中晚期妊娠妇女焦虑抑郁现况调查  

A cross-sectional study of anxiety & depression of second-third trimester pregnant women

作　　者：陈圣宝[1] 王芳[1] 郭薇薇[1] 王净[2] 余金明[1] 李觉[1] 

机构地区：[1]同济大学医学院预防医学教研室,上海200092 [2]同济大学附属同济医院妇产科,上海200065

出　　处：《同济大学学报（医学版）》2007年第1期89-92,共4页Journal of Tongji University(Medical Science)

摘　　要：目的了解目前中晚期妊娠妇女焦虑抑郁状况现患率,为进一步的前瞻性研究提供参考依据。方法连续选取同济大学4所附属医院妇产科符合条件的177例中晚期妊娠妇女,采用自制调查表及综合性医院焦虑抑郁情绪量表相结合的问卷表,对调查对象焦虑抑郁状况进行现场测评。结果中晚期妊娠妇女焦虑、抑郁患病率分别达到12.43%,9.60%,焦虑抑郁共患率达5.08%,焦虑或抑郁总的患病率为16.38%,明显高于普通人群。焦虑抑郁率随着年龄的增长患病率呈下降趋势,趋势χ2检验P值<0.05,不同年龄段焦虑抑郁率差异显著,年龄越小焦虑抑郁率越高;同时不同孕产史组间平均年龄有显著性差异,P值<0.05,初孕产组年龄偏小。结论中晚期妊娠妇女焦虑抑郁状况不容乐观,建议加强孕期健康教育,尤其是针对年龄偏小的初孕产人群,并给以必要的卫生干预措施。Objective To investigate the prevalence proportion of anxiety and depressive in the pregnant women during the second -third trimester gestation, and to provide referenced information for the next prospective epidemiological study in this field. Methods A total of 177 eligible pregnant women of the Department of Obs. ＆Gyn. were selected consecutively from 4 hospitals affiliated to Tongji University, applying self-designed questionnaire and the hospital anxiety ＆depression scale（HAD） to ask for the subjects to response the questionnaires on the spots. Results The prevalence proportion of anxiety and depression were 12.43% ,9.60%, respectively, and the prevalence proportion of both anxiety and depression was 5.08%, and the total prevalence proportion of anxiety or depression was up to 16.38 %. The prevalence proportion of anxiety and depression of the second-third trimester pregnant women had significantly higher than that of the general human. The relationship between the prevalence proportion of anxiety ＆ depression and the age distribution in the second-third trimester pregnant women was approved to be negative correlation （ P 〈 0.05） by the trend of proportion of the Chisquare test, the prevalence proportion was highest in the group of less 25 years old, and the group over 30 years old was the lowest. Meanwhile , the age of the non-delivered women group was significantly lower than that of the delivered women group （P〈0.05）. Conehtsion The prevalence proportion of the anxiety ＆ depression of the second-third trimester gestation women were unoptimistic. It suggests that strengthening the instructing program of the psychological healthy aspects to the second-third trimester pregnant women, especially to the lower-aged non-delivered pregnant women and giving them the essential intervened measures are necessary.

关 键 词：中晚期妊娠 焦虑 抑郁 现患率 HAD量表 

分 类 号：R181.32[医药卫生—流行病学]