Neter E, Collins N L, Lobel M, Dunkel-Schetter C
Department of Psychology, University of California, Los Angeles, USA.
Womens Health. 1995 Spring;1(1):51-75.
The effects of stress, social support, and labor and delivery experiences on postpartum depressed mood were examined in an ethnically diverse sample of low-income women (N = 108). Women were interviewed on multiple occasions throughout pregnancy and then once approximately 2 months postpartum. Information on labor and delivery outcomes was abstracted from medical charts. Results indicated that women who were more satisfied with the prenatal social support they received were less likely to experience postpartum depressed mood, after controlling for prenatal depressive symptomatology. In addition, women who experienced more distressing life events during pregnancy and who reported higher levels of prenatal anxiety were also more likely to feel depressed, after controlling for all other factors in the model. Finally, women who were more satisfied with their labor and delivery experience tended to be less depressed in the early months following childbirth. Together, these variables accounted for 45% of the variance in postpartum depressed mood.
在一个种族多样的低收入女性样本（N = 108）中，研究了压力、社会支持以及分娩经历对产后抑郁情绪的影响。在整个孕期对女性进行了多次访谈，产后约2个月时又进行了一次访谈。分娩结局的信息从病历中提取。结果表明，在控制了产前抑郁症状后，对所获得的产前社会支持更满意的女性，产后抑郁情绪的发生率较低。此外，在控制了模型中的所有其他因素后，孕期经历更多痛苦生活事件且产前焦虑水平较高的女性，也更有可能感到抑郁。最后，对分娩经历更满意的女性在产后最初几个月往往抑郁程度较低。这些变量共同解释了产后抑郁情绪中45%的变异。
