首页|基于潜在剖面模型分析产后抑郁高危人群的影响因素

基于潜在剖面模型分析产后抑郁高危人群的影响因素

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目的 采用潜在剖面模型(latent profile model,LPM)寻找产后抑郁的最优分类,了解各潜在类别在产后总人群中的比例,探讨产后抑郁高危人群的影响因素.方法 选择银川市和中卫市4所医院产科529例产妇为研究对象,采用爱丁堡产后抑郁量表(Edinburgh postnatal depression scale,EPDS)进行产后抑郁调查,LPM分析产后抑郁的潜在剖面最优分类,Logistic回归分析产后抑郁潜在类别的影响因素.结果 LPM分析显示,产后抑郁分为2个潜在类别,根据其得分特征将其命名为低危型[(3.500±2.477)分,占比58.0%]和高危型[(11.550±3.189)分,占比 42.0%].多因素 Logistic 回归分析显示,婆媳关系(OR=2.088,95%CI:1.055~4.132,P--0.035)、产前抑郁(OR=3.587,95%CI:1.456~8.839,P--0.006)是产后抑郁高危型的危险因素,丈夫文化程度(OR=0.306,95%CI:0.108~0.864,P=0.025)、产妇年龄(OR=0.283,95%CI:0.129~0.623,P=0.002)是产后抑郁高危型的保护因素.结论 2个潜在类别是产后抑郁的最优分类模型,婆媳关系、产前抑郁、丈夫文化程度和产妇年龄对产后抑郁高危型有影响,且产前抑郁与产后抑郁的关联性最强.
Influencing Factors of High-risk Population for Postpartum Depression Based on Latent Profile Mode
Objective The latent profile model(LPM)was used to search for the optimal classification of post-partum depression,understand the proportion of each latent category in the total population,and explore the factors influencing the population at high risk of postpartum depression.Methods The Edinburgh postnatal depression scale(EPDS)was used to investigate postpartum depression in 529 cases selected from the depart-ment of obstetrics of four hospitals in Yinchuan and Zhongwei cities,and the LPM was used to analyze the opti-mal classification of potential profiles of postpartum depression,and Logistic regression was used to analyze the influencing factors of potential categories of postpartum depression.Results The result of LPM support the classification model that postpartum depression was divided into two potential categories.According to the score characteristics,the two potential categories were named as low-risk type[(3.500±2.477)points,accounting for 58.0%of the total population]and high-risk type[(11.550±3.189)points,accounting for 42.0%of the total popu-lation].Logistic regression analysis of postpartum depression showed that the relationship between moth-er-in-law and daughter-in-law(OR=2.088,95%CI:1.055-4.132,P=0.035),prenatal depression(OR=3.587,95%CI:1.456-8.839,P=0.006)were risk factors for high risk type of postpartum depression.Husband's educational level(OR=0.306,95%CI:0.108-0.864,P=0.025)and puerpera age(OR=0.283,95%CI:0.129-0.623,P=0.002)were protective factors of the high-risk types of postpartum depression.Conclusion The 2 potential categories were the optimal classification model for postpartum depression,and the mother-in-law and daughter-in-law relationship,prenatal depression,husband's education level affected on the type of high risk of postpartum de-pression,and prenatal depression was the most strongly associated with postpartum depression.

postpartum depressioninfluencing factorlatent profile model

张阳、赵娅丽、拓明花、尚玉秀

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宁夏医科大学公共卫生学院,银川 750004

中卫市妇幼保健院,中卫 751700

中卫市中医医院妇产科,中卫 751700

产后抑郁 影响因素 潜在剖面模型

宁夏回族自治区自然科学基金

2023AAC03223

2024

宁夏医科大学学报
宁夏医科大学

宁夏医科大学学报

CSTPCD
影响因子:0.84
ISSN:1674-6309
年,卷(期):2024.46(5)