孕妇情绪变化的心身-家庭-社会因素分析  

Analysis on psychosomatic-family-society factors related to emotion changes in pregnant women

作　　者：丁霞[1] 田东萍[1] 董燕[1] 杨琳[1] 周晓梅[1] 李春东[1] 

机构地区：[1]解放军空军总医院临床心理科,北京市100036

出　　处：《中国临床康复》2005年第44期64-66,共3页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:分析孕妇心身-家庭-社会因素与情绪变化的关系。方法:调查对象来源于2000-06/2003-12解放军空军总医院作孕期心理辅导工作的健康怀孕妇女506名。采用身心-家庭-社会因素专设问卷和症状自评量表对所有受试者进行问卷测试。将症状自评量表中的情绪症状和涉及孕妇身心-家庭-社会方面的因子项做多因素相关分析,对养育准备、经济状况、夫妻性冷淡、父母态度4个因子项做回归分析。结果:506份答卷均纳入结果分析。①孕妇身心状况与情绪变化的相关分析:年龄与躯体化症状呈显著负相关,但与人际关系敏感和精神性呈正相关;孕周与强迫、焦虑、敌对等情绪症状呈显著正相关;怀孕次数与抑郁和焦虑等情绪症状呈显著正相关;生活状态与躯体化症状、焦虑呈显著负相关;孕妇文化水平与躯体化和焦虑等情绪症状呈显著负相关;喜爱孩子与躯体化、抑郁、焦虑和敌对呈正相关;影响自己的工作除与偏执呈正相关外,与其他各情绪症状均呈显著性正相关;担心畸形和恐惧分娩与各情绪症状均呈显著正相关。②家庭-社会性因子与孕妇情绪变化的相关分析:夫妻性冷淡与各情绪症状呈显著正相关;养育准备与偏执呈显著正相关,与其他各情绪症状均呈显著正相关;经济状况与躯体化、焦虑呈负相关;丈夫文化与躯体化呈显著负相关;父母态度与人际、抑郁成正相关。③家庭-社会影响因子的回归分析:进入养育准备回归方程的依照影响从大到小的排列顺序为经济状况、对孩子的喜爱、父母态度、受孕计划。进入经济状况回归方程的依照影响从大到小的排列顺序为丈夫文化、父母态度、孕妇年龄、恐惧畸形。进入夫妻性冷淡回归方程的依照影响从大到小的排列顺序为影响工作、恐惧畸形、恐惧分娩和怀孕次数。进入父母态度回归方程的依照影响从大到小的排�AIM： To analyze the correlation between psychosomatic-family-society factors and changes of emotional symptoms in pregnant women. METHODS： 506 researched objects draw from the healthy pregnant woman whom from June 2000 to December 2003 at General Hospital of Air Force of Chinese PLA made the period mental state guidance work. The psychosomatic-family-society factor questionnaire and symptom checklist 90 （SCL-90） were adopted. The emotion symptoms in the SCL-90 involving the pregnant woman psychosomatic-family-the social factor item analyzed with SPSS for multi-factor linear correlation. , Four factor items that the preparative to the breeding, economic condition, the husband and wife＇s sex and parents attitude analyzed with SPSS for regression analysis. RESULTS： 506 answer papers were all involved in the result analysis. ①Correlation analysis for pregnant woman psychosomatic condition and their emotion changes： Age and somatization showed markedly negative correlation, but with sensitivity of interpersonal sensitivity and spirituality showed positive correlation. Pregnant time with compulsive, anxiety and hostility, etc. showed obviously positive correlation. The number of pregnancy with depression and anxiety, etc. showed remarkably positive correlation. The living condition with somatization symptoms and anxiety showed apparently negative correlation. Culture level of pregnant woman with somatization symptom and anxiety, etc. showed significantly negative correlation. Love to the child with somatization, depression, anxiety and hostility showed positive correlation. Influence to the work with paranoid ideation showed positive correlation and with the rest emotion symptoms showed distinctly positive correlation. Worrying about abnormality and dread labor with all emotion symptoms showed evidently positive correlation. ②Correlation analysis for family-social factor and the emotion changes of pregnant woman： The husband and wife sex and each emotion symptom showed clearly positive correlation.

关 键 词：妊娠/心理学 心身医学 问卷 

分 类 号：R395.1[哲学宗教—心理学]