| Abstract |
Objective:To understand the current situation of depression in pregnant women in western Anhui province and explore the relationship between coping style, family function and depressive symptoms in pregnant women, so as to provide a scientific basis for the development of prevention and treatment strategies for the mental health of pregnant women.Methods:From May to November 2022, 5679 pregnant women in western Anhui were selected as the investigation objects, and the general situation questionnaire, Edinburgh Postpartum Depression Scale (EPDS), Simple Coping Style Questionnaire (SCSQ), Family closeness and Adaptability Scale (FACES II-CV) were used for questionnaire investigation. x2 test, t test and binary Logistic regression analysis were used for statistical analysis of the data.Results: The detection rate of depressive symptoms in pregnant women in western Anhui was 42.72%. The results of single factor analysis showed that different age, marital status, educational level, occupational status, family economic income, pregnancy, physical disease, childbirth history and pregnancy conditions had statistically significant differences in the detection rate of depressive symptoms in pregnant women.(x2=10.394，8.810，45.338，10.900，40.927，22.794，24.113，8.495，61.303,all P＜0. 05).The results of T-test showed that the scores of positive coping style, family intimacy and family adaptability in pregnant women without depressive symptoms were higher than those in pregnant women with depressive symptoms (t=23.621, t=34.854, t=32.078), and the scores of negative coping style were lower than those in pregnant women with depressive symptoms (t=-12.731). The difference was statistically significant (P <0.01).Logistic regression analysis showed that physical disease (OR=1.290, 95%CI: 1.111-1.497), unplanned pregnancy (OR=1.339, 95%CI: 1.106~1.623), active coping style (OR=0.935, 95%CI: 0.925 ~ 0.945), negative coping style (OR=1.111, 95%CI: 1.096~1.126), family closeness (OR=0.952, 95%CI: 0.941~0.962) and family adaptability (OR=0.970, 95%CI: 0.957~0.982) were the influencing factors of depressive symptoms in pregnant women.Conclusion: The incidence of depressive symptoms in pregnant women is high in western Anhui province, and the influencing factors are complex. Taking positive coping ways and building a good family functional environment are the beneficial means to reduce depressive symptoms in pregnant women.
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