非意愿妊娠对孕妇不同孕期情绪状态的影响  

The Influences of Unintended Pregnancy on Emotion Characteristics during Different Trimesters

作　　者：王小丽[1,2] 董燕[1] 任东平[3] 齐建林[1] 周晓梅[1] 侯桂芝[1] 郭琳[1] 王进[1,2] 

机构地区：[1]空军总医院临床心理科(北京),中国100142 [2]第四军医大学航空航天医学系(西安) [3]空军总医院妇产科

出　　处：《中国健康心理学杂志》2013年第5期678-680,共3页China Journal of Health Psychology

摘　　要：目的对比孕妇在不同孕期情绪状态的差异,探讨非意愿妊娠对不同孕期孕妇情绪状态影响的异同。方法随机选取1237名被试(早孕406人、中孕402人、晚孕429人),收集被试的人口学信息并完成症状自评量表(SCL-90)。进行数据描述统计,方差分析,LSD检验以及独立样本t检验。结果非意愿妊娠被试占42.80%。方差分析显示,孕妇晚孕期的情绪状态在躯体化(F=4.984,P<0.01)、人际敏感(F=4.226,P<0.05)、抑郁(F=3.495,P<0.05)、恐怖(F=7.354,P<0.01)、精神(F=4.603,P<0.05)5个方面明显优于早孕期与中孕期。t检验及折线图表明,早中孕期意愿妊娠组孕妇在人际(t=-2.523,P<0.05)、抑郁(t=-3.607,P<0.01)、焦虑(t=-2.852,P<0.01)、偏执(t=-3.184,P<0.01)、精神(t=-2.070,P<0.05)5个方面优于非意愿妊娠组。晚孕期,非意愿妊娠影响孕妇的躯体化(t=-2.886,P<0.01)、强迫(t=-2.713,P<0.01)、抑郁(t=-3.406,P<0.01)、焦虑(t=-2.744,P<0.01)及精神(t=-2.542,P<0.05)5个维度。结论晚孕期孕妇情绪明显优于早中孕期,但都在一定程度上受非意愿妊娠的影响。Objective To compare the difference of emotion status among pregnancies during different trimesters and explore the influence of unintended pregnancy on pregnancies＇ emotion status. Methods Randomly selected 1237 subjects（first trimester 406, middle trimester 402,third trimester 429）. Collected their demographic information and let them finish the SCL--90 tests. De- scriptive analysis,ANOVA,LSD tests and T tests were used to statistically analyze. Results 42.80% of pregnancies were unin- tended pregnancy among subjects. Pregnancies＇ emotion status in third trimester was statistically different with the first and the second trimester on somatization（F = 4. 984 ,P〈0.01 ）,interpersonal sensitivity（F = 4. 226 ,P〈0. 05） ,depression （F = 3. 495 ,P〈 0. 05）, photic anxiety （F = 7. 354, P〈 0. 01 ）, psychoticism （F = 4. 603, P〈0. 05）. T tests and line graph showed that unintended pregnancy caused more interpersonal sensitivity （t =-2. 523, P〈0. 05）, depression （t =-2. 070, P〈 0.05）, anxiety （t =-2.852, P 0.01 ）, Paranoid ideation （t =-3.184, P〈 0.01）and psyehoticism （t =-3. 607, P〈 0.01 ）in first-and -- second trimester. During the third trimester, unintended pregnancy influenced the emotional status on somatization （t =-2. 886 ,P〈0. 01 ）,obsessive （t =-2. 542, P〈0.05） ,depression （t =-3. 406 ,P〈0.01 ） ,anxiety（t =-2. 744 ,P〈0.01）and psychoticism （t =-2. 713 ,P〈0. 01 ）. Conclusion Both the emotional status of first--and--second trimester and third trimester are influenced by unintended pregnancy ,though the emotion status in third trimester are statistically better than the first--and--second trimester.

关 键 词：孕妇 孕期 情绪状态 受孕意愿 非意愿妊娠 

分 类 号：R169.41[医药卫生—公共卫生与预防医学]