初产妇焦虑情绪与认知倾向及幸福感等因素的相关研究  

Study of the relationships between cognitive style,general weel-being and other Sock)psychological factors in primipara with anxious emotion

作　　者：苏科誉[1] 张勇[2] 丁理[3] 

机构地区：[1]湖南省长沙市妇幼保健院产科,410007 [2]中南大学湘雅二院精研所 [3]长沙市中心医院

出　　处：《中国妇幼保健》2007年第19期2631-2633,共3页Maternal and Child Health Care of China

摘　　要：目的:了解初产妇焦虑情绪与其认知倾向、幸福感以及其它社会心理因素的关系。方法:采用焦虑自评量表,总体幸福感量表和认知倾向问卷,对78名焦虑初产妇与103名非焦虑初产妇进行调查。结果:①焦虑组乐观因子(6.64±2.90)分低于对照组,悲观因子(7.54±1.98)分高于对照组,差异均具有显著性(t=-8.59,t=2.37,P<0.01),且焦虑程度与乐观因子呈显著负相关(r=-0.51,P<0.01);焦虑症组主观幸福感(5.85±2.78)分、积极情感(1.47±1.02)分、生活满意度因子(4.48±2.52)分低于对照组,差异具有显著性(t=-4.32,t=-2.81,t=-2.66,P<0.01),焦虑程度与主观幸福感、积极情感及生活满意度呈显著负相关(r=-0.42,r=-0.34,r=-0.26,P<0.01);剖宫产妇焦虑分(49.64±5.90)高于自然分娩产妇得分(40.52±4.66),差异具有显著性(t=-4.26,P<0.01),焦虑与分娩方式呈负相关(r=-0.14,P<0.05);②回归分析发现,乐观因子、主观幸福感进入焦虑的回归方程,具有预测作用,其中乐观因子的预测作用较强。结论:初产妇焦虑情绪可能是认知倾向等多种因素影响的结果。Objective： To explore the relationships between cognitive style, General well - being and other sociopsychological factors in primipara with anxious emotion. Methods： By cross - sectional study, 78 primipora with anxious emotion and 103 normal controls were investigated with Cognitive Appraisal Orientation Test （ CAOT）, General Well - Being Schedule （ GWS）, Self Anxiety Scale （SAS） respectively, All variables of two groups were compared, correlation, regression were adopted. Results： （1）Tbe scores of anxious primipara were lower than those of normal controls in Optimism （6. 64 ± 2. 90） , but higher in Pessimism （7. 54 ± 1. 98 ） of CAOT （ t = - 8. 59, t=2. 37, P〈13. 01） , and showed significantly negative correlation between anxiety and Optimism （r= -0. 51, P 〈0. 01）; were lower than those of normal controls in general well - being （5. 85 - 4. 2.78） , negative affect （ 1. 47 ± 1. 02） and life satisfactio （4. 48±2. 52） ofGWS （t= -4. 32, t= -2. 81, t= -2. 66, P〈0. 01）, and showed showed, significantly negative correlation between anxiety and general well-being, negative affect and life satisfaction （r= -0. 42, r= -0. 34, r= -0. 26, P 〈0. 01） ; the scores of the cesarean section （49. 64±5. 90） were higher than those of vaginal delivery （40. 52 ±4. 66） in SAS （t = -4. 26, P 〈 0. 01 ） , and showed negative correlation between anxiety and the mode of delivery （ r = - 0. 14, P 〈 0. 05 ） ; .（2）Regression analysis showed Optimism and General well - being were major predictors. Conclusion： Cognitive style, General well - being and ottler sociopsychological factors possibly play important roles in occurrence of anxious emotion in primipara.

关 键 词：初产妇 焦虑 认知倾向 幸福感 

分 类 号：R173[医药卫生—妇幼卫生保健]