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围产期抑郁症状临床亚型的概况和特征:一个潜在类组分析
Author(s) -
Sun JiWei,
Cao DanFeng,
Li JiaHuan,
Zhang Xuan,
Wang Ying,
Bai HuaYu,
Lin PingZhen,
Zhang HuiHui,
Cao FengLin
Publication year - 2019
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.14136
Subject(s) - latent class model , medicine , anhedonia , depressive symptoms , population , pregnancy , logistic regression , psychiatry , anxiety , schizophrenia (object oriented programming) , environmental health , statistics , mathematics , biology , genetics
Aims To investigate clinically relevant subtypes of perinatal depressive symptoms. Design Cross‐sectional study. Methods A sample of 2,783 women at different prenatal and postnatal periods was recruited between August 2015 – August 2017. The Patient Health Questionnaire–9 (PHQ‐9) was used to assess depressive symptoms. Data analyses consisted of latent class analysis (LCA), analysis of variance and multinomial logistic regression. Results (a) Five latent subtypes (Classes 5/4/3/1/2) were identified: ‘no symptoms’, ‘mild physio‐somatic symptoms’, ‘severe physio‐somatic symptoms and moderate anhedonia’, ‘moderate‐to‐severe symptoms’ and ‘severe symptoms’; (b) Postpartum women were more likely to belong to the severe depressive symptoms group, whereas pregnant women were likely to report severe physio‐somatic symptoms; and (c) History of abortion and perinatal complications increased the likelihood of belonging to all moderate‐to‐severe classes. Lower levels of education increased the probability of belonging to Class 2. Younger women were more likely to be categorized into Classes 1 and 2. Conclusions This is the first study to examine heterogeneity of perinatal depressive symptoms and delineate the characteristics of subtypes at different prenatal and postnatal periods via the PHQ‐9, using LCA in a Chinese general population. Impact This research details the heterogeneity of perinatal depressive symptoms and delineates the characteristics of subtypes at different prenatal and postnatal periods in a Chinese general population.