일 대학병원 산모들에서 산후우울장애의 발병률 및 예측인자
Incidence and Predictors of Postpartum Depression in Delivered Women at a University Hospital
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Objectives：Postpartum depressive disorder(PPD), the common complication of childbearing women after delivery, can produce substantial clinical and psychosocial impairment not only for the women experiencing it but also for the women’s children and family. The aim of this study was to examine the incidence and predictors of PPD in delivered women at a university hospital. Methods：One hundred pregnant women at 33 to 40 gestational weeks were recruited from a university hospital. Interviews were conducted during baseline(gestational age ≥33weeks) and at two follow-up points (1 to 2 days after and 2 months after delivery). The baseline evaluation consisted of sociodemographic and clinical characteristics. The follow-up evaluation mainly consisted of obstetrical data on pregnancy and delivery, and Edinburgh Postnatal Depression Scale. The diagnosis of PPD at 2 months after delivery was made based on DSM-IV criteria. Results：Finally, 81 participants completed the all evaluations. The incidence of PPD was 9.9%(8/81) for major depressive episode, and 37%(30/81) including minor depressive episode. PPD was predicted by low scores on the Social and Occupational Functioning Assessment Scale during pregnancy and absence of aid supporters after delivery. Conclusion：PPD was common in this sample. Social and occupational function during pregnancy may help to identify women at risk of postpartum depressive disorder. Moreover, aid supporters may be contributed to prevent postpartum depressive disorder.
Abstract
Objectives：Postpartum depressive disorder(PPD), the common complication of childbearing women after delivery, can produce substantial clinical and psychosocial impairment not only for the women experiencing it but also for the women’s children and family. The aim of this study was to examine the incidence and predictors of PPD in delivered women at a university hospital. Methods：One hundred pregnant women at 33 to 40 gestational weeks were recruited from a university hospital. Interviews were conducted during baseline(gestational age ≥33weeks) and at two follow-up points (1 to 2 days after and 2 months after delivery). The baseline evaluation consisted of sociodemographic and clinical characteristics. The follow-up evaluation mainly consisted of obstetrical data on pregnancy and delivery, and Edinburgh Postnatal Depression Scale. The diagnosis of PPD at 2 months after delivery was made based on DSM-IV criteria. Results：Finally, 81 participants completed the all evaluations. The incidence of PPD was 9.9%(8/81) for major depressive episode, and 37%(30/81) including minor depressive episode. PPD was predicted by low scores on the Social and Occupational Functioning Assessment Scale during pregnancy and absence of aid supporters after delivery. Conclusion：PPD was common in this sample. Social and occupational function during pregnancy may help to identify women at risk of postpartum depressive disorder. Moreover, aid supporters may be contributed to prevent postpartum depressive disorder.
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