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Peripartum depression and its predictors:A longitudinal observational hospital-based study

World Journal of Psychiatry 2022年第8期12卷 1061-1075页

作者： Sherifa Ahmed Hamed mohamed elwasify mohamed Abdelhafez mohamed Fawzy Department of Neurology and Psychiatry Assiut University HospitalAssiut 71516Egypt Department of Psychiatry Mansoura UniversityMansoura 11001Egypt Department of Obstetrics and Gynecology Mansoura UniversityMansoura 11001Egypt

BACKGROUND Depression is a common problem in women in childbearing years due to burdens of motherhood and building a *** studies estimate the prevalence of antepartum depression compared to those in the postpartum *** To estimate the prevalence and the severities of peripartum depression and major depressive disorder and their *** This is a longitudinal observation *** included 200 women scoring≥13 with the Edinburgh Postpartum Depression Scale,indicating presence of symptoms of *** had a gestational age of≥6 wk and did follow-ups until the 10^(th) week to 12^(th) weeks *** of women's reactions to life circumstances and stressors during the current pregnancy were gathered from answers to questions of the designed unstructured clinical *** of depression,anxiety,and parenting stress were determined by the Beck Depression Inventory,State-Trait Anxiety Inventory for Adults,and Parenting Stress Index-Short Form,*** interviewing was done to confirm the diagnosis of major *** the levels of triiodothronine(T3),thyroxine(T4),and thyroid stimulating hormone(TSH)was done in both antepartum and postpartum *** Out of 968(mean age=27.35±6.42 years),20.66%(n=200)of the patients had clinically significant symptoms of depression and 7.44%had major *** premenstrual dysphoria,post-abortive depression,and depression unrelated to pregnancy and were reported in 43%,8%,and 4.5%of the patients,*** stressors were reported in 15.5%of the *** anxiety and parenting stress were reported in 90.5%and 65%of the patients,*** T3,T4,and TSH levels did not significantly differ from reference *** analysis showed that anxiety trait was a predictor for antepartum(standardized regression coefficients=0.514,t=8.507,P=0.001)and postpartum(standardized regression coefficients=0.573,t=0.04

关键词： Peripartum depression Antepartum depression Postpartum depression Anxiety Edinburgh postpartum depression scale Parenting stress

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