Abstract Several psychosocial risk factors have been consistently identified for postnatal distress in women, including lack of support, a personal or family history of depression, and recent stressful life events. Studies usually emphasize the statistical nature of these risks, without focusing on their clinical significance, which is important to aid in the communication with expectant couples. Four hundred and sixteen Italian-speaking women attending public health services completed measures, assessing current distress and psychosocial risk variables, at 2–3 months postpartum. Logistic regression, together with the strength of the obtained statistics, is reported. A personal history of depressed mood, stressful events, and conflict with her partner in the past year were risks of at least moderate size, though only for the last variable were half or more of the women with the risk likely to experience distress. A family history of mood disorders was no longer a risk once the woman’s personal history was taken into account. Furthermore between a quarter to a third of women lacking current social support experienced distress. Understanding the strength of these risks, and the frequency with which they are associated with postpartum distress, will help clinicians communicate the implications of such risks to couples.

中文翻译：

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在存在常见社会心理风险的情况下产后困扰的相对风险和可能性：一项针对讲意大利语的母亲的研究

摘要一直以来，已经确定了妇女产后困扰的许多社会心理风险因素，包括缺乏支持，个人或家庭的抑郁史以及最近的生活压力事件。研究通常强调这些风险的统计性质，而不关注其临床意义，这对帮助与预期夫妇进行交流很重要。参加公共卫生服务的416名讲意大利语的妇女在产后2-3个月内完成了评估当前困扰和心理社会风险变量的措施。报告了逻辑回归以及获得的统计量的强度。在过去的一年中，个人情绪低落，压力大的事件以及与伴侣发生冲突的历史至少有中等风险，尽管只有最后一个变量有一半或更多的女性有遭受痛苦的风险。一旦考虑到妇女的个人病史，就不再有家族性的情绪障碍史。此外，目前缺乏社会支持的妇女中有四分之一至三分之一遭受痛苦。了解这些风险的强度以及与产后困扰相关的频率，将有助于临床医生向夫妻传达此类风险的含义。