■产后抑郁症(PPD)在分娩后的妇女中普遍存在,但是获得PPD的精神保健是具有挑战性的。这项研究旨在评估旁遮普省患有PPD症状的女性的治疗差距和心理保健障碍。巴基斯坦。
■2023年1月至6月,通过分层随机抽样对妇女进行问卷调查,在旁遮普省五个人口众多的城市进行了多中心横断面研究。使用爱丁堡产后抑郁量表对产后前6个月的3,220名妇女进行了筛查。其中,1,503名女性得分13或以上,提示潜在的抑郁障碍.进行了访谈,以探讨寻求帮助的行为和获得精神保健的障碍。描述性统计以及非参数检验(例如,Kruskal-Wallis,使用Mann-WhitneyU)并检查组差异。具有拟合线的散点图矩阵用于探索变量之间的关联。使用分类和回归树方法对不同变量对PPD强度的重要性和贡献进行分类。
只有2%的PPD症状较高的女性(n=33)寻求精神保健,只有5%的女性(n=75)自症状出现以来一直与医疗服务机构接触。92.80%有PPD症状的女性没有就医。大多数女性,1,215(81%),意识到需要心理健康治疗;然而,91.23%的人没有寻求医疗服务的治疗。与生下男孩的妇女相比,最近生下一个女孩的妇女的平均抑郁得分更高。年龄,教育,新生儿的出生位置与平均屏障评分显着相关(p<0.005),平均社会支持分数,平均抑郁评分和治疗差距。分类和回归决策树模型的结果表明,工具障碍分数在预测平均PPD分数中最重要。
患有PPD症状的妇女遇到了相当大的治疗差距和获得精神保健的障碍。将精神卫生服务纳入旁遮普省公立和私立医院的产科护理以及PPD筛查,巴基斯坦迫切需要克服治疗差距和障碍。
UNASSIGNED: Postpartum depression (PPD) is prevalent among women after childbirth, but accessing mental healthcare for PPD is challenging. This study aimed to assess the treatment gap and barriers to mental healthcare access for women with PPD symptoms living in Punjab, Pakistan.
UNASSIGNED: A multicenter cross-sectional study was conducted in five populous cities of Punjab from January to June 2023 by administering the questionnaire to the women using stratified random sampling. A total of 3,220 women in first 6 months postpartum were screened using the Edinburgh Postnatal Depression Scale. Of them, 1,503 women scored thirteen or above, indicating potential depressive disorder. Interviews were conducted to explore help-seeking behavior and barriers to accessing mental healthcare. Descriptive statistics along with nonparametric tests (e.g., Kruskal-Wallis, Mann-Whitney U) were used and group differences were examined. Scatter plot matrices with fitted lines were used to explore associations between variables. Classification and regression tree methods were used to classify the importance and contribution of different variables for the intensity of PPD.
UNASSIGNED: Only 2% of women (n = 33) with high PPD symptoms sought mental healthcare, and merely 5% of women (n = 75) had been in contact with a health service since the onset of their symptoms. 92.80% of women with PPD symptoms did not seek any medical attention. The majority of women, 1,215 (81%), perceived the need for mental health treatment; however, 91.23% of them did not seek treatment from healthcare services. Women who recently gave birth to a female child had higher mean depression scores compared to those who gave birth to a male child. Age, education, and birth location of newborn were significantly associated (p < 0.005) with mean barrier scores, mean social support scores, mean depression scores and treatment gap. The results of classification and regression decision tree model showed that instrumental barrier scores are the most important in predicting mean PPD scores.
UNASSIGNED: Women with PPD symptoms encountered considerable treatment gap and barriers to access mental health care. Integration of mental health services into obstetric care as well as PPD screening in public and private hospitals of Punjab, Pakistan is critically needed to overcome the treatment gap and barriers.