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Yıl:2020; Cilt: 58; Sayı: 4>> Özet
TAM METİN
Yeni Symposium; 2020;58(4):2-8
Erken Doğum Yapan Annelerde Doğum Sonrası Depresyon Yaygınlığı ve İlişkili Faktörler: Kesitsel Bir Çalışma
ÖF Uygur, BB Annagür, A Annagür
Ersin Arslan Training and Research Hospital, Department of Psychiatry, Gaziantep, Turkey
doğum sonrası depresyonla ilgili faktörleri araştırmayı amaçladık. Yöntem: Üçüncü basamak bir hastanede kesitsel bir çalışma yapıldı. Erken doğum yapan anne- lerle Ruhsal Bozuklukların Tanısal ve İstatistiksel El Kitabı, Dördüncü Baskı’ya (DSM-IV) göre Eksen I bozuklukları için yapısal klinik görüşme (SCID-I) aracılığıyla görüşüldü. Tüm çalışma grubuna sosyo- demografik veri formu, Edinburgh Doğum Sonrası Depresyon Ölçeği (EDSDÖ), Çok Boyutlu Algılanan Sosyal Destek Ölçeği (ÇBASDÖ) ve Spielberger Durum-Sürekli Kaygı Envanteri (SDSKE) uygulandı. SCID-I’ e göre çalışma grubu, doğum sonrası depresyonu olan ve doğum sonrası depresyonu olmayan olmak üzere iki gruba ayrıldı. Postpartum depresyon ile ilişkili faktörleri bulmak için iki grup arasında karşılaştırılma yapıldı. Son olarak doğum sonrası depresyon risk faktörü analizi için binary lojistik reg- resyon analizi yapıldı. Bulgular: Tüm örneklemin %20,8›inin (n=25) doğum sonrası major depresif bozukluk kriter- lerini karşıladığını saptadık. Peripartum veya herhangi bir zaman depresyon öyküsü, ailede psikiyatrik bozukluk öyküsü, planlanmamış gebelik ve gebelik sırasındaki sağlık problemleri doğum sonrası dep- resyon grubunda anlamlı olarak daha fazlaydı. Doğum sonrası depresyon grubunda EDSDÖ ve SDSKE puanları anlamlı olarak daha yüksekti, ÇBASDÖ puanları ise anlamlı olarak daha düşüktü. EDSDÖ pu- anları ile ÇBASDÖ puanları arasında negatif yönde anlamlı bir korelasyon vardı. Doğum sonrası depresyon grubunda anlamlı olarak saptanan özellikler regresyon analizinde doğum sonrası depresyon için birer risk faktörü olarak bulundu. Sonuç: Erken doğum yapan annelerde planlanmamış gebelik, gebelik sırasındaki sağlık problemleri ve bireydeki veya ailedeki depresyon öyküsü doğum sonrası depresyonda önemli bir rol oynaya- bilir.
Prevalence and Factors Related to Postpartum Depression among Mothers with Preterm Birth: A Cross-Sectional Study
Objective: We aimed to determine the prevalence of postpartum depression among preterm birth mothers and investigate factors related to postpartum depression. Methods: The cross-sectional study was carried out in a tertiary hospital. The mothers who had preterm birth were interviewed via Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (SCID-I). Sociodemographic data form, Edinburgh Postpartum Depression Scale (EPDS), Multidimensional Perceived Social Support Scale (MPSSS), and Spielberger State-Trait Anxiety Inventory (STAI) were applied to the whole study group. The study group was divided into two groups according to SCID-I with postpartum depression and non-postpartum depression. The two groups were compared to find the factors associated with postpartum depression. Finally, binary logistic regression analysis was performed for postpartum depression risk factor analysis. Results: We found that 20.8% (n=25) of all subjects met postpartum depressive disorder criteria. History of peripartum or any time depression, history of psychiatric disorders in the family, health problems in the pregnancy period, and unplanned pregnancy were significantly more frequent in the postpartum depression group. EPDS and STAI scores were significantly higher and MPSSS scores were significantly low in the postpartum depression group. There was a negative significant correlation between EPDS scores and MPSS scores. The characteristics found significantly in the postpartum depres- sion group were found to be risk factors for postpartum depression in the regression analysis. Conclusions: Unplanned pregnancy, health problems in the pregnancy period, and patient or family depression history may play an important role in postpartum depression among preterm birth mothers

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