儿童期虐待与产后抑郁症状的关联性研究  

Association between childhood abuse and postpartum depression

作　　者：张国荣 刘丹[1] 李鹏声 龙瑶[1] 陈晓雯 毛凯 朱海燕 麻纯 王晴柔 高园 林婧[1] 谭红彤[1] ZHANG Guorong;LIU Dan;LI Pengsheng(Foshan Women and Children Hospital, Foshan 528000, China)

机构地区：[1]佛山市妇幼保健院,广东佛山528000

出　　处：《精神医学杂志》2020年第1期25-29,共5页Journal of Psychiatry

基　　金：广东省医学科学技术研究基金项目(编号:C2019090)。

摘　　要：目的研究儿童期虐待与产后抑郁症发病风险之间的关联性。方法选取产后42 d回院进行产后保健的产妇1064名,按照自愿原则进行一般资料的收集及爱丁堡产后抑郁量表(EPDS)、儿童期虐待量表(CTQ)的填写。结果1040名产妇被包含在最终的数据分析中,其中296名检出有产后抑郁症状,患病率为28.5%,按产后抑郁症状情况将研究对象分为有产后抑郁症状组和无产后抑郁症状组,两组学历和职业比较差异均有统计学意义(P<0.01)。有产后抑郁症状组CTQ各维度评分均高于无产后抑郁症状组(P<0.01),有、无产后抑郁症状组发生比例比较差异均有统计学意义(P<0.01)。在校正年龄、学历和职业之后,CTQ情感虐待、躯体虐待、性虐待、情感忽视和躯体忽视均增加了产后抑郁症状的患病风险(P<0.01)。结论儿童期虐待与产后抑郁症状的发生相关,在孕前及产前应及时识别并进行心理干预,降低产后抑郁症的发生率,保护产妇及子代的身心健康。Objective To explore the association between childhood abuse and the onset risk of postpartum depression.Methods A total of 1064 puerperae who returned to hospital 42 days after delivery for postpartum health care were selected and assessed with general information questionnaire,Edinburgh Postpartum Depression Scale(EPDS)and Childhood Trauma Questionnaire(CTQ).Results A total of 1040 women were included in the final data analysis and 296 of them were detected as postpartum depression,with a prevalence rate of 28.5%.There existed significant differences in education levels and occupations between puerperae with and without postpartum depression(P<0.01).All factor scores of CTQ in group with postpartum depression were significantly higher than those in group without postpartum depression(P<0.01).There existed significant differences in occurrence proportions of different kinds of childhood abuse between puerperae with and without postpartum depression(P<0.01).After correcting age,education level and occupation,emotional abuse,physical abuse,sexual abuse and emotional neglect,physical neglect all increased the risk of postpartum depression(P<0.01).Conclusion Childhood abuse is associated with postpartum depression.Pre-pregnancy and antenatal examination,timely recognition and psychological intervention should be carried out to reduce the incidence of postpartum depression and to protect the physical and mental health of puerperae and offsprings.

关 键 词：儿童期虐待 产后抑郁症 关联性研究 

分 类 号：B844.2[哲学宗教—发展与教育心理学]