产妇身心健康水平、家庭环境和地域习俗对产妇产后抑郁发生的影响

Effect of physical and mental health, family environment and geographical customs on maternal postpartum depression

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(3)
作者
作者单位

北京大学国际医院心理行为医学科 ;
北京大学国际医院Upenn-PKU 睡眠中心 ;
北京大学第六医院伦理办公室 ;

摘要
【摘要】目的:探讨产妇身心健康水平、家庭环境和地域习俗对产妇产后抑郁发生的影响。方法:选取我院收治的240例孕妇,收集孕妇产前4周的临床资料,包括社会人口学资料及既往产科病史等资料。产后一个月内对孕妇进行抑郁评估,分为抑郁组(85例)和对照组(155例),比较两组产妇身心健康水平、家庭环境和地域习俗对产妇产后抑郁发生的影响。结果:①产后抑郁阳性率为35.4%(85/240),轻度、中度和重度抑郁分别占55.3%(47/85)、41.1%(35/85)、3.5%(3/85)。是否是高危产妇、产前是否抑郁、孕妇及丈夫对胎儿性别的期待、产褥期照顾者、对丈夫的满意度、是否向婴儿发泄情绪等因素在两组间的差异均具有统计学意义(均P<0.05)。②以产后BDI筛检总分为因变量,以相关研究证实的危险因素为自变量,进行多元线性回归分析,结果显示,不满意丈夫的照顾、丈夫期待生男孩、产妇存在向婴儿发泄情绪的冲动、社会支持低、消极应对等均是产后抑郁的危险因素(均P<0.05)。结论:产妇身心健康水平、家庭环境和地域习俗产均会影响孕妇产后抑郁的发生,同时孕妇的产前抑郁情绪和应对方式消极均可预测产后抑郁的发生,家庭成员应该引起重视。
Abstract
【Abstract】 Objective: To explore the effect of physical and mental health, family environment and geographical customs on maternal postpartum depression. Methods: 240 pregnant women admitted to our hospital were collected and the clinical data of 4 weeks before birth were collected, including social demographic data and past medical history data. The depression was assessed in pregnant women within one month after delivery, they were thdivided into depression group (85 cases) and control group (155 cases), effects of physical and mental health, family environment and geographical customs on maternal postpartum depression in both groups were compared. Results: ① The positive rate of postpartum depression was 35.4% (85/240), and mild, moderate and severe depression accounted for 55.3% (47/85), 41.1% (35/85), 3.5% (3/85). The difference of whether the high-risk mothers, prenatal depression, pregnant women and her husbands expectations of the sex of the fetus, puerperium carers, the satisfaction of the husband, whether to give vent to the baby and other factors between the two groups were statistically significant (P<0.05). ②Multivariate linear regression analysis was performed on the postnatal BDI screening as the dependent variable, and the risk factors confirmed by the related research were independent variables. The results show that not satisfied with the care of her husband, husband’s looking forward to boys, maternal presence to the baby to vent emotions impulse, low social support, negative coping were the risk factors of postprandial depression(P<0.05). Conclusion: maternal physical and mental health, family environment and geographical customs will affect the occurrence of postpartum depression in pregnant women, while pregnant women, prenatal depression and coping style negative can predict the occurrence of postpartum depression, family members should pay attention seriously.
关键词
【关键词】产后抑郁;身心健康;社会心理;多元线性回归
KeyWord
【Key words】 postpartum depression; physical and mental health; social psychology; multiple linear regression
基金项目
页码 494-496
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谢燕,李小钧,王雪花,王雪芹*. 产妇身心健康水平、家庭环境和地域习俗对产妇产后抑郁发生的影响 [J]. 国际精神病学杂志. 2018; 45; (3). 494 - 496.

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