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Increased risk of postpartum depression in women with lactational mastitis: a cross-sectional study

文献类型：期刊论文

作者Shen, Fuyi4; Zhou, Xianjin4; Guo, Fei3; Fan, Kechen2; Zhou, Yilu4; Xia, Jianhua1; Xu, Zhendong4; Liu, Zhiqiang4
刊名FRONTIERS IN PSYCHIATRY
出版日期2023-09-01
卷号14页码:8
关键词lactational mastitis depression postpartum period breastfeeding cross-sectional study
ISSN号1664-0640
DOI10.3389/fpsyt.2023.1229678
通讯作者Xu, Zhendong(btxzd123@126.com) ; Liu, Zhiqiang(drliuzhiqiang@163.com)
英文摘要BackgroundA high incidence of lactational mastitis mainly occurs during the first month of breastfeeding. It may cause severe pain, frustration, fatigue, stress, and breastfeeding concerns. However, few studies investigated the effects of lactational mastitis on postpartum depression. This study investigated the potential association between lactational mastitis and postpartum depression.MethodsWe examined the associations of lactational mastitis with postpartum depression in 1,551 Chinese women. Lactational mastitis was diagnosed by breast specialists. The presence of depression symptoms was evaluated by the Edinburgh Postnatal Depression Scale (EPDS) and Patient Health Questionnaire 9 (PHQ9) at 6 weeks after delivery. Multiple linear regression analysis and multivariable log-binomial regression analysis were performed to estimate the association between lactational mastitis and postpartum depression.ResultsAmong the 1,551 mothers, 147 (9.5%) experienced lactational mastitis diagnosed by breast specialists during the postpartum period. Compared with women without lactational mastitis, the proportion of women with depression symptoms was significantly higher (38.1% vs. 27.4%, p = 0.008), and the risk of postpartum depression increased by 68% (RR = 1.68, 95% CI, 1.18, 2.40) in women who had experienced lactational mastitis. In addition, the risk of self-harm or suicidal ideation increased by 89% (RR = 1.89, 95% CI, 1.08, 3.29) in women who experienced lactational mastitis. In stratified analysis, the associations of lactational mastitis with postpartum depression appeared stronger among women aged & GE;35 years, with maternal comorbidities, and who delivered a female neonate.ConclusionThe study results suggest that lactational mastitis is a risk factor for depression during the postpartum period. The impact of lactational mastitis on maternal mental health requires further attention.Clinical trial registrationchictr.org.cn, ChiCTR2000041519.
WOS关键词HEALTH QUESTIONNAIRE PHQ-9 ; POSTNATAL DEPRESSION ; CHINESE VERSION ; SCREENING TOOL ; PAIN ; PREVALENCE ; VALIDATION ; MANAGEMENT ; PROBIOTICS ; PREGNANCY
资助项目National Natural Science Foundation[81971418] ; Science and Technology Commission of Shanghai Municipality[22XD1402400] ; Pudong New Area Commission of Health and Family Planning[PW2021D-01] ; Health Science and Technology Project of Health Commission of Pudong New Area[PW2020A-26] ; Shanghai Municipal Commission of Health and Family Planning[202140253]
WOS研究方向Psychiatry
语种英语
WOS记录号WOS:001065554300001
出版者FRONTIERS MEDIA SA
源URL[http://119.78.100.183/handle/2S10ELR8/307176]  
专题中国科学院上海药物研究所
通讯作者Xu, Zhendong; Liu, Zhiqiang
作者单位1.Shanghai Pudong New Area Peoples Hosp, Dept Anesthesiol, Shanghai, Peoples R China
2.Tongji Univ, Shanghai Matern & Infant Hosp 1, Shanghai Inst Maternal Fetal Med & Gynecol Oncol, Shanghai Key Lab Maternal Fetal Med,Sch Med, Shanghai, Peoples R China
3.Chinese Acad Sci, Shanghai Inst Mat Med, Key Lab Receptor Res, Shanghai, Peoples R China
4.Tongji Univ, Shanghai Matern & Infant Hosp 1, Sch Med, Dept Anesthesiol, Shanghai, Peoples R China
推荐引用方式
GB/T 7714		 Shen, Fuyi,Zhou, Xianjin,Guo, Fei,et al. Increased risk of postpartum depression in women with lactational mastitis: a cross-sectional study[J]. FRONTIERS IN PSYCHIATRY,2023,14:8.
APA Shen, Fuyi.,Zhou, Xianjin.,Guo, Fei.,Fan, Kechen.,Zhou, Yilu.,...&Liu, Zhiqiang.(2023).Increased risk of postpartum depression in women with lactational mastitis: a cross-sectional study.FRONTIERS IN PSYCHIATRY,14,8.
MLA Shen, Fuyi,et al."Increased risk of postpartum depression in women with lactational mastitis: a cross-sectional study".FRONTIERS IN PSYCHIATRY 14(2023):8.

入库方式： OAI收割

来源：上海药物研究所

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