家庭关系对产后抑郁的影响分析  

Influence of family relationship on postpartum depression

作　　者：李丽君[1] 黄晶[1] 张宁[1] 陈琦[1] 王春雪[1] Li Lijun;Huang Jing;Zhang Ning;Chen Qi;Wang Chunxue(Department of Neuropsychiatry and Clinical Psychology/Sleep Center of Beijing Tiantan Hospital afiliated to Capital Medical University,National Clinical Medical Research Center for Neurological Diseases,Institute of Stroke,Beijing Institute of Major Brain Diseases,Beijing Key Laboratory of Transformational Medicine for Cerebrovascular Diseases,Institute of Sleep and Consciousness Disorders,Beijing Institute of Major Brain Diseases,Beijing 100070,P.R.China)

机构地区：[1]首都医科大学附属北京天坛医院神经精神与临床心理科/睡眠中心国家神经系统疾病临床医学研究中心北京脑重大疾病研究院脑卒中研究所脑血管病转化医学北京重点实验室北京脑重大疾病研究院睡眠与意识障碍研究所,北京100070

出　　处：《中国计划生育和妇产科》2022年第12期41-44,共4页Chinese Journal of Family Planning & Gynecotokology

基　　金：科技部国家重点研发计划(项目编号:2020YFC1307200);北京市临床重点专科,北京市首都特色(项目编号:Z151100004015127);北京市首都发展资助项目(项目编号:2020-2-2044)。

摘　　要：目的 探讨产后抑郁(postpartum depression, PPD)患者的家庭关系,分析PPD的风险因素。方法 使用简明国际神经精神访谈(mini international neuropsychiatric interview, MINI)5.0筛查出2020年11月1日至2021年7月28日首都医科大学附属北京天坛医院心理科门诊中的240例PPD患者,纳入抑郁组,产科门诊招募的101例正常产妇为非抑郁组,先进行单因素分析,再以抑郁为因变量,分别以人口学资料和家庭关系各条目为自变量,进行多因素Logistic逐步回归分析。结果 抑郁组患者父母管教压力得分、夫妻解决冲突得分高于非抑郁组,夫妻沟通得分低于非抑郁组,差异均有统计学意义(P<0.05),多因素Logistic分析结果显示父母管教压力是PPD的高风险因素(P=0.001),另外与父母共同居住(P=0.001)及孕妇个人收入低于6 000元(P=0.029)是PPD的高风险因素。结论 父母管教压力是PPD的高风险因素,应重视夫妻沟通及夫妻矛盾解决。Objective To explore the family relationship of patients with postpartum depression(PPD) and analyze the risk factors of PPD.Methods Using mini international neuropsychiatric interview(MINI) 5.0,240 PPD patients in the Psychological Outpatient Department of Beijing Tiantan Hospital affiliated to Capital Medical University from November 2020 to July 2021 were screened and included in the depression group.101 normal parturients recruited from the Obstetric Outpatient Department were in the non depression group, single factor analysis was conducted first, and then multivariate Logistic stepwise regression analysis was conducted with depression as the dependent variable and demographic data and family relations as independent variables.Results The scores of parental discipline stress and marital conflict in the depression group were higher than those in the non depression group, and the scores of marital communication were lower than those in the non depression group, with statistically significant differences(P<0.05).The results of multifactor Logistic analysis showed that parental discipline stress was a high risk factor for PPD(P=0.001).In addition, living with parents(P=0.001) and pregnant women’s personal income less than 6 000 yuan were high risk factors for PPD(P=0.029).Conclusions Parental discipline pressure is a high risk factor of PPD,and attention should be paid to communication and conflict resolution between couples.

关 键 词：产后抑郁 家庭关系 父母管教压力 夫妻关系 

分 类 号：R714[医药卫生—妇产科学] R395[医药卫生—临床医学]