Nā Kūlana Pilikia no ke Kaumaha i ka wā o ka hāpai ʻana

Anter

• 8 Nā Kūlana Pilikino no ke Antenatal Depression
• ʻO ka Episode Black-ish ma Post Depression Depression

• ʻO nā kumu pilikia ʻekolu no ke kaumaha antenatal kahi moʻolelo o ke kaumaha, ka nele o ke kākoʻo kaiāulu, a me nā ʻike o ka hana ʻino, hōʻike nā noiʻi.
• ʻO ka laha o ke kaumaha i ka wā hāpai he 15 a 21 pakeneka i kēia manawa, ʻoiai ke piʻi nei paha.
• Aia nā kumukūʻai o ke kino a me ka noʻonoʻo e haʻalele i ke kaumaha ʻole, akā loaʻa ka lapaʻau no ka poʻe e pono ai.

Ua noiʻi ʻia e Yin a me nā hoa hana, i paʻi ʻia ma ka nūpepa Pepeluali 2021 o ʻO ka loiloi Psychology Haumāna , nānā i ka prevalence a me nā kumu pilikia no ke kaumaha i ka wā hāpai (i kapa ʻia ʻo antenatal depression).

Nā memo e pili ana i nā huaʻōlelo: Ma waho o ka manawa o ke kaumaha antenatal, hoʻohana ʻia ka manawa prenatal depression e kuhikuhi i ka hanana o ke kaumaha i ka wā hāpai a ma mua hānau hānau. ʻO nā huaʻōlelo i hoʻohana ʻia e kuhikuhi i ke kaumaha o ka makuahine e kū nei i ka wā hāpai a i ʻole koke ma hope hānau pēpē pū peripartum kaumaha (kaumaha e hoʻomaka i ka wā hāpai a i ʻole i mau mau pule ma hope o ka hānau ʻana) a me ke kaumaha postpartum (ke kaumaha e kū wale ma hope o ka hānau ʻana).

ʻO ke kaumaha i ka wā o ka hāpai ʻana ke hopena i nā hopena koʻikoʻi, e like me ka hoʻonui ʻana i ka likelika o ke kaumaha ma hope o ka hānau ʻana. ʻOiaʻiʻo, ua hoʻolauna ʻia ka huaʻōlelo peripartum depression i loko o ka DSM-5 ma muli o ka noiʻi e hōʻike ana i ka hapalua o nā ʻāpana o ke kaumaha postpartum e hoʻomaka ma mua o ka hānau ʻana.

I loaʻa ka ʻike ʻoi aku ka maikaʻi o nā mea pilikia no ke kaumaha i ka wā hāpai, e nānā kākou i ka hoʻopaʻa naʻau e Yin a me nā mea hana.

Ua alakaʻi nā mea kākau i kahi hulina moʻokalaleo kikoʻī a koho i nā ʻatikala he 173 (182 hōʻike kūʻokoʻa) no ka synthesive qualitative a me ka meta-analysis.

Ua hele mai kēia mau noiʻi mai 50 mau ʻāina (39 o 173 mai ka US). Loaʻa nā laʻana o nā laʻana mai 21 a i 35,000 mau kānaka. ʻO ka nui o nā laʻana he 197,047.

ʻO ke ana i hoʻohana pinepine ʻia (93 hōʻike) o ke kaumaha antenatal ʻo ia ka Edinburgh Postnatal Depression Scale a i ʻole EPDS. ʻO EPDS he 10 mau mea, kahi e ana ai i kēia mau mea: ʻakaʻaka, hoʻopiʻi iā ʻoe iho, leʻaleʻa, hopohopo, hopohopo, kūpilikiʻi pilikia, pilikia hiamoe, kaumaha, uē ʻana, a ʻeha ponoʻī.

ʻO nā hana ʻē aʻe i hoʻohana pinepine ʻia e pili pū me ke kikowaena no ka Epidemiologic Studies Depression Scale (CES-D), Beck Depression Inventory (BDI), Patient Health Questionnaire (PHQ), a me ka nīnau nīnau laulima ʻo Structured for the Diagnostic and Statistics Manual of Mental Disorder.

8 Nā Kūlana Pilikino no ke Antenatal Depression

Ma waena o nā hoʻāʻo 173, ʻo ka prevalence hui pū ʻia o nā ʻōuli depressive antenatal he 21% — akā he 15% no ke kaumaha nui (72 mau hoʻāʻo).

Ma ka laulā, ua pili ka piʻi ʻana o ke kaumaha prenatal me nā noiʻi i mālama ʻia i hala koke aku nei (ma hope o 2010), ma nā ʻāina loaʻa haʻahaʻa, a me nā mea e hoʻohana ana i nā nīnau nīnau pilikino (i kūʻē i nā nīnauele kaulike i kūkulu ʻia).

No ka nānā ʻana i nā kumuhana pilikia maʻamau no ke kaumaha prenatal, ua alakaʻi nā kānaka noiʻi i kahi meta-analysis me ka hoʻohana ʻana i nā kumu he nui mai nā noi 35 e hōʻike ana i ka ʻike pili. ʻO kēia mau mea i komo i ka parity (ʻo ia ka helu o nā hānau), ka ʻike o ka hana ʻino, ka hana ʻole, hāpai hāpai ʻole ʻia, ka mōʻaukala (e like me ka wā hāpai), ke kūlana male, ke kākoʻo kaiāulu, a me ka mōʻaukala o ke kaumaha. Ua hōʻike ʻia nā ʻike i kēia mau pilikia āpau, koe ka parity, kahi pilina koʻikoʻi me ke kaumaha antenatal.

Ua helu ʻia ma lalo nā helu kaulike i hui ʻia (OR) (CI pili i nā wā hilinaʻi):

1. Mōʻaukala o ke kaumaha: OR = 3.17, 95% CI: 2.25, 4.47.
2. Ka nele o ke kākoʻo kaiāulu: OR = 3.13, 95% CI: 1.76, 5.56.
3. ʻIke o ka hana ʻino: OR = 2.72, 95% CI: 2.26, 3.27.
4. Kūlana hana ʻole: OR = 2.41, 95% CI: 1.76, 3.29.
5. Kūlana male (male hoʻokahi / hemo paha): OR = 2.37, 95% CI: 1.80, 3.13.
6. Puhi i ka wā hāpai: OR = 2.04, 95% CI: 1.41, 2.95.
7. Puhi ma mua o ka hāpaiʻana: OR = 1.97, 95% CI: 1.63, 2.38.
8. Hāpai hāpai ʻole ʻia: OR = 1.86, 95% CI: 1.40, 2.47.