Postnatal Depression in
Hong Kong Chinese Women.
HSRC # 621019
Postnatal depression in Hong Kong Chinese women.
Chung T1 and Lee TS2
1Department of Obstetrics & Gynaecology, The Chinese University of Hong Kong
2Department of Psychiatry, The Chinese University of Hong Kong
It is now generally recognised that around 10% of recently
delivered women in western societies suffer from postnatal
depression (PND), a persistent state of malignant sadness
that undermines the mother's confidence, disrupts marriage
and adversely affects the new-born development.
Despite decades of research, it remains unclear if PND is a
universal condition. Much of what is known and understood
about PND is based on biomedical studies conducted in
western developed countries. A series of anthropological
investigations suggested that PND was rare in non-western
societies, where the postpartum care was highly ritualised. It
has even been argued that PND is a culture bound syndrome
of the western world.
There is relatively little reliable data on the postpartum
psychological health of Chinese women.
AIMS AND OBJECTIVES
The objectives of the study were:
a) To determine the prevalence of PND in Hong Kong
b) To identify the putative risk factors for PND in Hong
c) To assess the impact of peiyue on the prevalence of PND
in Hong Kong
This epidemiological study was prospective, longitudinal
and observational in design. A representative sample of 959
Chinese women was studied from the antenatal booking visit
to 3 months postpartum. All Chinese women who attend the
booking visit at the PWH were included in the study.
Women were only excluded from the study if they (1) were
not of Chinese ethnicity, (2) did not have long-term
residential rights, (3) were leaving Hong Kong within 12
months of delivery, or (4) did not supply written informed
Sociodemographic data were collected at the baseline
assessment. Exposure t