Relationship between family cohesion/adaptability and postpartum depressive symptoms:A single-center retrospective study  

作　　者：Guo-Rong Zhang Peng-Sheng Li Yan-Bin Jia 

机构地区：[1]Department of Psychiatry,The First Affiliated Hospital of Jinan University,Jinan University,Guangzhou 510630,Guangdong Province,China [2]Department of Women’s Healthcare,Affiliated Foshan Maternity&Child Healthcare Hospital,Southern Medical University,Foshan 528000,Guangdong Province,China

出　　处：《World Journal of Psychiatry》2023年第2期50-59,共10页世界精神病学杂志

基　　金：Supported by Foundation of Bureau of Science and Technology of Foshan City,No.2020001005566。

摘　　要：BACKGROUND Depression is the most common mental illness in postpartum mothers,and the etiology of postpartum depression remains poorly understood.Over the past several decades,studies have reported that postpartum depression is caused by multiple factors,such as genetic,psychological,pregnancy,and environmental factors,with the family environment being an important environmental factor.The theory of family cohesion and adaptability put forward by Olson is a classic model that describes the level of family function.However,to date,this model has not been examined regarding its applicability to patients with postpartum depression.AIM To investigate the relationship between family cohesion and adaptability and the risk of postpartum depressive symptoms.METHODS We retrospectively analyzed 1446 patients admitted to the postpartum healthcare clinic of the Affiliated Foshan Maternity and Child Healthcare Hospital from April 2021 to December 2021.Patients were grouped according to whether postpartum depression symptoms were reported(symptoms,n=454;no symptoms,n=992).All patients completed the Edinburgh Postpartum Depression Scale and the Chinese version of the Family Cohesion and Adaptability Assessment Scale II.Baseline and clinical data were compared between groups.Univariate regression analysis was used to investigate the association between different types of family cohesion and postpartum depressive symptoms and the association between different family adaptability types and postpartum depressive symptoms.RESULTS After adjusting for age,education,occupation,gravidity,parity,and mode of delivery,disengaged[adjusted odds ratio(AOR)=3.36,95%CI:1.91-5.91],and separated(AOR=1.97,95%CI:1.34-2.90)family cohesion types showed a higher risk of postpartum depression than the connection type,whereas the enmeshed type(AOR=0.38,95%CI:0.28-0.51)protected against postpartum depressive symptoms.Rigid(AOR=4.41,95%CI:3.02-6.43)and structured families(AOR=1.88,95%CI:1.34-2.63)had a higher risk of postpartum depressive symptoms than fl

关 键 词：Family cohesion ADAPTABILITY Postpartum depressive symptoms Cross-sectional study 

分 类 号：R749.4[医药卫生—神经病学与精神病学]