Coping and depression in pregnancy: A study among pregnant women in University Medical Center Ho Chi Minh City
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Tóm tắt
Aim: To determine the association between depression and coping strategies among pregnant women in the obstetrics ward at the University Medical Center Ho Chi Minh City. Methods: A cross-sectional study of 278 pregnant women (March–May 2023) used face-to-face interviews with a structured questionnaire based on the Edinburgh Postnatal Depression Scale and the Vietnamese version Brief COPE scale. Antenatal Depression was defined as EPDS ≥10. Poisson regression analyzed associations between coping strategies and depression after adjusting for sociodemographic and obstetric factors, with prevalence ratios (PR) and 95% confidence intervals (CI); p < 0.05 was significant. Results: The prevalence of antenatal depression was 17.3%. After adjusting for sociodemographic and obstetric confounders, emotional support was negatively associated with depression (aPR=0.58, 95% CI: 0.42-0.81, p=0.001), while self-blame showed the strongest positive association (aPR=2.19, 95% CI: 1.48-3.24, p<0.001), followed by denial (aPR=1.80, p=0.01), behavioral disengagement (aPR=1.53, p=0.01), and venting (aPR=1.50, p=0.03). Conclusion: The prevalence of depressive symptoms in pregnant women in University Medical Center Ho Chi Minh City was 17.3%. Coping strategies are strongly linked to antenatal depression; promoting positive coping, especially emotional support, may help reduce depressive symptoms in pregnant women.
Từ khóa
Antenatal depression; Coping strategies; Pregnancy; EPDS; Brief COPE; Vietnam
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Tài liệu tham khảo
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