妊娠期压力和产前抑郁的关系:主观幸福感的中介作用  

The relationship between prenatal maternal stress and antenatal depressive symptom among pregnant women:the mediating role of subjective well⁃being

作　　者：王晓梅 王甜甜[1] 王亚南 仲亚琴 WANG Xiaomei;WANG Tiantian;WANG Yanan;ZHONG Yaqin(School of Public Health,Nantong University,Nantong 226019;Department of Gynaecology and Obstetrics,Rugao People’s Hospital,Nantong 226500,China)

机构地区：[1]南通大学公共卫生学院,江苏南通226019 [2]如皋市人民医院妇产科,江苏如皋226500

出　　处：《南京医科大学学报（社会科学版）》2023年第3期253-259,共7页Journal of Nanjing Medical University（Social Sciences）

基　　金：南通市妇幼健康专科联盟科研立项项目“妊娠期女性产前抑郁现状及影响因素分析”(TFM202306)。

摘　　要：探究妊娠期压力对产前抑郁的影响及主观幸福感在二者间的中介作用。采用便利抽样法,以在南通市某三级乙等综合医院产科门诊产检的妊娠期女性作为研究对象,调查研究对象的一般人口学特征,并通过妊娠期压力量表、爱丁堡产后抑郁量表、中国城市居民主观幸福感量表调查妊娠期女性心理状态。使用软件SPSS 27.0对数据进行描述分析及统计,并采用SPSS宏程序PROCESS进行中介效应分析。结果显示,653名妊娠期女性中,抑郁发生率为34.0%,中重度产前抑郁率为9.2%;妊娠期压力越大,产前抑郁风险越高(β=0.262,P<0.001),主观幸福感越低(β=-0.284,P<0.001);主观幸福感越高,产前抑郁风险越低(β=-0.246,P<0.001);主观幸福感在妊娠期压力与产前抑郁关系中发挥部分中介作用,中介效应比例为26.21%。妊娠期压力显著正向预测产前抑郁,主观幸福感在妊娠期压力和产前抑郁间发挥不完全中介作用;要注重减轻妊娠期女性压力,不断提升主观幸福感,缓解产前抑郁情绪。This paper explored the impact of prenatal maternal stress on antenatal depressive symptoms and the mediating effect of subjective well⁃being.By using the convenience sampling method,this paper adopted pregnant women in the obstetrics outpatient department of a general tertiary hospital in Nantong as samples and investigated their general demographic characteristics through questionnaires.The paper utilized the Pregnancy Stress Rating Scale(PSRS),Edinburgh Postpartum Depression Scale(EPDS)and Subjective Well⁃being Scale for Chinese Citizens(SWBS⁃CC20)to measure their psychological state.This paper used the statistical software SPSS 27.0 for descriptive analysis and adopted SPSS macro program PROCESS for mediation effect analysis.The results showed that among 653 pregnant women,the incidence of depressive symptoms was 34.0%,and the incidence of moderate to severe prenatal depressive symptoms was 9.2%.The relationship between pregnancy stress,subjective well⁃being,and prenatal depressive symptom showed that the higher the stress during pregnancy,the higher risk of prenatal depressive symptoms(β=0.262,P<0.001)with lower subjective well⁃being(β=-0.284,P<0.001).The higher the subjective well⁃being,the lower the risk of having antenatal depressive symptoms(β=-0.246,P<0.001).Subjective well⁃being partially mediated the relationship between prenatal maternal stress and antenatal depressive symptom,with the mediating effect accounting for 26.21%of the total effect.Prenatal maternal stress significantly and positively predicted antenatal depressive symptoms.This study suggests that we should focus on reducing prenatal maternal stress and continuously improving subjective well⁃being to alleviate the occurrence of antenatal depressive symptom.

关 键 词：妊娠期压力 产前抑郁 主观幸福感 中介作用 

分 类 号：R714.7[医药卫生—妇产科学]