孕期心理干预对婴儿气质的影响  

Effect of maternal antepartum psychological therapy upon early infant temperament

作　　者：杨杰[1] 施慎逊[1] 陈焱[2] 余文[2] 朱雍雍[1] 汤月芬[1] 陆雯[2] 王青青[2] 罗剑锋[3] 程利南[2] 

机构地区：[1]复旦大学附属华山医院精神科,上海200040 [2]上海交通大学附属中国福利会国际和平妇幼保健院妇产科 [3]复旦大学医学院社会医学与统计教研室

出　　处：《中华医学杂志》2009年第29期2038-2041,共4页National Medical Journal of China

基　　金：上海市卫生局科技发展基金（044108）;美国纽约CMB基金（Small Grants Program#02-777）.志谢 北京回龙观医院临床流行病学研究室费立鹏教授和中国协和医科大学张学教授对本研究提供了技术支持和资助

摘　　要：目的研究孕期心理干预对婴儿气质的影响。方法从2005年3月到2006年2月间在上海市国际和平妇幼保健院登记建卡的孕妇中随机抽取的800名符合入组条件，没有排除标准的孕妇。根据孕妇门诊号及入组日期，按DOLL随机分配卡将符合要求、知情同意参加本研究的孕妇随机分为心理干预组（386例）和常规随访组（414例）。心理干预组的孕妇将在孕期中接受6次每次1．5h的孕期心理干预。母亲在产后3个月时填写早期婴儿气质问卷。结果心理干预组中婴儿气质为易养型的比例（87．9％）明显高于常规随访组（81．7％），Х^2=4．530，v=1，P=0．033，差异有统计学意义。孕期心理干预对婴儿气质维度中的趋避性和反应阈两个维度产生了影响。结论孕期心理干预可以增加易养型婴儿气质的比例，并且对婴儿气质中的趋避性和反应阈维度产生影响。Objective To find out whether there was any change in early infant temperament after mothers had received group psychological therapy on depression and anxiety during pregnancy period. Methods A total of 800 subjects meeting the inclusion criteria, without the exclusion criteria and willing to sign the informed consent were recruited randomly from Shanghai International Peace Maternity ＆ Child Health Hospital in their 16^th-20^th weeks of pregnancy. They were randomized into the therapy group and the control group by the doll randomization table. Women in the therapy group would have a group psychological therapy for 6 times, 1.5 hours each time, while the control group not. The group psychological therapy included therapist introduction and participator discussion. The therapy concerned the antepartum and postpartum depression, the risk factors concerned with antepartum and postpartum depression, antepartum and postpartum anxiety, psychological defense theory, reflex training and spouse lesson. Mothers reported their babies＇ infant temperament by filling the early infant temperament questionnaire （EITQ） within 3 months post-delivery. Results The percent of easy infant temperament type was 87.9% in the psychological therapy group and 81.7% in the hard group. And there was significant difference between two groups （Х^2 = 4. 530, v = 1, P = 0. 033）. And there were significant differences in the dimensions of approach-withdrawal and threshold of responsiveness in infant temperament between two groups. Conclusion The maternal antepartum psychological therapy can increase the ratio of easy infant temperament. And it has effects upon the temperament dimensions of approach-wlthdrawal and threshold of responsiveness.

关 键 词：孕期 心理干预 气质 

分 类 号：R686[医药卫生—骨科学]