主观经济收入满意度和产前焦虑抑郁的关系  

Relationships between satisfaction of subjective economic income and prenatal anxiety and depression

作　　者：顾雷君 辛星 斯淑婷 罗文良 莫敏佳 吴金华 姜雯 毛亚飞 汪君芬 阮伶俐 余运贤[2] GU Lei-Jun;XIN Xing;SI Shu-Ting(Department of Maternal Health Care,Zhoushan Women and Children Hospital,Zhoushan,Zhejiang 316000,China)

机构地区：[1]舟山市妇女儿童医院妇保科,浙江舟山316000 [2]浙江大学公共卫生学院,浙江杭州310058

出　　处：《中国妇幼保健》2022年第5期882-887,共6页Maternal and Child Health Care of China

基　　金：浙江省舟山市科技计划项目(2016C31036);浙江省舟山市医药卫生科技计划项目(2016G03,2016A07)。

摘　　要：目的评估孕妇经济状况,包括主观经济满意度(主观收入)与客观家庭收入(客观收入)和产前焦虑与抑郁间的关系。方法基于舟山孕妇队列共纳入3554名孕早期孕妇,并在孕中、晚期进行随访。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)和自行设计的问卷分别对产前焦虑、抑郁状态及经济状况等信息进行评估,采用多因素线性回归、二分类Logistic回归和多分类Logistic回归进行分析。结果在孕早、中和晚期焦虑和抑郁的患病率分别为22.71%、17.35%、20.68%和35.82%、24.16%、26.14%。与主观收入良好组孕妇相比,主观收入一般及以下组孕妇各个孕期的SAS和SDS评分均较高(P<0.0001),并且主观收入一般组孕妇在孕早、晚期患抑郁的风险更高,在孕中期则差异无统计学意义(孕早期:OR=1.46,95%CI:1.25~1.70;孕中期:OR=1.17,95%CI:0.94~1.44;孕晚期:OR=1.29,95%CI:1.04~1.61)。未见客观收入与大部分孕期焦虑或抑郁具有统计学关联。结论主观收入对产前抑郁的影响高于客观收入。经济状况对产前焦虑和抑郁的影响可能是一种心理效应,而非物质效应。Objective To evaluate the relationships between economic status of pregnant women(including subjective income and objective income)and prenatal anxiety and depression.Methods Based on cohort study of pregnant women in Zhoushan,3554 pregnant women during the first trimester of pregnancy were selected and followed up during the second and the third trimesters of pregnancy.Self-rating anxiety scale(SAS),self-rating depression scale(SDS),and a self-designed questionnaire were used to evaluate the basic data,such as prenatal anxiety and depression,economic status.The data were analyzed by multivariate linear regression analysis,binary Logistic regression analysis,and multivariate Logistic regression analysis.Results The prevalence rates of anxiety and depression during the first,the second,and the third trimesters of pregnancy were 22.71%,17.35%,20.68%,and 35.82%,24.16%,26.14%,respectively.Among the pregnant women of different stages of pregnancy,SAS scores and SDS scores in general subjective income group were statistically significantly higher than those in high subjective income group(P<0.0001).The risks of depression in pregnant women during the first and the third trimesters of pregnancy in general subjective income group were higher,but there was no statistically significant difference in pregnant women during the second trimester of pregnancy(the first trimester of pregnancy:OR=1.46,95%CI:1.25-1.70;the second trimester of pregnancy:OR=1.17,95%CI:0.94-1.44;the third trimester of pregnancy:OR=1.29,95%CI:1.04-1.61).There was no statistical correlation between objective income and anxiety and depression during pregnancy in most pregnant women.Conclusion The effect of subjective income on prenatal depression is higher than that of objective income.The impact of economic status on prenatal anxiety and depression may be a kind of psychological effect,not material effect.

关 键 词：产前焦虑 产前抑郁 经济状况 满意度 孕妇 

分 类 号：R714.7[医药卫生—妇产科学]