ABSTRACT

Objective

This observational study was designed to evaluate risk factors and distribution of Adjustment Disorder (AD) and Postnatal Depression (PPD), after delivery and a positive screening at Camposampiero Hospital (2012–2017).

Background

After childbirth, women are vulnerable to develop psychological disorders. Since the effects of psychopathology are relevant, prevention and early intervention are of paramount importance. Recognising risk factors is therefore necessary.

Methods

Women were screened after delivery, between the 6^th and 8^th week, using EPDS. Depressive symptoms were examined by psychological assessment. Socio-demographic, clinical and obstetric variables were analysed to identify women at greater risk for developing perinatal psychological disorders.

Results

Of the 3102 women screened, 14.6% resulted positive: 23.6% of them suffered from AD and 5.5% from PPD. Regarding AD, previous induced abortion, unwanted pregnancy, unemployment and family history of mental disorders were the most relevant risk factors. Higher risks for PPD were: not attending antenatal classes, unwanted pregnancy, previous psychopathology and family history of mental disorders.

Conclusion

In our study, distribution and risk factors for PPD and AD are in line with those reported in literature. Paying attention to subclinical symptoms co-related to items of EPDS helps healthcare professionals to be more sensitive in detecting suffering women.

中文翻译：

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产后抑郁症和产褥期适应障碍的患病率和危险因素——一项回顾性研究

摘要

客观的

这项观察性研究旨在评估分娩后以及坎波桑皮耶罗医院（2012-2017）阳性筛查后适应障碍（AD）和产后抑郁症（PPD）的危险因素和分布。

背景

女性在产后很容易出现心理障碍。由于精神病理学的影响是相关的，因此预防和早期干预至关重要。因此，认识到风险因素是必要的。

方法

妇女在分娩后第 6^周至第 8^周期间使用 EPDS 进行筛查。通过心理评估来检查抑郁症状。对社会人口统计、临床和产科变量进行分析，以确定罹患围产期心理障碍的风险较高的女性。

结果

在 3102 名接受筛查的女性中，14.6% 的结果呈阳性：其中 23.6% 患有 AD，5.5% 患有 PPD。对于AD，既往人工流产、意外怀孕、失业和精神障碍家族史是最相关的危险因素。产后抑郁症的较高风险包括：未参加产前课程、意外怀孕、既往精神病史和精神障碍家族史。

结论

在我们的研究中，PPD 和 AD 的分布和危险因素与文献报道的一致。关注与 EPDS 项目相关的亚临床症状有助于医疗保健专业人员更敏感地发现遭受痛苦的女性。