出生缺陷儿母亲精神抑郁及影响因素分析  

Analysis on risk factors and depression status of woman with birth defect child

作　　者：陈功[1] 刘菊芬[1] 郑晓瑛[1] 

机构地区：[1]北京大学人口研究所/世界卫生组织合作中心北京大学中国人口健康与发展研究中心,北京100871

出　　处：《中国公共卫生》2007年第6期674-675,共2页Chinese Journal of Public Health

基　　金：国家重点基础研究人口健康发展规划"973"项目(2001CB5103);长江学者奖励计划项目;北京大学985项目;北京大学211项目(20020903)

摘　　要：目的了解出生缺陷儿母亲的抑郁状况并分析其影响因素,为科学指导该人群的心理健康提供依据。方法使用自制调查问卷及流行病学调查用抑郁自评量表(CES-D),在山西省出生缺陷高发的吕梁地区中阳、交口、柳林3县对151位出生缺陷儿的母亲和303位对照分别进行问卷调查。结果出生缺陷儿母亲中53%的人有不同程度的抑郁症状,26%的人重度抑郁。多元线性回归结果显示,健康自评、幸福感、家庭经济状况自评、住房附近有无化工厂、家中有无单独厨房、家庭是否欠债为生育出生缺陷儿育龄妇女抑郁情绪的影响因素。结论生育出生缺陷儿的育龄妇女心理压力较大,较正常生育妇女更易出现明显的抑郁情绪。应特别关注该特殊群体,对其加强心理健康的指导和心理干预。Objective To understand the depression status of women who had birth defect child and its influencing factors. Also to provide evidences to guide the psychological health for women who suffered from depression. Methods Using questionnaire and Center for Epidemiological Survey, Depression Scale（CES- D） to interview 151 women who had birth defect child in Shanxi province where had the highest birth defect prevalence and select 303 women who had healthy child as control group. Results Among all of the women who had birth defect child, 53 % of them had depression and 26 % had serious depression, Linear regression showed self - assessment of the healthy status and economic conditions, sense of happiness and external factors such as chemical plant existing or not, independent kitchen and debt of the family were remarkable to de- pression. Conclusion There is significant difference between women who had birth defect child or not. It is necessary to provide psychological consultatin for women who used to have birth defect child.

关 键 词：出生缺陷 抑郁 影响因素 

分 类 号：R173[医药卫生—妇幼卫生保健]