Algılanmış sosyal desteğin doğum sonrası depresyona etkisi

Öz

Amaç: Özellikle doğumdan sonraki ilk aylarda gebelik ve depresyon arasındaki ilişki iyi bilinmektedir. Gebelikle ilgili depresyon hem anne, hem de bebek sağlığını tehlikeye atabilir. Bu araştırmada sosyal desteğin doğum sonrası dönemdeki annelerde depresyona olan etkisini araştırmayı amaçladık.

Yöntemler: Erzurum şehir merkezinde 110 anneyi içeren kesitsel bir araştırma yürütüldü. Veriler Edinburg Postpartum Depresyon skalası (EPDS) ve Çok Boyutlu Algılanmış Depresyon Skalası (MSPSS) ile toplandı.

Bulgular: Katılımcıların ortalama yaşı 28,8±5,9 yıl idi. Katılımcıların çoğunluğu ev hanımı idi ‎‎(%75,5; n=83). Katılımcıların  %26,4’ünün (n=29) depresyon öyküsü vardı. EPDS’ye göre annelerin %47,3’ü (n=52) kesme düzeyinin üzerinde puana sahipti. Ortalama ‎EPDS ve MSPSS puanları sırasıyla 12,0±4,7 ve 58,3±13,0 idi. EPDS ve MSPSS puanları arasında anlamlı bir korelasyon saptandı (r=-0.42; p<0.001)‎.

Sonuç: Sosyal destek ve doğum sonrası depresyon sıkı bir şekilde ilişkilidir. Depresyonun anne, bebek ve aile üzerindeki olumsuz etkilerini önlemek için özellikle yüksek risk altındaki bölgelerde birinci basamak sağlık hizmeti sunucularıyla bağlantılı olarak doğum sonrası depresyonun erken tanınması için etkili tarama yöntemleri kullanılmalıdır.

Anahtar Kelimeler

• Depresyon,Postpartum,Sosyal destek,Depresif bozukluk,Risk değerlendirmesi,Anne sağlığı

The effects of perceived social support on postpartum depression

Abstract

Aim: Links between pregnancy and depression, especially during the first postpartum months are well recognized. Pregnancy-related depression may harm the mother as well as her baby. We aimed to investigate the effects of social support on depression in mothers during the postpartum period.

Methods: A cross-sectional study was conducted in Erzurum city center involving 110 mothers. Data was collected using The Edinburgh Postpartum Depression Scale (EPDS) and Multidimensional Scale of Perceived Social Support (MSPSS).

Results: Mean age of the participants was 28.8±5.9 years. Majority of the participants were housewives (75.5%; n=83). Of the participants, 26.4% (n=29) reported of having depression history. According to the EPDS, 47.3% of the mothers (n=52) had scores above the cutoff. The mean EPDS and MSPSS scores were 12.0±4.7 and 58.3±13.0, respectively. There was a significant negative correlation between the EPDS and the MSPSS scores (r=-0.42; p<0.001)

Conclusion: Social support and postpartum depression are firmly connected. Effective screening methods and early detection of postpartum depression should be utilized in connection with the primary healthcare providers, especially in areas with high risk, to prevent harmful effects of postpartum depression on maternal, infant and family health.

Keywords

• Depression,Postpartum,Social support,Depressive disorder,Risk assessment,Maternal health

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