夫妻亲密关系对孕妇孕期抑郁情绪的影响  

Effect of spousal intimate relationship on depression of pregnant women during pregnancy

作　　者：乔素贞[1] 陈素芬[1] 韩聪慧 付智伟[1] 郭琳[1] 王志明[1] 解雅春[1] 李思文[3] 温馨[3] 张慧颖[1] 

机构地区：[1]哈尔滨医科大学公共卫生学院儿少卫生与妇幼保健教研室,黑龙江哈尔滨150081 [2]哈尔滨市红十字中心医院 [3]哈尔滨医科大学

出　　处：《中国妇幼保健》2012年第33期5260-5263,共4页Maternal and Child Health Care of China

基　　金：国家自然科学基金〔81172682〕

摘　　要：目的:了解孕妇孕晚期抑郁情绪的发生情况及相关危险因素,探讨夫妻亲密关系与孕妇孕晚期抑郁情绪的相关性。方法:使用夫妻亲密感量表(IBM)、抑郁自评量表(SDS)、一般情况调查表对326例孕28～36周的孕妇进行问卷调查。结果:326名被调查者中,抑郁情绪发生率为32.5%。夫妻亲密关系关怀得分与抑郁评分呈负相关,夫妻亲密关系控制得分与抑郁评分呈正相关(P<0.05)。抑郁组与无抑郁组在夫妻亲密关系分型中差异有统计学意义(P<0.05)。"中关怀-低控制"抑郁组和无抑郁组的构成比中占的比例均最大。抑郁组,"低关怀-低控制"、"高关怀-高控制"、中关怀-高控制"低关怀-高控制"所占的比例高于无抑郁组。而在无抑郁组,"高关怀-低控制"、"中关怀-低控制"所占比例高于抑郁组。结论:孕妇孕晚期普遍存在抑郁情绪,夫妻亲密关系与孕期抑郁情绪密切相关,在妊娠过程中应重视通过改善夫妻关系降低孕期不良情绪的发生。Objective:To understand the prevalence and related risk factors of depression in pregnant women during the third trimester of pregnancy,and explore the correlation between spousal intimate relationship and depression in pregnant women during the third trimester of pregnancy.Methods:Intimate bond measure(IBM),self-rating depression scale(SDS),and general questionnaire were used to survey 326 pregnant women during 28-36 gestational weeks.Results:Among 326 respondents,the incidences of depression was 32.5%.There was a negative correlation between care score of IBM and score of depression,but there was a positive correlation between control score of IBM and score of depression(P<0.05).There was a statistically significant difference in the types of spousal intimate relationship between depression group and non-depression group(P<0.05).' Moderate care-low control' accounted for the largest proportion in depression group and non-depression group.In depression group,the proportions of ' low care-low control',' high care-high control',' moderate care-high control',and ' low care-high control' were statistically significantly higher than those in non-depression group.While in non-depression group,the proportions of ' high care-low control' and ' moderate care-low control' were statistically significantly higher than those in depression group.Conclusion:Depression exists in pregnant women during the third trimester of pregnancy universally,spousal intimate relationship is closely correlated with depression during pregnancy,more attention should be paid to reducing unhealthy emotions of pregnant women during pregnancy by improving spousal relationship.

关 键 词：夫妻关系 孕期 抑郁情绪 

分 类 号：R715.3[医药卫生—妇产科学]