孕妇产前抑郁焦虑的危险因素

发布时间：2018-03-02 03:10

本文关键词： 孕妇产前抑郁焦虑相关因素回归分析　出处：《中国心理卫生杂志》2015年04期 　论文类型：期刊论文

【摘要】：目的:探讨孕妇产前抑郁、焦虑的相关危险因素,为产前抑郁、焦虑的早期筛查及临床干预提供理论支持。方法:选取昆明市妇幼保健院产前检查的孕妇2112人,采用爱丁堡产后抑郁量表(EPDS)、焦虑自评量表(SAS)于孕28周对其进行问卷调查。采用非条件logistic回归分析探讨产前抑郁、焦虑症状的相关危险因素。结果:孕28周抑郁症状检出率为25.4%,焦虑症状检出率为6.6%。Logistic回归分析显示,抑郁症状的危险因素为低年龄(OR=0.80,95%CI:0.68~0.94)、孕期非坚持工作(OR=1.18,95%CI:1.02~1.36)、对居住环境不满意(OR=1.50,95%CI:1.23~1.83)、期望生男孩(OR=0.86,95%CI:0.77~0.96)、非独子(OR=1.37,95%CI:1.06~1.76)、非计划内怀孕(OR=1.38,95%CI:1.10~1.72);焦虑症状的危险因素为不满意居住环境(OR=1.64,95%CI:1.19~2.26)、与丈夫关系不融洽(OR=2.01,95%CI:1.20~3.37)、非计划内怀孕(OR=1.50,95%CI:1.05~2.14)。结论:本研究提示,年龄越小、孕期未坚持工作、对居住环境不满意、期望生男孩、孕妇非独子、非计划内怀孕的孕妇,越易患产前抑郁症;对居住环境不满意、与丈夫关系不融洽、非计划内怀孕的孕妇,越易患产前焦虑症。
[Abstract]:Objective: to explore the risk factors of prenatal depression and anxiety of pregnant women, and to provide theoretical support for early screening and clinical intervention of prenatal depression and anxiety. Methods: 2112 pregnant women were selected for prenatal examination in Kunming Maternal and Child Health Hospital. The Edinburgh Postpartum Depression scale (Edinburgh PPD) and the Self-Rating anxiety scale (SAS) were used to investigate the postpartum depression in 28 weeks of pregnancy. The non-conditional logistic regression analysis was used to explore the antepartum depression. Results: at 28 weeks of gestation, the prevalence of depression and anxiety were 25.4 and 6.6, respectively. The risk factors for depression symptoms are: low age OR0.80,95CI0.680.0.94, pregnant women who do not insist on working, OR 1.1895 CI1.021.36, dissatisfied with living conditions, OR1.50,95CIV1.231.83, expecting a boy to be born OR0.8695CI0.770.96, a non-only son OR1.395CI1.06CI1.061.76, an unplanned pregnancy OR1.3895CI1.100.72; the risk factor of anxiety is a dissatisfactory living environment: 1.1.6495CI1.192.26. the risk factors of anxiety symptoms are: 1.1.645CI1.1.26. the risk factors for anxiety symptoms are as follows: 1.38895CI1.101.722.26. the risk factors for anxiety symptoms are as follows: OR0.8695CI0.770.96, OR1.395CI1.061.76, or 1.3895CI1.101.72; and the risk factors of anxiety symptoms are the dissatisfactory living environment: 1.1.6495CI0.770.96. CI1: 1.20 / 3.37. Unplanned pregnancy: 1.50 / 95 CI: 1.052.14. Conclusion: this study suggests, The younger the pregnancy, the more likely pregnant women are to suffer from prenatal depression, are not satisfied with their living conditions, are not satisfied with their living conditions, and expect to give birth to boys, pregnant women who are not only children, and pregnant women who are not planned to become pregnant, and are not satisfied with their living conditions and do not enjoy harmonious relations with their husbands. Pregnant women who are not scheduled to become pregnant are more likely to suffer from prenatal anxiety.
【作者单位】：昆明市心理危机研究与干预中心;云南省精神病医院;
【基金】：2012年昆明市卫生局立项课题
【分类号】：R749.4

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