城市核心家庭妇女产后抑郁的危险因素  

Risk Factors of Postnatal Depression among Women in Urban Nuclear Family

作　　者：王小丽[1] 董燕[2] 周晓梅[2] 侯桂芝[2] 齐建林[2] 郭琳[2] 王进[1] 

机构地区：[1]第四军医大学航空航天医学院心理系(西安),中国710032 [2]空军总医院临床心理科(北京)

出　　处：《中国健康心理学杂志》2013年第4期513-515,共3页China Journal of Health Psychology

摘　　要：目的对产后抑郁进行流行病学调查,确定我国城市核心家庭妇女产后抑郁的危险因素以试图为产后抑郁的早期预防提供依据。方法 435名被试分别完成孕妇产后抑郁危险因素调查表以及SCL-90。采用卡方、t检验及Logistc回归进行分析。结果 6.2%的被试经历产后抑郁。卡方及t检验结果显示抑郁组非抑郁组间婴儿性别(χ2=6.242,P<0.05)、夫妻关系(χ2=7.242,P<0.05)、孕妇照顾婴儿(χ2=8.022,P<0.05)、婴儿健康(χ2=8.282,P<0.05)、产前情绪(χ2=8.379,P<0.05)、丈夫情绪(χ2=6.233,P<0.05)差异显著。回归结果显示不和谐的夫妻关系(Beta=0.940,P<0.01)及丈夫负性情绪(Beta=0.882,P<0.05)增加产后抑郁比率,孕妇花时间照顾婴儿(Beta=0.870,P<0.05)、产前负性情绪(Beta=0.606,P<0.05)及生女孩(Beta=1.166,P<0.05)都会导致产后抑郁分值增加。结论不和谐的夫妻关系、丈夫负性情绪、孕妇产前情绪、花时间照顾婴儿以及生女孩都是导致产后抑郁增加的危险因素。Objective To detect the prevalence of postnatal depression and whether self-reported demographic ,infant-correlated and psychosocial factors were associated with increased postnatal depression, and explore the severe correlated risk factors and pro- vide important basis for the prevention of postnatal depression among women in urban nuclear family. Methods A total of 435 women respectively finished Maternal Self-reported Risk Factor Postnatal Investigation and SCL--90. Chi-square test,t--test and binary logistic regression were used to analyze the data. Results Approximately 6.2% of the women experienced postnatal depres- sion. Chi-square and T--test results revealed that there were significant differences in child gender（X2= 6. 242,P〈0.05）,marital relationship （X2= 7. 242, P〈 0.05）, baby-caring by maternal （X2 = 8. 022, P 〈 0. 05 ）, physical health of infant （X2 = 8. 282, P〈0.05 ）,antenatal mood states （X2= 8. 379 ,P〈0.05）and mood status of husband （X2= 6. 233 ,P〈0.05） between depression and non-depression groups. Logistic regression analysis showed unharmonious marital relationship （Beta = 0. 940, P〈 0. 01 ）, negative mood status of husband （Beta = 0. 882, P〈0.05）, taking more time to care the new-born （Beta = 1.166, P〈 0.05 ）, negative ante- natal mood states（Beta = 0. 606 ,P〈0.05）and giving birth to a girl （Beta = 0. 870, P〈0.05）would increase the odds of postnatal depression. Conclusion Unharmonious marital relationship, negative mood status of husband, negative antenatal mood, taking more time to care the new-born and giving birth to a girl are risk factors of increasing postnatal depression.

关 键 词：产后抑郁 危险因素 城市核心家庭 社会心理 

分 类 号：R714.46[医药卫生—妇产科学]