Longitudinal study for postpartum depression(PPD): establishment of collaborative community system for the early detection and intervention of PPD

产后抑郁症（PPD）纵向研究：建立产后抑郁症早期发现和干预的协作社区体系

• 批准号: 22730540
• 负责人: MATSUMOTO Kaori
• 金额: $ 2.66万
• 依托单位: Hamamatsu University School of Medicine
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Young Scientists (B)
• 财政年份: 2010
• 资助国家: 日本
• 起止时间: 2010 至 2011
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-22730540/
• 关键词: 産後うつ病; Postpartum Depression(PPD); 早期発見; 早期介入; 地域援助; 産後うつ; 地域連携; 児の発達; EPDS; 発症率; 早期対応; 地域支援; 出生コホート研究

BACKGROUND : The prevalence of postpartum depression(PPD) in the general population has been reported to be 10% to 15% worldwide. However, the relevance of age of the parturients to the emergence of PPD has not been well documented. To address this, we estimated the age-specific 3-month cumulative incidence of PPD using the Hamamatsu Birth Cohort for Mothers and Children(HBC).METHODS : Using an ongoing birth cohort study, we consecutively enrolled parturients who were at mid-pregnancy(n=723) and were expected to give birth at either of our two research sites. Women with PPD were defined as those scoring 9 points or higher using the Edinburgh Postnatal Depression Scale 3 months after childbirth.RESULTS : Among 675 participating parturients, 100 women were found to have PPD ; the cumulative incidence of PPD over the 3 months after childbirth was 14. 8%. The age-specific estimates were 20. 8% for<25 years, 14. 2% for 25 to 29 years, 11. 5% for 30 to 34 years, and 17. 9% for.≧35 years. In the logistic regression analysis, the increased OR for having PPD among parturients aged≧35 years was 1. 7, which remained significant after controlling for age of partner, parity, and household income.LIMITATIONS : Although the sample was representative, the sample size was modest.CONCLUSION : The cumulative incidence of PPD was significantly different across age groups, with the highest estimates in the advanced age band. There was a peak of cumulative incidence of PPD among parturients aged≧35 years, however, the heightened estimate was not accounted for by the age of the partner, parity, or annual household income.

背景：据报道，全世界普通人群中产后抑郁症 (PPD) 的患病率为 10% 至 15%，然而，产妇年龄与 PPD 出现的相关性尚未得到充分证明。我们使用滨松母亲和儿童出生队列 (HBC) 估计了特定年龄的 PPD 3 个月累积发病率。方法：通过一项正在进行的出生队列研究，我们连续招募产妇怀孕中期 (n=723) 并预计在我们两个研究中心分娩的女性被定义为产后 3 个月使用爱丁堡产后抑郁量表得分为 9 分或更高的女性。在 675 名参与的产妇中，有 100 名女性被发现患有产后抑郁症；产后 3 个月内产后抑郁症的累积发病率为 14. 8%，具体年龄估计为 20。 <25 岁为 8%，25 至 29 岁为 14. 2%，30 至 34 岁为 11. 5%，≥35 岁为 17. 9% 在逻辑回归分析中，患有 PPD 的 OR 增加。年龄 ≥ 35 岁的产妇中的这一比例为 1. 7，在控制伴侣年龄、胎次和家庭收入后，该比例仍然显着。 局限性：尽管样本是结论：不同年龄组的 PPD 累积发生率存在显着差异，高年龄组的 PPD 累积发生率最高，年龄≥35 岁的产妇中 PPD 累积发生率出现峰值。气体估计并未考虑伴侣的年龄、胎次或家庭年收入。

项目成果

精神科治療学

精神科治疗

• 发表时间: 2010
• 作者: 大島郁葉;福井裕輝
• 通讯作者: 福井裕輝

Psychosocial determinants of mistimed and unwanted pregnancy: the Hamamatsu Birth Cohort (HBC) Study

不合时宜和意外怀孕的心理社会决定因素：滨松出生队列 (HBC) 研究

• DOI: 10.1007/s10995-011-0881-y
• 发表时间: 2012
• 期刊: Maternal & Child Health Journal
• 影响因子: 2.3
• 作者: 1.Iwata K;Matsuzaki H;Tachibana T;Ohno K;Yoshimura S;Takamura H;Yamada K;Matsuzaki S;Nakamura K;Tsuchiya KJ;Matsumoto K;Tsujii M;Sugiyama T;Katayama T;Mori N;Takahashi
• 通讯作者: Takahashi

精神医学キーワード事典

精神病学关键词百科全书

• 发表时间: 2011
• 作者: Suda S;Iwata K;Shimmura C;Kameno Y;Anitha A;Thanseem I;Nakamura K;Matsuzaki H;Tsuchiya KJ;Sugihara G;Iwata Y;Suzuki K;Koizumi K;Higashida H;Takei N;Mori N;松本和紀
• 通讯作者: 松本和紀