孕期心理干预对产前焦虑和抑郁情绪的影响  

Effect of mental intervention on prenatal anxiety and depression during pregnancy

作　　者：朱雍雍[1] 施慎逊[2] 

机构地区：[1]复旦大学附属儿科医院心理科,上海200032 [2]复旦大学附属华山医院精神医学科

出　　处：《中国妇幼保健》2010年第3期308-310,共3页Maternal and Child Health Care of China

基　　金：中华医学基金会资助(CMB small-grants program 02-77卫生局0441108)

摘　　要：目的:调查孕期焦虑和抑郁的发生率,评估产前心理干预的效果。方法:2005年3月～2006年2月在中国福利会国际和平妇幼保健院产科登记分娩的孕16～20周的孕妇800名,随机分为心理干预组386名和对照组414名。从入组至分娩用HAD量表共进行6次评估。结果:孕期焦虑和抑郁的发生率分别为7.3%和8.5%,干预组产前焦虑的发生率明显低于对照组,孕晚期干预者孕期抑郁的发生率显著低于对照组。结论:产前集体心理干预能显著减少孕期焦虑的发生,孕晚期心理干预能显著减少孕期抑郁的发生。Objective： To investigate the incidence of anxiety and depression during pregnancy, evaluate the effect of prenatal mental intervention. Methods： 800 pregnant women with 16 -20 gestational weeks from March 2005 to February 2006 were divided into mental intervention group （386 eases） and control group （414 cases）, all the women were evaluated by HAD scale for six times. Results： The incidences of prenatal anxiety and depression during pregnancy were 7.3% and 8.5% , respectively. The incidences of prenatal anxiety and depression during late pregnancy in mental intervention group were significantly lower than those in control group. Conclusion： Prenatal mental intervention in group mode can reduce the incidence of prenatal anxiety significantly. Mental intervention during late wegnaney can reduce the incidence of prenatal depression significantly.

关 键 词：心理干预 焦虑 抑郁 孕期 

分 类 号：R715.3[医药卫生—妇产科学]