妊娠期妇女抑郁、焦虑与其儿童期创伤的累积效应的关系  

Relationship between self-reported symptoms of depression and anxiety and the cumulative effect of childhood trauma in pregnant women

作　　者：林萍珍 龙周婷[2] 孙继伟[1] 张会会[1] 曹枫林[1] Lin Pingzhen Long Zhouting Sun Jiwei Zhang Huihui Cao Fenglin(School of Nursing, Shandong University, Jinan 250012, China)

机构地区：[1]山东大学护理学院,济南250012 [2]枣庄职业学院

出　　处：《中国实用护理杂志》2017年第1期32-36,共5页Chinese Journal of Practical Nursing

基　　金：山东省自然科学基金（ZR2013HM087）

摘　　要：目的探讨儿童期创伤的累积效应与妊娠期妇女抑郁、焦虑的关系。方法采用一般资料问卷、儿童期创伤问卷简化版（CTQ-SF）、爱丁堡产后抑郁量表（EPDS）、状态-特质焦虑问卷（STAI）对276名妊娠期妇女进行问卷调查。 结果儿童期创伤累计数目与妊娠期妇女抑郁、状态焦虑、特质焦虑呈正相关（r=0.245、0.262、0.292，均P〈0.01）；多种CTQ妇女在儿童期创伤总分、抑郁总分、状态焦虑得分和特质焦虑得分及抑郁、焦虑的阳性率均明显高于无CTQ妇女，差异具有统计学意义（P〈0.05或0.01）；经Logistic回归分析，CTQ累计数目、CTQ累计分组对妊娠期妇女抑郁、焦虑有预测作用，是妊娠期妇女抑郁、焦虑的危险因素，并且存在累积效应，即随着儿童期创伤累计数目的增加，妊娠期妇女发生抑郁、焦虑的危险性增加，当儿童期创伤累计数目至少2种后，发生抑郁、状态焦虑的危险性是无CTQ的2.37倍和3.12倍。结论儿童期创伤是妊娠期妇女抑郁、焦虑的危险因素，且存在累积效应。ObjectiveTo probe into the relationship of the cumulative effect of childhood trauma types and symptoms of depression and anxiety among pregnancy women.MethodsA total of 276 cases of pregnancy women were investigated by using Childhood Trauma Questionnaire （CTQ-SF）, the Edinburgh Postnatal Depression Scale （EPDS） and the State-Trait Anxiety Inventory （STAI）.ResultsThe cumulative number of childhood trauma types were positively correlated with the scores of EPDS, state anxiety and trait anxiety （r=0.245, 0.262 and 0.292, P〈0.01）;the scores of CTQ-SF, EPDS, state anxiety and trait anxiety of multi-CTQ group were higher than that of non-CTQ group, as well as the positive rate of depression symptom and anxiety symptom （P〈0.05 or 0.01）; Logistic regression analysis showed that the cumulative number and accumulation group of CTQ may be predictors or risk factors of depression and anxiety of women during pregnancy, and existed cumulative effect. When the cumulative number of childhood trauma types more than two types, it increased 2.37 and 3.12 times likelihood of depression and state anxiety comparing to non-CTQ group.ConclusionsIt suggested that childhood trauma experience may be a risk factors of depression and anxiety during pregnancy, and exist cumulative effect.

关 键 词：妊娠 创伤 儿童期 抑郁 焦虑 累积效应 

分 类 号：R473.71[医药卫生—护理学]