产后抑郁的有关心理、社会和生物学因素研究

A prospective study of postpartum depression: Biological and psychosocial factors

目的调查产后抑郁的发生率以及相关的生物、心理、社会因素。方法对２９９名产妇在产后第３天用Ｅｄｉｎｂｕｒｇｈ 产后抑郁量表（ＥＰＤＳ）进行评定，并收集有关的心理社会因素以及产科因素。其中的１１７名完成产后第４２天的ＥＰＤＳ评定。结果产后抑郁的发生率为２３．０８％，家庭支持等心理社会因素和产后抑郁密切相关。结论产后抑郁的发生具有一定的社会和心理因素。

Objectve The study aimed to measure the prevalence of postpartum depression, as well as their relevant psy- chosocial and biological factors. Methods A Sample of 299 women were prospectively studied at 3 day postpartum and 117 were reassessed at 42 day postpartum.They completed EPDS, some self-designed demographic and psychological investigation question- naires. Results 23.08% suffered from postpartum depression. Some psychosocial factors such as support system were signigicant- ly related to the postnatal depression. Conclusions Postpartum depressin has social and psychological causal factors.