关键词: Determinants Edinburgh Postpartum Depression Scale EPDS Postpartum Depression Prevalence

来  源:   DOI:10.1007/s10995-024-03931-5

Abstract:
BACKGROUND: Postpartum depression (PPD) is a common mental health condition that affects women in a silent and covert way and is not clearly visible to the community or to health care providers. Untreated PPD has significant and long-term consequences on the mother and their child. This study aims to assess the risk of postpartum depression among women in the Emirate of Abu Dhabi and its determinants.
METHODS: This is a questionnaire-based cross-sectional study conducted at primary healthcare centers in the Emirate of Abu Dhabi. The target population is women visiting the well-child vaccination clinics for their infants\' vaccination. The questionnaire used consisted of socio-demographic characteristics, important histories such as obstetric, medical, and social histories, and the Edinburgh Post Partum depression scale EPPS. EPPS is a validated tool used to evaluate the probability of postpartum depression.
RESULTS: The probability of postpartum depression for women visiting the well child care clinics in the Emirate of Abu Dhabi during the study period was 35%, One-third. 10% had high risk, 7% had moderate risk, and 18% had mild risk. Using logistic and linear regression, there was an association identified between postpartum depression risk and the presence of weight concern and employment status OR 5.499(2.618-11.548) and OR 0.483 (0.246-0.951), respectively (P < 0.005). From the total sample, 3.7% responded quite often or sometimes to the question of having the intention to harm themselves.
CONCLUSIONS: EPDS is recommended to be used routinely to screen women in the postnatal period. This high prevalence of risk of postpartum depression in the UAE (One in three women) calls for a well-prepared healthcare system and community. Healthcare providers need to be prepared with better knowledge, practice, and management strategies to care for these women, for early identification and management. Further studies should be undertaken to achieve effective strategies to reduce the incidence of this condition.
摘要:
背景:产后抑郁症(PPD)是一种常见的精神健康状况,以沉默和隐蔽的方式影响妇女,社区或医疗保健提供者无法清楚看到。未经治疗的PPD对母亲和他们的孩子有重大和长期的后果。这项研究旨在评估阿布扎比酋长国妇女产后抑郁症的风险及其决定因素。
方法:这是一项基于问卷调查的横断面研究,在阿布扎比酋长国的初级保健中心进行。目标人群是前往健康儿童疫苗接种诊所接受婴儿疫苗接种的妇女。使用的问卷包括社会人口学特征,重要的历史,如产科,medical,和社会历史,和爱丁堡邮报抑郁量表EPPS。EPPS是一种经过验证的工具,用于评估产后抑郁症的可能性。
结果:在研究期间,前往阿布扎比酋长国良好儿童护理诊所的妇女产后抑郁症的可能性为35%,三分之一.10%有高风险,7%有中等风险,18%有轻微的风险。使用逻辑回归和线性回归,产后抑郁风险与体重问题和就业状况OR5.499(2.618-11.548)和OR0.483(0.246-0.951)之间存在关联,分别为(P<0.005)。从总样本中,3.7%的人经常或有时会对有意伤害自己的问题做出回应。
结论:建议常规使用EPDS筛查产后妇女。在阿联酋,产后抑郁症的高患病率(三分之一的女性)需要一个精心准备的医疗保健系统和社区。医疗保健提供者需要准备更好的知识,实践,以及照顾这些妇女的管理策略,早期识别和管理。应进行进一步的研究,以实现有效的策略,以减少这种情况的发生。
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