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首页> 外文期刊>Indian Journal of Psychological Medicine >Psychiatric Morbidity, Cultural Factors, and Health-Seeking Behaviour in Perinatal Women: A Cross-Sectional Study from a Tertiary Care Centre of North India
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Psychiatric Morbidity, Cultural Factors, and Health-Seeking Behaviour in Perinatal Women: A Cross-Sectional Study from a Tertiary Care Centre of North India

机译：围产期女性的精神病发病，文化因素和寻求保健行为：北印度北部护理中心的横断面研究

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Background: Poor mental health of the mother affects her physical health and the neonate's health and development. Studies from Southern India place different estimates of perinatal mental ill-health. Cultural variables affect health-seeking behaviour and are thus important to study in perinatal women with psychiatric morbidity. Methods: A total of 281 perinatal women were screened on Edinburgh Postnatal Depression Scale (EPDS), Perinatal Anxiety Screening Scale (PASS) and Mini International Neuropsychiatric Interview version 6.0 (MINI), assisted with a clinical interview to identify psychiatric illnesses. The cultural formulation interview (CFI) of DSM-5 was applied on perinatal women having psychiatric illnesses and their caregivers. Results: A psychiatric diagnosis was present in 10.3% of perinatal women. Depression and anxiety disorders were seen in 7.12% and 1.41%, respectively. Marital discord ( P 0.0001), psychosocial stressors ( P 0.0001), and past history of psychiatric disorder ( P 0.001) were significantly higher in perinatal women with a current psychiatric diagnosis. On CFI work-related stress, the gender of the infant, low education and conflict across generations were identified as the negative aspects of the culture associated with psychiatric illness during and after pregnancy. Religion and social support were the major coping strategies, while stigma and financial problems were the major barriers to help-seeking. Conclusion: The high prevalence of psychiatric disorders and the strikingly low help-seeking are noteworthy. These findings can help in planning treatment and prevention programs for timely detection and intervention for perinatal psychiatric disorders.
机译：背景：母亲的心理健康状况不佳影响她的身体健康和新生儿的健康和发展。南印度南部的研究占围产期心理健康的不同估计。文化变量影响寻求健康的行为，因此对具有精神病发病率的围产期妇女研究是重要的。方法：在爱丁堡后抑郁症（EPD），围产期焦虑症秤（PASS）和迷你国际神经精神学访谈版本6.0（迷你）上筛查了281名围产期妇女，协助审查精神病疾病的临床面试。 DSM-5的文化制剂访谈（CFI）适用于有精神病疾病及其护理人员的围产期妇女。结果：10.3％的围产期妇女的精神诊断。抑郁症和焦虑症分别以7.12％和1.41％分别观察起来。婚姻情调（P <0.0001），心理社会压力源（P <0.0001）和过去的精神疾病历史（P <0.001）在围产期患有目前的精神诊断的围产期妇女显着高。在CFI工作相关的压力下，婴儿的性别，在几代人的性别，低等教育和冲突被确定为怀孕期间和怀孕后的精神疾病相关的文化的负面方面。宗教和社会支持是主要的应对策略，而耻辱和财务问题是帮助寻求的主要障碍。结论：精神疾病的高度患病率和惊人的低帮求力是值得注意的。这些调查结果可以帮助规划治疗和预防计划，以及时检测和干预围产期精神病疾病。

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