بررسی ارتباط بین افسردگی دوران بارداری با حمایت اجتماعی و برخی از متغیرهای جمعیت شناختی در زنان باردار

نوع مقاله: اصیل پژوهشی

نویسندگان

1 دانشیار گروه بهداشت عمومی، دانشکده بهداشت، مرکز تحقیقات ارتقاء سلامت و توسعه اجتماعی، دانشگاه علوم پزشکی گناباد، گناباد، ایران.

2 کارشناس ارشد جامعه شناسی، مرکز تحقیقات توسعه اجتماعی و ارتقاء سلامت، دانشگاه علوم پزشکی گناباد، گناباد، ایران.

3 دانشجوی کارشناسی ارشد آموزش بهداشت و ارتقاء سلامت، دانشکده بهداشت، دانشگاه علوم پزشکی گناباد، گناباد، ایران.

چکیده

مقدمه: افسردگی دوران بارداری پیش بینی کننده مهم افسردگی پس از زایمان است که برای رشد جنین نیز مضر می باشد. بر اساس گزارش سازمان جهانی بهداشت، اختلال افسردگی مهمترین علت ناتوانی زنان در جهان امروز است. لذا مطالعه حاضر با هدف بررسی رابطه بین افسردگی دوران بارداری با حمایت اجتماعی و برخی از متغیرهای جمعیت شناختی انجام شد.
روش کار: این مطالعه توصیفی- مقطعی و تحلیلی در سال 1393 بر روی 208 نفر از زنان باردار مراجعه کننده به مراکز بهداشتی درمانی شهری گناباد انجام شد. جهت گردآوری داده ها از پرسشنامه های جمعیت شناختی، افسردگی ادینبرگ و حمایت اجتماعی وکس استفاده شد. تجزیه و تحلیل داده ها با استفاده از نرم افزار آماری SPSS (نسخه 21) و آزمون های ضریب همبستگی و رگرسیون خطی انجام شد. میزان P کمتر از 05/0 معنادار در نظر گرفته شد.
یافته ها: میانگین سنی افراد 2/5±5/27 بود و 30 درصد از آنان دچار افسردگی بودند. بطور کلی ارتباط آماری معنادار و معکوسی بین حمایت اجتماعی (دوستان، خانواده و آشنایان) با افسردگی دوران بارداری وجود داشت؛ بر اساس نتایج آزمون رگرسیون خطی متغیرهای حمایت اجتماعی، وضعیت اقتصادی و جنسیت جنین به ترتیب جزء مهمترین متغیرهای پیش بینی کننده افسردگی دوران بارداری بودند (001/0>p).
نتیجه گیری: مادران بارداری که از حمایت اجتماعی بالایی برخوردار هستند، کمتر با افسردگی دوران بارداری روبرو می شوند. نتایج به دست آمده می تواند در پیشگیری و درمان به موقع این مشکل مورد استفاده قرار گیرد.

کلیدواژه‌ها


عنوان مقاله [English]

The relationship between depression during pregnancy with social support and some demographic variables in pregnant women

نویسندگان [English]

  • Mahdi Moshki 1
  • Vajihe Armanmehr 2
  • Khadijeh Cheravi 3
1 Associate Professor, Department of Public Health, School of Health, Social Development & Health Promotion Research Centre, Gonabad University of Medical Sciences, Gonabad, Iran.
2 M.Sc. of Sociology, Health Promotion and Social Development Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.
3 M.Sc. Student of Health Education and Promotion, School of Public Health, Gonabad University of Medical Sciences, Gonabad, Iran.
چکیده [English]

Introduction: Depression during pregnancy is a significant predictor of postpartum depression which is harmful to fetal development. According to the World Health Organization, depression is the most important cause of disability among women worldwide. This study was performed with aim to evaluate the relationship between depression during pregnancy with social support and some demographic variables.
Methods: This descriptive-analytical and cross-sectional study was performed on 208 pregnant women referred to health care centers of Gonabad in 2014. To collect data, demographic questionnaire, Edinburg depression scale, and social support appraisals were used. Data was analyzed with SPSS statistical software (version 21) and correlation coefficient test and linear regression test. PResults: The average age was 27/5±5/2 and 30 percent of them were depressed. Generally there was statistically significant inverse relationship between the three sources of social support (friends, family and acquaintances) with depression during pregnancy. According to the results of linear regression test, the variables of social support, economic status and gender of the fetus were the most important predictor variables of depression during pregnancy, respectively (P<0/001).
Conclusion: Pregnant women who have high social support are less likely to face with depression during pregnancy. The results can be used in the prevention and treatment of this problem.

کلیدواژه‌ها [English]

  • Demographic variables
  • Depression
  • pregnancy
  • Social Support
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