产后抑郁妇女抑郁状况的追踪  

A Follow-up Study on Recovery Process of Postpartum Depression

作　　者：张欣[1] 席薇[1] 苗汝娟[1] 

机构地区：[1]天津医科大学公共卫生学院儿少,妇幼卫生学教研室,300070

出　　处：《中国心理卫生杂志》2004年第6期376-378,380,共4页Chinese Mental Health Journal

摘　　要：目的 :了解产后抑郁症 (Postpartum Depression,PPD)妇女经过 18到 30个月其抑郁状况的恢复情况及其影响因素。方法 :应用艾丁堡产后抑郁量表 (EPDS)、母亲一般情况调查表对 2 2例于产后 35 - 6 0天内被筛查为患产后抑郁症阳性的妇女在产后 18个月和 30个月进行再测评 ,并与同时 34例筛查阴性的妇女作对照。结果 :曾为产后抑郁症阳性的妇女在产后 18个月和 30个月时的平均 EPDS评分 (11.2 7± 3.4 9;10 .91± 4 .5 9)仍高于正常对照组 (7.5 9± 3.83;7.4 7± 4 .0 9) (t=3.6 36 ,P<0 .0 1;t=2 .92 9,P<0 .0 1)。产后 30个月时仍有 1/ 4多曾为产后抑郁症筛查阳性的妇女保持抑郁状态。产后妇女的夫妻感情、居住条件、孩子的抚养、是否去工作等是影响产后妇女抑郁状况的主要因素。结论 :产后抑郁症可能会在产后较长时间内影响一部分妇女的精神状况。Objective: To explore the recovery process and the influence factors of post-partum depression (PPD) .Methods:22 women with PPD and 34 women of non-PPD were investigated with the Edinburgh Postnatal Depression Scale (EPDS) and the Delivery Woman General Situation Questionnaire (DWGSQ) at 18 months and 30 months after childbirth.Results:The EPDS scores of PPD (11.27±3.49 at 18 months;10.91±4.59 at 30 months) were significantly higher than that of non-PPD (7.59±3.83 at 18months;7.47±4.09 at 30 months) (t 1=3.636, P 1<0.01; t 2=2.929, P 2<0.01). After 30 months of childbirth, three of four (3/4) women recovered meanwhile 1/4 women remained depression. The likely influence factors were marital relation, the condition of resident, problems of raising child and workless. Conclusion: Post-partum depression would put a longtime impact on mental health status of the childbirth women.

关 键 词：妇女 产后抑郁症 抑郁状况 阳性 筛查 抑郁状态 对照组 结论 主要因素 情况 

分 类 号：R749[医药卫生—神经病学与精神病学] R714[医药卫生—临床医学]