Chen C H
School of Nursing, Kaohsiung Medical College, Taiwan, Republic of China.
Gaoxiong Yi Xue Ke Xue Za Zhi. 1995 Jan;11(1):1-7.
The literature on the etiology of postpartum depression was explored, including demographic, gynecologic-obstetric, biological, psychopathological, cognitive-behavioral, sociocultural and psychosocial factors. Prevailing views about the causation of postpartum depression reflect a multifactorial theory in which all of the selected factors contribute. Empirically derived evidence in support of such a theory is, however, not yet readily available. The emphasis in investigative work regarding the etiology of postpartum depression now appears to be in the psychosocial areas. The underlying assumption from a psychosocial perspective is that postpartum depression results from the stress of the peripartum period and adjustments to child-care responsibilities. In Taiwan, Chen (1994) confirmed the basic Postpartum Depression Model, supporting the predicted relationships between perceived stress, social support, self-esteem and postpartum depression. This model can be incorporated into the nursing body of knowledge. Based on this predictive theory, scientifically valid nursing interventions can be developed and tested.
我们探究了产后抑郁病因的相关文献，包括人口统计学、妇产科、生物学、精神病理学、认知行为学、社会文化学和心理社会学因素。关于产后抑郁病因的主流观点反映了一种多因素理论，其中所有选定因素都起作用。然而，支持这一理论的实证证据目前还不容易获得。目前，关于产后抑郁病因的调查工作重点似乎在心理社会领域。从心理社会角度的基本假设是，产后抑郁是由围产期压力和对育儿责任的调整导致的。在台湾，Chen（1994）证实了基本的产后抑郁模型，支持了感知压力、社会支持、自尊与产后抑郁之间的预测关系。这个模型可以纳入护理知识体系。基于这一预测理论，可以开发并测试科学有效的护理干预措施。
