Research progress in prediction of postpartum depression

Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2020 Apr 28;45(4):456-461. doi: 10.11817/j.issn.1672-7347.2020.190731.
[Article in English, Chinese]

Abstract

Postpartum depression is a kind of mental disorder caused by the comprehensive effects of economics, psychosociology, biology, obstetrics and other characteristic factors in the process of female pregnancy. The pathogenesis of postpartum depression is complicated and has not been clarified. With the process pregnancy, the influence of psychosocial and biology factors are also in dynamic change. The postpartum depression predictor among psychosocial factors are antenatal depression, life events and social supports. Among biological factors, the predictors are hypothalamic-pituitary-thyroid axis and serum lipids. Timely and effective prediction can identify the high-risk population and risk factors for postpartum depression.

产后抑郁是女性孕育过程中由人口经济学、心理社会学、生物学、产科及其他因素等综合作用所致的一种精神障碍性疾病。产后抑郁发病机制较复杂且尚未明确。随着妊娠的进展,心理社会学和生物学因素处于不断变化的过程,其对产后抑郁的影响也随之动态变化。在心理社会学因素中,对产后抑郁具有预测作用的为产前抑郁、负性生活事件、人格特征、社会支持;在生物学因素中,对产后抑郁有影响的因素为下丘脑-垂体-甲状腺轴、血清脂质。及时、有效的预测能及早发现产后抑郁高危人群和高危因素。.

Keywords: postpartum depression; predictive factors; predictive methods.

MeSH terms

  • Depression
  • Depression, Postpartum*
  • Female
  • Humans
  • Postpartum Period
  • Pregnancy
  • Pregnancy Complications*
  • Risk Factors