中国妇幼健康研究2026，Vol.37Issue(8)：1-7,7.DOI:10.3969/j.issn.1673-5293.2026.08.001
工作期间视屏时间和非工作期间视屏时间与产妇产后抑郁焦虑症状及共患关联研究
Associations of work-related and non-work-related screen time with postpartum depressive and anxiety symptoms and their comorbidity among postpartum women
摘要
Abstract
Objective This study aims to examine the associations between screen time during working hours and screen time during non-working hours among postpartum women and symptoms of postpartum depression,postpartum anxiety,as well as their comorbidity presentation.Methods A multi-center cross-sectional investigation was implemented over the period November 2023 to June 2024.Participants,consisting of postpartum women residing in four geographical sites across Anhui Province(Huaibei,Jieshou,Ma'anshan,Huangshan),were enrolled through a convenience sampling strategy.Questionnaires were administered to gather data covering screen use duration during working hours and screen time during non-working hours,sleep quality,depressive manifestations,and anxious symptoms.The Edinburgh Postnatal Depression Scale(EPDS)and the Generalized Anxiety Disorder-7(GAD-7)served as standardized tools for the assessment of postpartum depressive and anxiety symptoms,respectively.Multivariate logistic regression models were used to quantify associations between screen time exposure and three outcomes:sole postpartum depression,sole anxiety symptoms,and comorbidity depression-anxiety.Results A total of 3 094 valid questionnaires were collected.The prevalence of depressive symptoms of depressive symptoms at 42 days,3,6,and 12 months postpartum were 22.3%,20.3%,21.2%,and 15.8%;anxiety symptoms detection rates were 28.6%,29.2%,26.1%,and 19.6%,while comorbidity rates of both symptoms were 16.3%,16.2%,15.8%,and 11.4%.After adjusting for age,income,and survey time,2-6 hours of work screen time was linked to higher odds of postpartum depression and comorbidity depression-anxiety(OR=1.42 and 1.34,respectively,P<0.05),and>6 hours of work screen time increased risks for all three emotional outcomes(OR=1.60,1.61 and 1.87,respectively,P<0.05).These associations held after additional adjustment for sleep quality(adjusted ORs:1.29-1.58,P<0.05).For non-work screen exposure,both 2-6 hours and>6 hours use were risk factors for depression,anxiety,and their comorbidity(OR=1.27,1.33,1.38,1.63,1.75 and 1.98,all P<0.05)in the initial adjusted model.When sleep quality was further controlled,only over 6 hours of off-work screen time remained an independent risk factor for anxiety and comorbid symptoms(OR=1.41 and 1.52,respectively,P<0.05).Conclusion Screen time during working hours and screen time during non-working hours are associated with increased risks of postpartum depressive symptoms,anxiety symptoms,and their comorbidit.Appropriate limitation of screen use is a potential intervention to reduce postpartum depressive and anxiety symptoms.关键词
产后抑郁/焦虑/共患/视屏时间Key words
postpartum depression/anxiety/comorbidity/screen time分类
医药卫生引用本文复制引用
刘永康,汪兴,武梦茹,唐程丽,强文静,朱贝贝,陶芳标..工作期间视屏时间和非工作期间视屏时间与产妇产后抑郁焦虑症状及共患关联研究[J].中国妇幼健康研究,2026,37(8):1-7,7.基金项目
国家自然科学基金(81761128034) （81761128034）
