Risk Factors rau Kev Nyuaj Siab Thaum Cev Xeeb Tub

Zoo Siab

• 8 Yam Tseem Ceeb rau Kev Nyuaj Siab Menyuam Yaus
• Lub sijhawm Dub-ish ntawm Kev Nyuaj Siab Tom Qab Lub Cev

• Peb qhov tseem ceeb tshaj plaws rau kev nyuaj siab thaum xeeb tub yog keeb kwm ntawm kev nyuaj siab, tsis muaj kev txhawb nqa hauv zej zog, thiab kev paub txog kev ua phem, kev tshawb fawb qhia.
• Qhov tshwm sim ntawm kev nyuaj siab thaum cev xeeb tub yog tam sim no 15 txog 21 feem pua, txawm hais tias nws yuav nce ntxiv.
• Muaj tus nqi ntawm lub cev thiab lub paj hlwb kom tso kev nyuaj siab yam tsis tau kho, tab sis muaj kev kho mob rau cov uas xav tau.

Kev tshawb fawb tshiab los ntawm Yin thiab cov npoj yaig, luam tawm thaum Lub Ob Hlis 2021 qhov teeb meem ntawm Soj ntsuam Psychology tshuaj xyuas , tshuaj xyuas qhov tshwm sim thiab cov xwm txheej txaus ntshai rau kev nyuaj siab thaum cev xeeb tub (hu ua kev nyuaj siab thaum xeeb tub).

Cov lus hais txog cov ntsiab lus: Ib cag los ntawm kev nyuaj siab lub sijhawm yug menyuam, lub sijhawm nyuaj siab thaum xeeb menyuam tseem siv los hais txog qhov tshwm sim ntawm kev nyuaj siab thaum cev xeeb tub thiab ua ntej yug menyuam. Cov ntsiab lus siv los hais txog niam kev nyuaj siab tshwm sim thaum cev xeeb tub lossis tsis ntev tom qab Kev yug me nyuam suav nrog kev nyuaj siab nyob ib leeg (kev nyuaj siab uas pib thaum cev xeeb tub lossis txog li ob peb lub lis piam tom qab yug menyuam) thiab kev nyuaj siab tom qab yug menyuam (kev nyuaj siab uas tshwm sim tsuas yog tom qab yug menyuam).

Kev nyuaj siab thaum cev xeeb tub yuav muaj qhov tshwm sim loj, xws li ua rau muaj kev nyuaj siab tom qab yug menyuam. Qhov tseeb, lo lus peripartum kev nyuaj siab tau qhia hauv DSM-5 vim kev tshawb fawb qhia pom tias ib nrab ntawm cov xwm txheej ntawm kev nyuaj siab tom qab yug menyuam pib ua ntej yug.

Txhawm rau kom nkag siab zoo dua ntawm cov kev pheej hmoo rau kev nyuaj siab thaum cev xeeb tub, cia peb tshuaj xyuas txoj kev tshawb fawb los ntawm Yin thiab cov koom tes.

Cov kws sau ntawv tau tshawb nrhiav cov ntaub ntawv zoo thiab xaiv 173 kab lus (182 cov ntawv ceeb toom ywj pheej) rau qhov tsim nyog ua kom muaj txiaj ntsig zoo thiab ua piv txwv ntsuas.

Cov kev tshawb fawb no los ntawm 50 lub tebchaws (39 ntawm 173 los ntawm Asmeskas). Piv txwv qhov ntau thiab tsawg ntawm 21 txog ntau dua 35,000 tus tib neeg. Tag nrho cov qauv me me yog 197,047.

Feem ntau siv ntsuas (93 daim ntawv tshaj qhia) ntawm kev nyuaj siab thaum xeeb tub yog Edinburgh Postnatal Depression Scale lossis EPDS. EPDS muaj 10 yam khoom, uas ntsuas cov hauv qab no: luag, thuam tus kheej, txaus siab, ntxhov siab, ntshai, daws teeb meem, teeb meem pw tsaug zog, tu siab, quaj, thiab ua rau tus kheej puas tsuaj.

Lwm qhov kev ntsuas nquag siv suav nrog Center for Epidemiologic Studies Depression Scale (CES-D), Beck Depression Inventory (BDI), Patient Health Questionnaire (PHQ), thiab Structured Clinical Interview rau Diagnostic and Statistical Manual of Mental Disorders.

8 Yam Tseem Ceeb rau Kev Nyuaj Siab Menyuam Yaus

Hla 173 qhov kev sim, qhov ua tau tshwm sim ntawm cov tsos mob nyuaj siab thaum xeeb tub yog 21% - tab sis 15% rau kev nyuaj siab loj (72 kev sim).

Feem ntau, kev muaj menyuam ntau dua ntawm kev nyuaj siab thaum cev xeeb tub tau cuam tshuam nrog kev tshawb fawb tsis ntev los no (tom qab xyoo 2010), hauv cov tebchaws tau nyiaj tsawg, thiab cov uas siv tus kheej-nug cov lus nug (tsis zoo li kev teeb tsa kev xam phaj hauv tsev kho mob).

Txhawm rau tshuaj xyuas cov xwm txheej uas muaj feem cuam tshuam rau kev nyuaj siab hauv lub cev xeeb tub, cov kws tshawb fawb tau tshawb xyuas meta-tsom xam siv ntau yam los ntawm 35 kev tshawb fawb qhia cov ntaub ntawv cuam tshuam. Cov xwm txheej no suav nrog kev sib npaug (piv txwv li tus naj npawb ntawm kev yug), kev paub txog kev ua phem, kev poob haujlwm, tsis tau npaj cev xeeb tub, keeb kwm kev haus luam yeeb (suav nrog thaum cev xeeb tub), xwm txheej txij nkawm, kev txhawb nqa hauv zej zog, thiab keeb kwm kev nyuaj siab. Kev tshawb pom pom tias txhua yam kev pheej hmoo no, tshwj tsis yog qhov sib luag, muaj kev cuam tshuam tseem ceeb nrog kev nyuaj siab thaum xeeb tub.

Qhov sib txawv ntawm qhov sib txawv (LOSSIS) tau teev tseg hauv qab no (CI hais txog kev ntseeg siab ib ntus):

1. Keeb kwm ntawm kev nyuaj siab: LOS YOG = 3.17, 95% CI: 2.25, 4.47.
2. Tsis muaj kev txhawb nqa hauv zej zog: LOSSIS = 3.13, 95% CI: 1.76, 5.56.
3. Kev paub txog kev ua phem: LOSSIS = 2.72, 95% CI: 2.26, 3.27.
4. Cov neeg poob hauj lwm xwm txheej: LOS YOG = 2.41, 95% CI: 1.76, 3.29.
5. Kev txij nkawm (ib leeg/sib nrauj): LOSSIS = 2.37, 95% CI: 1.80, 3.13.
6. Kev haus luam yeeb thaum cev xeeb tub: LOSSIS = 2.04, 95% CI: 1.41, 2.95.
7. Kev haus luam yeeb ua ntej cev xeeb tub: LOSSIS = 1.97, 95% CI: 1.63, 2.38.
8. Kev npaj cev xeeb tub: LOSSIS = 1.86, 95% CI: 1.40, 2.47.