东莞外来女性产后抑郁症社会心理学因素的流行病学研究  

EPIDEMIOLOGICAL STUDY OF SOCIO-PSYCHOLOGICAL FACTORS OF POSTPARTUM DEPRESSION AMONG THE FEMALE IMMIGRANTS IN DONGGUAN

作　　者：曾小华[1] 裴丽[1] 刘喻[1] 任兰振[1] 张丽娟[1] 李换霞[1] 黄纳新[1] 

机构地区：[1]中山大学附属东华医院,广东东莞523000

出　　处：《现代医院》2013年第2期88-91,共4页Modern Hospitals

摘　　要：目的分层次研究探讨东莞外来女性产后抑郁症社会心理学因素。方法选择东莞地区分娩的产后4～6 w的300例产妇经爱丁堡产后抑郁量表(EPDS)测评筛选出东莞外来女性产后抑郁症43例(实验组)和非产后抑郁症249例(对照组)作为研究对象,安排两组产妇进行生活事件量表(LES)、特质应对方式问卷(TCSQ)、Lock-Wollance婚姻调适测定量表的自评,并进行比较分析。结果本研究东莞外来女性产后抑郁症发生率为15%,家庭增添新成员、产妇流产、饮食睡眠改变、经济情况、夫妻关系的幸福指数、夫妻意见不一致时妻子让步是东莞外来女性产后抑郁症的社会心理学因素。结论职业压力、家庭风俗习惯和产妇倾向于使用消极应对方式都会影响东莞外来女性产后抑郁症的发生,因此在临床工作中应强化社会支持网络,协助改善夫妻及家庭关系,从而有效预防和对抗产后抑郁症的发生。Objective To study socio - psychological factors of postpartum depression among the female im- migrants in Dongguan. Methods 300 pregnant women for 4 - 6 weeks postpartum confinement have been selected in Dongguan area and did the Edinburgh postnatal depression scale （EPDS） evaluation. After the evaluation, 43 cases of postpartum depression （ experimental group） and 249 cases of non - postpartum depression （ the control group） have been selected relatively as the research objects in female immigrants of Dongguan area. The two groups of preg- nant women have been assigned to do self - assessment forms of maternal life events scale （ LES）, the trait coping style questionnaire （TCSQ） and Lock - -Wollance marital adjustment measurement scale and then did the compara- tive analysis. Results This study shows that 15% of female immigrants in Dongguan have incidence of postpartum depression. There are five socio - psychological factors of postpartum depression： new member of the family, abor- tion, the changes of maternal diet and sleeping, economic conditions, happiness index of conjugal relationship and wives＇ concessions in couples＇ contradiction. Conclusion Three elements will affect the cause of postpartum depres- sion in female immigrants of Dongguan： occupational stress, the different customs in family members and the tendency of pregnant women＇s negative attitude. Consequently, the social support network should be strengthened in the clini- cal work, helping to improve conjugal and family relationship, so as to effectively prevent and fight against postpartum depression.

关 键 词：东莞外来女性 产后抑郁症 流行病学 特质应对方式 分层次研究 

分 类 号：R749.4[医药卫生—神经病学与精神病学]