产后抑郁与姻亲关系的相关性研究  

The association between postnatal depression symptoms and parent-in-law conflicts

作　　者：郭秀静[1] 刘樱[2] 王玉琼 王颖 

机构地区：[1]四川大学华西第二医院生殖内分泌科,四川成都610041 [2]澳门理工学院高等卫生学校,澳门999078 [3]成都市妇女儿童中心医院护理部,四川成都610091

出　　处：《实用医院临床杂志》2013年第2期36-38,共3页Practical Journal of Clinical Medicine

基　　金：美国中华医学基金会(CMB)医学研究资助课题(编号:82-412)

摘　　要：目的描述产后抑郁及产后姻亲关系现状,探讨姻亲关系对产后抑郁的影响。方法采用爱丁堡产后抑郁量表(edinburgh postnatal depression scale,EPDS)和姻亲关系调节量表(stryker adjustment checklist,SAC)对481例产后6周的妇女进行问卷调查。结果产褥期妇女的产后抑郁发生率为30.98%;与婆婆之间的SAC分为(8.05±4.21)分,明显高于与公公之间的SAC分(t=2.178,P=0.030);与公公之间的亲密度得分(4.96±2.37)分高于其压力感得分(t=18.777,P<0.001);与婆婆之间的亲密度得分(4.79±2.50)分也高于其压力感得分(t=14.130,P<0.001);产后抑郁得分与姻亲关系总分及其各维度得分间均存在正相关关系(P<0.001)。结论产褥期妇女普遍存在产后抑郁,且抑郁情绪直接受到其姻亲关系的影响。改善与姻亲之间的关系,特别是增强其与公婆之间的亲密度,是确保产后妇女心理健康的重要保障。Objective To explore the association between postnatal depression symptoms and parent-in-law conflicts. Methods A total of 481 women during the first 6 weeks postpartum were surveyed with the Edinburgh Postnatal Depression Scale（ EPDS） and the Stryker Adjustment Checklist （SAC）. Results The prevalence of postnatal depression was 30. 98%. The SAC scores with their mother- in-law was 8.05：1： 4. 21 ,which was significantly higher than that with their father-in-law（ t = 2. 178, P = 0. 030）. The cohesion scores with father-in-law and mother-in-law were higher than stress scores （t = 18. 777 and 14. 130, respectively;all P 〈 0. 001 ）. Postnatal depression was positively correlated with total SAC score and its dimensions （P 〈 0. 001 ）. Conclusions Postnatal depression is common in the puerperium women, which is associated with their parent-in-law conflicts. Therefore, good relationship with their parent-in-law, especially the intimacy, is the basis for improving postnatal mental health.

关 键 词：产后抑郁 姻亲关系 

分 类 号：R749.41[医药卫生—神经病学与精神病学] R271.43[医药卫生—临床医学]