negative body image had a significant contribution to the models. Finally, it was observed that reduced sexual functionality in women is linked to post-partum depression and post-traumatic stress after childbirth. In conclusion, our research emphasizes the need for further exploration of the psychological and emotional challenges women face during the puerperium, which can negatively affect sexual health.
本研究旨在调查情绪障碍的存在情况、与这些障碍相关的风险因素以及产后观察到的性功能水平。此外，该研究旨在探讨性功能如何影响产后抑郁症和创伤后应激障碍（PTSD），以及这些情绪障碍又如何反过来影响性功能。共有336名女性参与了该研究，她们被要求完成四份问卷：一份一般女性个人信息问卷、爱丁堡产后抑郁量表（EPDS）、创伤后应激障碍量表（PCL - 5）和女性性功能指数（FSFI）。结果显示，33%的母亲在EPDS上的得分高于14分，这被认为是产后抑郁症预后的阈值。此外，这些女性在FSFI上的平均得分为20.8分，因此，她们的性功能水平为中等。根据PCL - 5量表的总分，观察到17.6%的母亲在产后表现出创伤后应激反应，并满足该量表的所有四项标准。最后，多元回归分析表明，家庭年收入和负面身体形象等因素对模型有显著贡献。最后，观察到女性性功能下降与产后抑郁症和产后创伤后应激有关。总之，我们的研究强调需要进一步探索女性产褥期面临的心理和情绪挑战，这些挑战可能对性健康产生负面影响。
