fa پیش‌بینی افسردگی پس از زایمان بر اساس سابقه اضطراب، افسردگی و پیوند والدینی در زنان زایمان کرده، مراجعه کننده به مراکز بهداشتی-درمانی شیراز روانشناسی بالینی Clinical Psychiatry پژوهشي Research <font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 0cm 0pt text-align: justify" dir="rtl"><b><span lang="FA" style="color: black line-height: 115% font-family: "B Lotus" font-size: 12pt mso-themecolor: text1">زمینه و هدف:</span></b><span lang="FA" style="color: black line-height: 115% font-family: "B Lotus" font-size: 12pt mso-themecolor: text1"> یکی از اختلالات روانشناختی در حاملگی و دوره­ی پس از آن، افسردگی پس از زایمان می­باشد که تهدیدی بر امنیت و سلامت مادر و نوزاد است. این مطالعه با هدف پیش­بینی افسردگی پس از زایمان بر اساس پیوند والدینی، سابقه اضطراب و افسردگی در زنان زایمان کرده مراکز بهداشتی </span><span lang="FA" style="color: black line-height: 115% font-family: "Times New Roman","serif" font-size: 12pt mso-themecolor: text1">–</span><span lang="FA" style="color: black line-height: 115% font-family: "B Lotus" font-size: 12pt mso-themecolor: text1"> درمانی شهرستان شیراز انجام گردید. <o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 0cm 0pt text-align: justify" dir="rtl"><b><span lang="FA" style="color: black line-height: 115% font-family: "B Lotus" font-size: 12pt mso-themecolor: text1">روش کار:</span></b><span lang="FA" style="color: black line-height: 115% font-family: "B Lotus" font-size: 12pt mso-themecolor: text1"> تعداد 120 زن زایمان کرده مبتلا به افسردگی پس از زایمان با استفاده از روش نمونه‌گیری در دسترس از بین افراد زایمان کرده در بیمارستان‌های شهر شیراز انتخاب شدند. پرسشنامه پیوند والدینی (</span><font face="Calibri"><span style="color: black line-height: 115% font-size: 12pt mso-themecolor: text1 mso-bidi-font-family: "B Lotus"" dir="ltr">PBI</span><span dir="rtl"></span><span dir="rtl"></span></font><span lang="FA" style="color: black line-height: 115% font-family: "B Lotus" font-size: 12pt mso-themecolor: text1"><span dir="rtl"></span><span dir="rtl"></span>)، پرسشنامه‌ی افسردگی پس از زایمان (ادینبورگ)، چک لیست اضطراب و افسردگی با استفاده از معیارهای تشخیصی </span><font face="Calibri"><span style="color: black line-height: 115% font-size: 12pt mso-themecolor: text1 mso-bidi-font-family: "B Lotus"" dir="ltr">IV-IR</span><span dir="rtl"></span><span dir="rtl"></span></font><span style="color: black line-height: 115% font-family: "B Lotus" font-size: 12pt mso-themecolor: text1"><span dir="rtl"></span><span dir="rtl"></span> <span lang="FA"><font face="B Lotus" size="3">ـ</font></span></span><span dir="ltr"></span><span dir="ltr"></span><span style="color: black line-height: 115% font-size: 12pt mso-themecolor: text1 mso-bidi-font-family: "B Lotus"" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span><font face="Calibri"> DSM</font></span><span lang="FA" style="color: black line-height: 115% font-family: "B Lotus" font-size: 12pt mso-themecolor: text1">اختلال‌های اضطرابی و خلقی، ابزارهای پژوهش حاضر را تشکیل ‌دادند. داده ها با استفاده از نرم افزار </span><font face="Calibri"><span style="color: black line-height: 115% font-size: 12pt mso-themecolor: text1 mso-bidi-font-family: "B Lotus"" dir="ltr">SPSS</span><span dir="rtl"></span><span dir="rtl"></span></font><span style="color: black line-height: 115% font-family: "B Lotus" font-size: 12pt mso-themecolor: text1"><span dir="rtl"></span><span dir="rtl"></span> <span lang="FA"><font face="B Lotus" size="3">نسخه 16 تحلیل گردید.</font></span></span><font size="3"><span lang="FA" style="color: black font-family: "Arial","sans-serif" mso-themecolor: text1 mso-ascii-font-family: Calibri mso-ascii-theme-font: minor-latin mso-hansi-font-family: Calibri mso-hansi-theme-font: minor-latin mso-bidi-font-family: Arial mso-bidi-theme-font: minor-bidi"> </span><span lang="FA" style="color: black line-height: 115% font-family: "B Lotus" font-size: 12pt mso-themecolor: text1">در این پژوهش از تحلیل رگرسیون خطی چندگانه و همبستگی پیرسون استفاده شد.<o:p /></span></font></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 0cm 0pt text-align: justify" dir="rtl"><b><span lang="FA" style="color: black line-height: 115% font-family: "B Lotus" font-size: 12pt mso-themecolor: text1">یافته­ها:</span></b><span lang="FA" style="color: black line-height: 115% font-family: "B Lotus" font-size: 12pt mso-themecolor: text1"> </span><span lang="FA" style="color: black line-height: 115% font-family: "B Lotus" font-size: 12pt mso-themecolor: text1 mso-ascii-font-family: Arial mso-ascii-theme-font: minor-bidi mso-hansi-font-family: Arial mso-hansi-theme-font: minor-bidi">به کارگیری مدل رگرسیون خطی نشان داد که محافظت بیش از حد پدر (001/0</span><span dir="ltr"></span><span dir="ltr"></span><span style="color: black line-height: 115% font-family: "Arial","sans-serif" font-size: 12pt mso-themecolor: text1 mso-ascii-theme-font: minor-bidi mso-hansi-theme-font: minor-bidi mso-bidi-font-family: "B Lotus"" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span><</span><span lang="FA" style="color: black line-height: 115% font-family: "Times New Roman","serif" font-size: 12pt mso-themecolor: text1">ρ</span><span lang="FA" style="color: black line-height: 115% font-family: "B Lotus" font-size: 12pt mso-themecolor: text1 mso-ascii-font-family: Arial mso-ascii-theme-font: minor-bidi mso-hansi-font-family: Arial mso-hansi-theme-font: minor-bidi">) و مراقبت مادر(001/0</span><span dir="ltr"></span><span dir="ltr"></span><span style="color: black line-height: 115% font-family: "Arial","sans-serif" font-size: 12pt mso-themecolor: text1 mso-ascii-theme-font: minor-bidi mso-hansi-theme-font: minor-bidi mso-bidi-font-family: "B Lotus"" dir="ltr"><span dir="ltr"></span><span dir="ltr"></span><</span><span lang="FA" style="color: black line-height: 115% font-family: "Times New Roman","serif" font-size: 12pt mso-themecolor: text1">ρ</span><span lang="FA" style="color: black line-height: 115% font-family: "B Lotus" font-size: 12pt mso-themecolor: text1 mso-ascii-font-family: Arial mso-ascii-theme-font: minor-bidi mso-hansi-font-family: Arial mso-hansi-theme-font: minor-bidi">) با توجه به مقدار ضریب تعیین (44/0=</span><span style="color: black line-height: 115% font-family: "Arial","sans-serif" font-size: 12pt mso-themecolor: text1 mso-ascii-theme-font: minor-bidi mso-hansi-theme-font: minor-bidi mso-bidi-font-family: "B Lotus"" dir="ltr">R²</span><span dir="rtl"></span><span dir="rtl"></span><span lang="FA" style="color: black line-height: 115% font-family: "B Lotus" font-size: 12pt mso-themecolor: text1 mso-ascii-font-family: Arial mso-ascii-theme-font: minor-bidi mso-hansi-font-family: Arial mso-hansi-theme-font: minor-bidi"><span dir="rtl"></span><span dir="rtl"></span>)، می‌توان نتیجه گرفت که محافظت بیش از حد پدر و مراقبت مادر، 44% از واریانس افسردگی پس از زایمان را تبیین می­نماید. یعنی 44% از تغییرات افسردگی پس از زایمان مربوط به محافظت بیش از حد پدر و مراقبت مادر است.</span><span lang="FA" style="color: black line-height: 115% font-family: "B Lotus" font-size: 12pt mso-themecolor: text1"> <o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 0cm 0pt text-align: justify" dir="rtl"><b><span lang="FA" style="color: black line-height: 115% font-family: "B Lotus" font-size: 12pt mso-themecolor: text1">نتیجه­گیری</span></b><span lang="FA" style="color: black line-height: 115% font-family: "B Lotus" font-size: 12pt mso-themecolor: text1">: نتایج حاصل از تحلیل رگرسیون نشان داد که مؤلفه‌های محافظت بیش از حد پدر و مراقبت مادر قادر به پیش بینی افسردگی پس از زایمان هستند. به طور کلی نتایج این پژوهش نشان داد که نحوه ارتباط عاطفی بین والدین و فرزندان آنها منجر به شکل­گیری اختلالات روانی در فرزندان در دوره‌های مختلف زندگی می‌شود. <o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 0cm 0pt text-align: justify" dir="rtl"><span lang="FA" style="color: black line-height: 115% font-family: "B Lotus" font-size: 12pt mso-themecolor: text1"><!--stripped--><font size="3"> </font><!--stripped--></span></p><font face="Times New Roman" size="3"> </font> <font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 0cm 0pt text-align: justify unicode-bidi: embed direction: ltr"><b><span style="color: black line-height: 115% font-family: "Times New Roman","serif" font-size: 14pt mso-themecolor: text1 mso-fareast-font-family: Calibri mso-bidi-font-family: "B Lotus" mso-bidi-language: AR-SA">Background</span></b><span style="color: black line-height: 115% font-family: "Times New Roman","serif" font-size: 14pt mso-themecolor: text1 mso-fareast-font-family: Calibri mso-bidi-font-family: "B Lotus" mso-bidi-language: AR-SA">: Depression has often</span><span dir="rtl"></span><span dir="rtl"></span><span style="color: black line-height: 115% font-family: "B Lotus" font-size: 14pt mso-themecolor: text1 mso-ascii-font-family: "Times New Roman" mso-fareast-font-family: Calibri mso-hansi-font-family: "Times New Roman" mso-bidi-language: AR-SA" dir="rtl"><span dir="rtl"></span><span dir="rtl"></span> </span><span style="color: black line-height: 115% font-family: "Times New Roman","serif" font-size: 14pt mso-themecolor: text1 mso-fareast-font-family: Calibri mso-bidi-font-family: "B Lotus" mso-bidi-language: AR-SA">been considered as a major cause of human health threats in the world. The goal of the current study</span><span dir="rtl"></span><span dir="rtl"></span><span style="color: black line-height: 115% font-family: "B Lotus" font-size: 14pt mso-themecolor: text1 mso-ascii-font-family: "Times New Roman" mso-fareast-font-family: Calibri mso-hansi-font-family: "Times New Roman" mso-bidi-language: AR-SA" dir="rtl"><span dir="rtl"></span><span dir="rtl"></span> </span><span style="color: black line-height: 115% font-family: "Times New Roman","serif" font-size: 14pt mso-themecolor: text1 mso-fareast-font-family: Calibri mso-bidi-font-family: "B Lotus" mso-bidi-language: AR-SA">was to predict<font face="Times New Roman"><span style="mso-spacerun: yes"><font size="5"> </font></span>postpartum depression</font></span><span dir="rtl"></span><span dir="rtl"></span><span style="color: black line-height: 115% font-family: "B Lotus" font-size: 14pt mso-themecolor: text1 mso-ascii-font-family: "Times New Roman" mso-fareast-font-family: Calibri mso-hansi-font-family: "Times New Roman" mso-bidi-language: AR-SA" dir="rtl"><span dir="rtl"></span><span dir="rtl"></span> </span><span style="color: black line-height: 115% font-family: "Times New Roman","serif" font-size: 14pt mso-themecolor: text1 mso-fareast-font-family: Calibri mso-bidi-font-family: "B Lotus" mso-bidi-language: AR-SA">among women attended health care centers in Shiraz based on parental bonding, history of anxiety, and depression</span><span dir="rtl"></span><span dir="rtl"></span><span style="color: black line-height: 115% font-family: "B Lotus" font-size: 14pt mso-themecolor: text1 mso-ascii-font-family: "Times New Roman" mso-fareast-font-family: Calibri mso-hansi-font-family: "Times New Roman" mso-bidi-language: AR-SA" dir="rtl"><span dir="rtl"></span><span dir="rtl"></span> </span><span dir="ltr"></span><span dir="ltr"></span><span style="color: black line-height: 115% font-family: "Times New Roman","serif" font-size: 14pt mso-themecolor: text1 mso-fareast-font-family: Calibri mso-bidi-font-family: "B Lotus" mso-bidi-language: AR-SA"><span dir="ltr"></span><span dir="ltr"></span>.<o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 0cm 0pt text-align: justify unicode-bidi: embed direction: ltr"><b><span style="color: black line-height: 115% font-family: "Times New Roman","serif" font-size: 14pt mso-themecolor: text1 mso-fareast-font-family: Calibri mso-bidi-font-family: "B Lotus" mso-bidi-language: AR-SA">Methods:</span></b><span style="color: black line-height: 115% font-family: "Times New Roman","serif" font-size: 14pt mso-themecolor: text1 mso-fareast-font-family: Calibri mso-bidi-font-family: "B Lotus" mso-bidi-language: AR-SA"> In this regard, 120 women with postpartum depression were selected among the women who had delivered in hospitals of Shiraz using convenience</span><span dir="rtl"></span><span dir="rtl"></span><span style="color: black line-height: 115% font-family: "B Lotus" font-size: 14pt mso-themecolor: text1 mso-ascii-font-family: "Times New Roman" mso-fareast-font-family: Calibri mso-hansi-font-family: "Times New Roman" mso-bidi-language: AR-SA" dir="rtl"><span dir="rtl"></span><span dir="rtl"></span> </span><span style="color: black line-height: 115% font-family: "Times New Roman","serif" font-size: 14pt mso-themecolor: text1 mso-fareast-font-family: Calibri mso-bidi-font-family: "B Lotus" mso-bidi-language: AR-SA">sampling method. The tools were</span><span dir="rtl"></span><span dir="rtl"></span><span style="color: black line-height: 115% font-family: "B Lotus" font-size: 14pt mso-themecolor: text1 mso-ascii-font-family: "Times New Roman" mso-fareast-font-family: Calibri mso-hansi-font-family: "Times New Roman" mso-bidi-language: AR-SA" dir="rtl"><span dir="rtl"></span><span dir="rtl"></span> </span><span style="color: black line-height: 115% font-family: "Times New Roman","serif" font-size: 14pt mso-themecolor: text1 mso-fareast-font-family: Calibri mso-bidi-font-family: "B Lotus" mso-bidi-language: AR-SA">Parental Bonding Instrument (PBI), Postnatal Depression Scale (Edinburgh),</span><span dir="rtl"></span><span dir="rtl"></span><span style="color: black line-height: 115% font-family: "B Lotus" font-size: 14pt mso-themecolor: text1 mso-ascii-font-family: "Times New Roman" mso-fareast-font-family: Calibri mso-hansi-font-family: "Times New Roman" mso-bidi-language: AR-SA" dir="rtl"><span dir="rtl"></span><span dir="rtl"></span> </span><span style="color: black line-height: 115% font-family: "Times New Roman","serif" font-size: 14pt mso-themecolor: text1 mso-fareast-font-family: Calibri mso-bidi-font-family: "B Lotus" mso-bidi-language: AR-SA">and the checklist of anxiety and depression using diagnostic criteria of anxiety and</span><span dir="rtl"></span><span dir="rtl"></span><span style="color: black line-height: 115% font-family: "B Lotus" font-size: 14pt mso-themecolor: text1 mso-ascii-font-family: "Times New Roman" mso-fareast-font-family: Calibri mso-hansi-font-family: "Times New Roman" mso-bidi-language: AR-SA" dir="rtl"><span dir="rtl"></span><span dir="rtl"></span> </span><span style="color: black line-height: 115% font-family: "Times New Roman","serif" font-size: 14pt mso-themecolor: text1 mso-fareast-font-family: Calibri mso-bidi-font-family: "B Lotus" mso-bidi-language: AR-SA">mood disorders (DSM- IV-IR). Data were analyzed using multiple regression analysis with stepwise method through SPSS v.16.<o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0cm 0cm 0pt text-align: justify unicode-bidi: embed direction: ltr"><b><span style="color: black line-height: 115% font-family: "Times New Roman","serif" font-size: 14pt mso-themecolor: text1 mso-fareast-font-family: Calibri mso-bidi-font-family: "B Lotus" mso-bidi-language: AR-SA">Findings</span></b><span style="color: black line-height: 115% font-family: "Times New Roman","serif" font-size: 14pt mso-themecolor: text1 mso-fareast-font-family: Calibri mso-bidi-font-family: "B Lotus" mso-bidi-language: AR-SA">: The linear regression model showed that extraordinary protective factors of caring father (p<0.001) and mother (p<0.001) have significant effect on depression. Considering the calculated coefficient determinant (R²=0.44), the extraordinary protective factors of caring father and mother, predicted 44% of postpartum depression. It means that 44% of changes by postpartum depression in caused by the extraordinary protective factors of caring father and mother. <o:p /></span></p><font face="Times New Roman"><font size="3"> </font><b><span style="color: black line-height: 115% font-family: "Times New Roman","serif" font-size: 14pt mso-themecolor: text1 mso-fareast-font-family: Calibri mso-bidi-font-family: "B Lotus" mso-bidi-language: AR-SA mso-ansi-language: EN-US mso-fareast-language: EN-US">Conclusion:</span></b></font><span style="color: black line-height: 115% font-family: "Times New Roman","serif" font-size: 14pt mso-themecolor: text1 mso-fareast-font-family: Calibri mso-bidi-font-family: "B Lotus" mso-bidi-language: AR-SA mso-ansi-language: EN-US mso-fareast-language: EN-US"> Result of</span><span dir="rtl"></span><span dir="rtl"></span><span style="color: black line-height: 115% font-family: "B Lotus" font-size: 14pt mso-themecolor: text1 mso-ascii-font-family: "Times New Roman" mso-fareast-font-family: Calibri mso-hansi-font-family: "Times New Roman" mso-bidi-language: AR-SA mso-ansi-language: EN-US mso-fareast-language: EN-US" dir="rtl"><span dir="rtl"></span><span dir="rtl"></span> </span><span style="color: black line-height: 115% font-family: "Times New Roman","serif" font-size: 14pt mso-themecolor: text1 mso-fareast-font-family: Calibri mso-bidi-font-family: "B Lotus" mso-bidi-language: AR-SA mso-ansi-language: EN-US mso-fareast-language: EN-US">regression analysis</span><span dir="rtl"></span><span dir="rtl"></span><span style="color: black line-height: 115% font-family: "B Lotus" font-size: 14pt mso-themecolor: text1 mso-ascii-font-family: "Times New Roman" mso-fareast-font-family: Calibri mso-hansi-font-family: "Times New Roman" mso-bidi-language: AR-SA mso-ansi-language: EN-US mso-fareast-language: EN-US" dir="rtl"><span dir="rtl"></span><span dir="rtl"></span> </span><span style="color: black line-height: 115% font-family: "Times New Roman","serif" font-size: 14pt mso-themecolor: text1 mso-fareast-font-family: Calibri mso-bidi-font-family: "B Lotus" mso-bidi-language: AR-SA mso-ansi-language: EN-US mso-fareast-language: EN-US">indicated that protective factors of caring father and mother are able to predict postpartum depression. The overall results of this study indicated that</span><span dir="rtl"></span><span dir="rtl"></span><span style="color: black line-height: 115% font-family: "B Lotus" font-size: 14pt mso-themecolor: text1 mso-ascii-font-family: "Times New Roman" mso-fareast-font-family: Calibri mso-hansi-font-family: "Times New Roman" mso-bidi-language: AR-SA mso-ansi-language: EN-US mso-fareast-language: EN-US" dir="rtl"><span dir="rtl"></span><span dir="rtl"></span> </span><span style="color: black line-height: 115% font-family: "Times New Roman","serif" font-size: 14pt mso-themecolor: text1 mso-fareast-font-family: Calibri mso-bidi-font-family: "B Lotus" mso-bidi-language: AR-SA mso-ansi-language: EN-US mso-fareast-language: EN-US">emotional connection between parents and their children, leads to(determine) the formation of mental disorders in children in different periods of life</span> افسردگی پس از زایمان, پیوند والدینی, سابقه اضطراب و افسردگی Postpartum depression, Parental bonding, Anxiety, Depression history 24 30 http://rjms.iums.ac.ir/browse.php?a_code=A-10-1-1620&slc_lang=fa&sid=1 ziba norouzi زیبا نوروزی 3900319475328460027933 3900319475328460027933 Yes دانشگاه آزاد اسلامی واحد علوم و تحقیقات فارس، شیراز، ایران مسعود محمدی 3900319475328460027934 3900319475328460027934 No دانشگاه آزاد اسلامی واحد علوم و تحقیقات فارس، شیراز، ایران