采用SCL-90和孕妇临床结构访谈法对不同孕期及产后妇女的心理变化及影响因素进行分析

The psychological changes and influencing factors of pregnant women in different pregnancy and postpartum women were analyzed by SCL-90 and clinical interview

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(4)
作者
作者单位

郑州市中医院妇产科 ;

摘要
摘要:目的:分析SCL-90和孕妇临床结构访谈法对不同孕期及产后妇女的心理变化及影响因素。方法:从我院2013年~2016年收治的孕产妇中选取110例进行研究,并根据其不同的孕期分为A组(2例,为孕早期)、B组(43例,为孕中期)、C组(56例,为孕晚期)和D组(9例,为产后),均接受SCL-90和孕妇临床结构访谈法,对其心理变化和影响因素进行评价和分析。结果:①A组、B组、C组和D组在躯体化、强迫、人际关系敏感、抑郁、敌对、抑郁、焦虑和总分的阳性率较高,且组间差异均显著,具有统计学意义(P<0.05)。②组间的孕妇年龄、教育程度、身体感受、对工作学习有无影响和胎儿畸形等指标差异,均存在统计学意义(P<0.05)。③孕产妇的年龄、教育程度、当前的身体感受、对工作的影响、胎儿畸形等项目纳入回归方程,其年龄和教育程度的OR值为0.928和0.779,且95%CI<1,是心理健康的保护因素,剩余3项的OR值分别为0.259、1.207和1.258,且95%CI>1,是心理健康的危险因素。结论:在不同的怀孕时期以及产后妇女,她们的心理状态以及负性情绪体验都会出现一定的变化,而且会呈现出不同的特点,而且社会、文化以及家庭等因素都是导致其心理变化的相关影响因素。
Abstract
Address: No. 65 Zhengzhou Cultural Palace RoadAbstract: Objective: to analyze the psychological changes and influencing factors of pregnant women in different pregnancy and postpartum women with SCL-90 and pregnant women. Methods: 110 cases of pregnant women in our hospital from 2013 ~2016 years were, and according to their different pregnancy were divided into A group (2 cases for early pregnancy), B group (43 cases, for the second trimester) and C group (56 cases for late pregnancy (9 cases) and D group, postpartum), pregnant women underwent SCL-90 and clinical interview method to evaluate and analyze the factors of the psychological changes and influence. Results: A group, B group, C group and D group in somatization, compulsion, interpersonal sensitivity, depression, hostility, depression, anxiety and the total positive rate is higher, and the difference between groups were significant, with statistical significance (P<0.05). There were significant differences between the two groups in the age, education level, physical feeling, influence on work and study, and fetal malformation, and so on (P<0.05). The maternal age, level of education, the current physical feelings to the work, the effect of fetal malformation and other projects included in the regression equation, the age and education level of OR = 0.928 and 0.779, and 95%CI < 1, are the protective factors of mental health, the remaining 3 of the OR value were 0.259, 1.207 and 1.258 and, 95%CI is more than 1, are the risk factors of psychological health. Conclusion: in the different period of pregnancy and postpartum women, their psychological state and negative emotional experience will appear some changes, and will present different characteristics, but also social, cultural and family factors are the related factors of the psychological changes.
关键词
关键词:SCL-90;孕妇临床结构;访谈法;不同孕期;产后妇女;心理变化;影响因素
KeyWord
Key words: SCL-90; clinical structure of pregnant women; interview; different pregnancy; postpartum women; psychological changes; influencing factors
基金项目
页码 722-725
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刘慧艳*,李金金, 刘秀兰,马九灵. 采用SCL-90和孕妇临床结构访谈法对不同孕期及产后妇女的心理变化及影响因素进行分析 [J]. 国际精神病学杂志. 2017; 44; (4). 722 - 725.

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