Khanam M, Mullich M S, Munib A A
Department of Psychiatry, Institute of Post Graduate Medicine and Research, Dhaka.
Bangladesh Med Res Counc Bull. 1993 Aug;19(2):45-51.
A prospective study was done on 100 permanent sterilized women (age 21 to 40 years) attending two model family planning clinics of Dhaka. By using DSM III-R criteria for major depressive episode, 19 were found to have depressive disorder. Among them 3 were severe, 8 were moderate and rest 8 were mild according to HRSD score. The average number of children in postligated depressive group was 5 in number. Almost all the depressives had considerable life events one year before ligation and relationship problem was the most frequent event. The time of occurrence of depressive disorder was within 2-3 months after ligation in 42.11% of the depressives. Only 2 cases of the depressives were getting psychiatric treatment which indicates lack of awareness about the existence of depression among postligated women.
对达卡两家示范计划生育诊所的100名永久性绝育女性(年龄在21至40岁之间)进行了一项前瞻性研究。根据《精神疾病诊断与统计手册》第三版修订版(DSM III-R)中重度抑郁发作的标准,发现19名女性患有抑郁症。根据汉密尔顿抑郁量表(HRSD)评分,其中3例为重度,8例为中度,其余8例为轻度。结扎后抑郁组的平均子女数为5个。几乎所有抑郁症患者在结扎前一年都经历了相当多的生活事件,人际关系问题是最常见的事件。42.11%的抑郁症患者在结扎后2至3个月内出现抑郁症。只有2例抑郁症患者正在接受精神科治疗,这表明结扎后女性对抑郁症的存在缺乏认识。