Etiology of Postpartum Depression - A Review

產後憂鬱病因論：文獻回顧

陳彰惠(Chung-Hey Chen)

《The Kaohsiung Journal of Medical Sciences》 11卷1期 (1995/01) Pp. 1-7

https://doi.org/10.6452/KJMS.199501.0001

摘要

有關產後憂鬱的病因廣美國學界所探討。本文將這些病因假說歸類為人口學因素、婦產科史因素、生物因素、精神病理因素、社會文化因素以及社會心理因素。綜觀文獻，發現上述因素都和產後憂鬱有關，多因素學說蔚然形成。但所有病因都在假說階段，均未獲得臨床證據強有力的支持。最近有關產後憂鬱的研究趨勢大部分主張社會心理因素的重要性。社會心理觀的基本假說是產後憂鬱源自產期壓力和育嬰責任的適應。在台灣，陳氏（民83）基於社會心理觀發展了產後憂鬱理論模式，其研究支持自尊、知覺壓力及社會支持與產後六週婦女憂鬱症狀之關係模式。此產後憂鬱理論模式可以併入護理的知識範疇，有助於產後憂鬱高危險群的監測和發展有效的護理措施。

並列摘要

The literature on the etiology of postpartum depression was explored, including demographic, gynecologic-obstertic, biological, psychopathological, cognitive-behavioral, sociocultural and psychosocial factors. Prevailing views about the causation of postpartum depression reflect a multifactorial theory in which all of the selected factors contribute. Empirically derived evidence in support of such a theory is , not yet yeadily available. The emphasis in investigative work regarding the etiology of postpartum depression now appears to be in the psychosocial areas. The underlying assumption from a psychosocial perspective is that postpartum depression results from the stress of the peripartum period and to child-care responsibilities. In Taiwan, Chen (1994) confirmed the basic Postpartum Depression Model, supporting the predicted relationships between perceived stress, social support, self-esteem and postpartum depression. This model can be incorporated into the nursing body of knowledge. Based on this predictive theory, scientifically valid nursing interventions can be developed and tested.

並列關鍵字

postpartum depression