高危孕妇焦虑抑郁症状发生率及相关危险因素（英文）
发布时间：2019-05-08 22:54
【摘要】：背景:高危孕妇与普通孕妇相比在妊娠期会出现更多的并发症,高危因素作为一种应激因素更易诱发孕妇产生焦虑、抑郁等负面情绪症状。目前国内外对高危孕妇焦虑、抑郁症状的研究相对较少。目标:调查产科高危妊娠孕妇焦虑、抑郁症状发生率及其相关危险因素。方法:对197例孕中期(16-20周)的高危孕妇在妊娠最后4月每月进行综合性医院焦虑/抑郁量表(HAD)评估和风险因素调查。产后3-7天、42天及3月进行爱丁堡产后抑郁量表(EPDS)评估和风险因素调查。结果:入组时高危孕妇HAD焦虑均分:3.69(2.76),抑郁均分:3.42(2.53)。焦虑症状14例(7.18%),抑郁症状10例(5.13%)。多因素分析显示,怀孕有无保胎(OR:8.162,95%CI:1.213-54.914)和乙肝阳性(OR:8.912,95%CI:1.052-75.498)与焦虑症状相关。尿糖阳性(OR:30.529,95%CI:1.312-710.610)和既往出血史(OR:7.122,95%CI:1.015-49.984)与抑郁症状相关。孕期影响高危孕妇焦虑、抑郁症状的因素有:近3月孕妇健康状况、担心胎儿健康、夫妻关系、婆媳关系等。结论:高危妊娠孕妇焦虑、抑郁症状较常见。近3月孕妇健康状况、婆媳关系、夫妻关系、担心胎儿健康是高危孕妇孕期焦虑、抑郁症状的风险因素。
[Abstract]:Background: compared with normal pregnant women, high-risk pregnant women will have more complications during pregnancy. As a stress factor, high-risk factors are more likely to induce anxiety, depression and other negative emotional symptoms in pregnant women. At present, there are relatively few studies on anxiety and depression in high-risk pregnant women at home and abroad. Objective: to investigate the incidence and risk factors of anxiety and depression in pregnant women at high risk of obstetrics. Methods: a total of 197 high-risk pregnant women in the second trimester of pregnancy (16 to 20 weeks) were assessed with the General Hospital anxiety / Depression scale (HAD) and risk factors in the last four months of gestation. The Edinburgh postpartum depression scale (EPDS) and risk factors were evaluated at 3 days, 42 days and 3 months after delivery. Results: the average scores of HAD anxiety and depression in high risk pregnant women were 3.69 (2.76) and 3.42 (2.53) respectively. Anxiety symptoms were 14 cases (7.18%) and depression symptoms 10 cases (5.13%). Multivariate analysis showed that pregnancy with or without pregnancy (OR:8.162,95%CI:1.213-54.914) and hepatitis B positive (OR:8.912,95%CI:1.052-75.498) were associated with anxiety symptoms. Urinary glucose positive (OR:30.529,95%CI:1.312-710.610) and past bleeding history (OR:7.122,95%CI:1.015-49.984) were associated with depressive symptoms. The factors affecting anxiety and depression in high-risk pregnant women during pregnancy include: maternal health status in recent three months, fear of fetal health, marital relationship, relationship between mother-in-law and daughter-in-law, and so on. Conclusion: anxiety and depression are more common in high-risk pregnant women. In recent 3 months, the health status of pregnant women, the relationship between mother-in-law and daughter-in-law, the relationship between husband and wife, and the fear of fetal health are the risk factors of anxiety and depression in high risk pregnant women.
【作者单位】： Shanghai
【基金】：funded by the Shanghai Municipal Commission of Health and Family Planning“Effect of cognitive psychological intervention on the anxiety of the postpartum pregnant women at high risk”project.Project number:2009107
【分类号】：R749;R714.25
[Abstract]:Background: compared with normal pregnant women, high-risk pregnant women will have more complications during pregnancy. As a stress factor, high-risk factors are more likely to induce anxiety, depression and other negative emotional symptoms in pregnant women. At present, there are relatively few studies on anxiety and depression in high-risk pregnant women at home and abroad. Objective: to investigate the incidence and risk factors of anxiety and depression in pregnant women at high risk of obstetrics. Methods: a total of 197 high-risk pregnant women in the second trimester of pregnancy (16 to 20 weeks) were assessed with the General Hospital anxiety / Depression scale (HAD) and risk factors in the last four months of gestation. The Edinburgh postpartum depression scale (EPDS) and risk factors were evaluated at 3 days, 42 days and 3 months after delivery. Results: the average scores of HAD anxiety and depression in high risk pregnant women were 3.69 (2.76) and 3.42 (2.53) respectively. Anxiety symptoms were 14 cases (7.18%) and depression symptoms 10 cases (5.13%). Multivariate analysis showed that pregnancy with or without pregnancy (OR:8.162,95%CI:1.213-54.914) and hepatitis B positive (OR:8.912,95%CI:1.052-75.498) were associated with anxiety symptoms. Urinary glucose positive (OR:30.529,95%CI:1.312-710.610) and past bleeding history (OR:7.122,95%CI:1.015-49.984) were associated with depressive symptoms. The factors affecting anxiety and depression in high-risk pregnant women during pregnancy include: maternal health status in recent three months, fear of fetal health, marital relationship, relationship between mother-in-law and daughter-in-law, and so on. Conclusion: anxiety and depression are more common in high-risk pregnant women. In recent 3 months, the health status of pregnant women, the relationship between mother-in-law and daughter-in-law, the relationship between husband and wife, and the fear of fetal health are the risk factors of anxiety and depression in high risk pregnant women.
【作者单位】： Shanghai
【基金】：funded by the Shanghai Municipal Commission of Health and Family Planning“Effect of cognitive psychological intervention on the anxiety of the postpartum pregnant women at high risk”project.Project number:2009107
【分类号】：R749;R714.25
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