妊娠期抑郁对婴幼儿行为问题的影响  

The effect of prenatal depression on the negative behavioral reactivity in infancy

作　　者：昌爱慧[1] 张小白[1] CHANG Ai-hui;ZHANG Xiao-bai(Department of Pediatrics,First Affiliated Hospital of Henan University of Science and Technology,Luoyang,Henan 471003,China)

机构地区：[1]河南科技大学第一附属医院儿科,河南洛阳471003

出　　处：《中国预防医学杂志》2021年第11期841-843,共3页Chinese Preventive Medicine

基　　金：河南省科技发展计划项目(182102311201)。

摘　　要：目的分析母亲妊娠期间抑郁对婴幼儿行为问题的影响。方法选取2017年6月—2018年9月河南科技大学第一附属医院收治的286例单胎妊娠孕妇及其婴儿为研究对象,于孕妇孕中、晚期以及产后6、12个月,采用抑郁自评量表为孕妇进行抑郁评估,收集孕妇和婴幼儿的临床资料并进行相关分析。分析儿童行为问题发生情况,对可能影响母亲孕期抑郁与婴幼儿问题的因素进行多因素logistic回归分析。结果286例婴幼儿中,出现情感反应问题31例(10.84%),焦虑抑郁儿童33例(11.54%),退缩问题39例(13.63%),攻击行为37例(12.94%),睡眠问题39例(13.64%),躯体诉述40例(13.99%),注意问题36例(12.59%)。母亲于孕中期,孕晚期,产后6、12个月,其抑郁儿童的行为问题发生率均高于非抑郁母亲的儿童,差异有统计学意义(χ^(2)=4.214、4.431、4.572、4.876,P均<0.05)。多因素回归分析结果显示,母亲妊娠期间抑郁是影响婴幼儿发生神经行为问题的独立危险因素,差异有统计学意义(P<0.05)。结论母亲妊娠期间抑郁能够增加儿童发生异常行为的风险,母亲孕中期,孕晚期,产后6、12个月,其抑郁症是影响婴幼儿发生神经行为问题的独立危险因素,临床医务人员应加强对孕妇妊娠期间的心理健康监测,以降低儿童行为问题的发生率。Objective To observe the effect of prenatal depression on the negative behavioral reactivity in infancy.Methods 286pairs of singleton pregnant women and infants were recruited from June 2017to September 2018.Maternal depression was assessed using depression test scale during the second and third trimester as well as at 6and 12month postpartum.Clinical data of both pregnant women and their infants were collected and analyzed.Multivariate logistic regression analysis was used to analyze factors affecting maternal depression and infant negative behavioral reactivity.Results Among 286infants,there were 31(10.84%)with negative emotional reactions,33(11.54%)with anxiety and depression,39(13.63%)with withdrawal problems,37(12.94%)with aggressive behavioral issues;39(13.64%)with sleeping problems,40(13.99%)with body complaints;36(12.59%)with attention deficit disorder.The occurrence rates of negative behavioral responses in infants whose mother experienced depression in the second and third trimester as well as at 6and 12 months postpartum were significantly higher than that of the other infants whose mother had no depression(χ^(2)=4.214,4.431,4.572,4.876,P<0.05).Multivariate logistic regression analysis showed that depression during pregnancy was an independent risk factor for neurobehavioral problems of infant(P<0.05).Conclusions Depression during pregnancy can increase the risk of negative behavioral activity in infancy.Depression during the second trimester,third trimester,and 6and 12month postpartum is an independent risk factor for neurobehavioral problems in infants.It′s important to monitor the psychological health condition of pregnant women to prevent the negative behavioral responses of their infants.

关 键 词：孕妇 妊娠期间 婴幼儿 行为 抑郁 

分 类 号：R714.259[医药卫生—妇产科学]