Postpartum mental health after Hurricane Katrina A cohort study 英文参考文献.docVIP

BMC Pregnancy and Childbirth BioMedCentral Research article Open Access Postpartum mental health after Hurricane Katrina: A cohort study Emily W Harville*1, Xu Xiong1, Gabriella Pridjian2, Karen Elkind-Hirsch3 and Pierre Buekens1 Address: 1Department of Epidemiology, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA, 2Department of Obstetrics/Gynecology, Tulane University School of Medicine, New Orleans, LA, USA and 3Womans Hospital Research Institute, Baton Rouge, LA, USA Email: Emily W Harville* - eharvill@; Xu Xiong - xxiong@; Gabriella Pridjian - pridjian@; Karen Elkind- Hirsch - karen.elkind-hirsch@; Pierre Buekens - pbuekens@ * Corresponding author Published: 8 June 2009 Received: 8 February 2009 Accepted: 8 June 2009 BMC Pregnancy and Childbirth 2009, 9:21 doi:10.1186/1471-2393-9-21 This article is available from: /1471-2393/9/21 ? 2009 Harville et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Background: Natural disaster is often a cause of psychopathology, and women are vulnerable to post-traumatic stress disorder (PTSD) and depression. Depression is also common after a woman gives birth. However, no research has addressed postpartum womens mental health after natural disaster. Methods: Interviews were conducted in 2006–2007 with women who had been pregnant during or shortly after Hurricane Katrina. 292 New Orleans and Baton Rouge women were interviewed at delivery and 2 months postpartum. Depression was assessed using the Edinburgh Depression Scale and PTSD using the Post-Traumatic Stress Checklist. Women were asked about their experience of the hurricane with questions addressing threat, illness, loss, and damage. Chi-square tests and