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2019, vol. 48, br. 2, str. 33-37
Faktori rizika za nastanak postporođajne depresije u ranom postpartalnom periodu
aSpecijalna bolnica za psihijatrijske bolesti 'Gornja Toponica'
bKlinički centar Niš, Klinika za neurologiju
cKlinički centar Niš, Klinika za zaštitu mentalnog zdravlja + Univerzitet u Nišu, Medicinski fakultet

e-adresajelena.a.86.ja@gmail.com
Ključne reči: postporođajna depresija; psihosociodemografski faktori; prevencija
Sažetak
Uvod: Određene psihosociodemografske i karakteristike trudnoće i porođaja se u literaturi povezuju sa nastankom postpartalne depresije. Cilj rada: Sagledavanje određenih psihosociodemografskih i karakteristika trudnoće i porođaja kao potencijalnih faktora rizika za nastanak postporođajne depresije u ranom postpartalnom periodu. Materijal i metode rada: Istraživanje je obuhvatilo 120 ispitanica, što je podrazumevalo primenu Edinburške skale za postpartalnu depresiju i sociodemografskog upitnika konstruisanog za potrebe ovog istraživanja, u ranom postpartalnom periodu. Rezultati: Od ukupnog broja 92 (76,7%) ispitanice nisu bile depresivne, dok je 28 (23,3%) imalo depresiju. Sa visokim rizikom nastanka postapartalne depresije koreliraju: težina nakon porođaja, subjektivni doživljaj nepostojanja slobode, postojanja straha da će ispitanica biti ostavljena (p<0,05), kao i postojanje učestalih svađa, spominjanje rastanka ili razvoda i privremena rastajanja u partnerskoj ili bračnoj vezi, loš odnos sa roditeljima sa obe strane i loša opšta porodična atmosfera u sadašnjoj porodici (p<0,001). Statistički značajan rizik za nastanak depresije je nađen i u grupi ispitanica kod kojih je postojala komplikacija u toku porođaja, neplanirana trudnoća (p<0,001) kao i konzumacije alkohola i cigareta u toku trudnoće (p<0,05). Zaključak: Rizik za nastanak postporođajne deprestije se može detektovati primenom EPDS skale u ranom postpartalnom periodu. Rana detekcija potencijalnih faktora rizika značajno može prevenirati nastanak postporođajne depresije, a bitno uticati na centralni psihološki proces u postpartalnom periodu, koji se odnosi na razvoj emocionalnog odnosa između majke i deteta.
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O članku

jezik rada: srpski
vrsta rada: stručni članak
DOI: 10.5937/pramed1902033S
objavljen u SCIndeksu: 20.09.2019.
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