孕产妇社交焦虑与围产期抑郁的关系:妊娠压力的中介作用  

The Relationship between Pregnant and Postpartum Women′s Maternal Social Anxiety and Perinatal Depression:The Mediating Role of Pregnancy Pressure

作　　者：罗湲媛 翁惠婷 杨丽[1] 丁紫微 王琴[1] LUO Yuanyuan;WENG Huiting;YANG Li;DING Ziwei;WANG Qin(The Second Xiangya Hospital of Central South University,Changsha City,Hunan Province,China 410011;Central South University,Xiangya School of Nursing,Changsha City,Hunan Province,China 410013)

机构地区：[1]中南大学湘雅二医院,湖南长沙410011 [2]中南大学湘雅护理学院,湖南长沙410013

出　　处：《卫生职业教育》2024年第19期119-123,共5页HEALTH VOCATIONAL EDUCATION

基　　金：湖南省自然科学基金-科卫联合项目“基于EMA+mHealth技术的围产期焦虑高风险人群情绪管理模式的构建及实证研究”(S2022JJKWLH0168)。

摘　　要：目的 探讨孕产妇社交焦虑、妊娠压力与围产期抑郁之间的相关性,分析三者间的影响机制。方法 于2022年4—7月采用一般资料调查表、围产期焦虑筛查量表、爱丁堡产后抑郁量表、妊娠压力量表对长沙市某三甲医院203名孕产妇进行调查。结果 孕产妇围产期抑郁发生率为40.9%,妊娠压力与社交焦虑呈正相关关系(r=0.396,P<0.01),妊娠压力与围产期抑郁呈正相关关系(r=0.536,P<0.01),妊娠压力在社交焦虑与围产期抑郁之间起部分中介作用(β=0.209,P<0.05),中介效应占总效应的39.3%。结论 孕产妇围产期抑郁发生率较高,社交焦虑可直接影响围产期抑郁,也可以通过妊娠压力间接影响围产期抑郁水平。卫生保健人员应帮助孕产妇克服社交焦虑、舒缓妊娠压力,提高心理健康水平。Objective To explore the correlation between pregnant and postpartum women′s social anxiety,pregnancy pressure,and perinatal depression in pregnant and postpartum women,and analyze the mechanisms of their influence.Methods A total of 203pregnant and postpartum women in a Grade A hospital in Changsha city were surveyed from April to July of 2022 with General Information Survey Forms,Perinatal Anxiety Screening Scale,Edinburgh Postnatal Depression Scale,and Pregnancy Pressure Scale.Results The incidence of perinatal depression in pregnant and postpartum women was 40.9%,and there was a positive correlation between pregnancy pressure and social anxiety(r=0.396,P<0.01).Pregnancy pressure was also positively correlated with perinatal depression(r=0.536,P<0.01).Pregnancy pressure partially mediated the relationship between social anxiety and perinatal depression(β =0.209,P <0.05),accounting for 39.3% of the total effect.Conclusion The incidence of perinatal depression in pregnant and postpartum women is relatively high,and social anxiety can directly affect perinatal depression,or indirectly affect the level of perinatal depression through pregnancy pressure.Healthcare workers should help pregnant and postpartum women overcome social anxiety,relieve pregnancy pressure,and improve their mental health.

关 键 词：孕产妇 社交焦虑 围产期 抑郁 妊娠压力 

分 类 号：R715.3[医药卫生—妇产科学]