孕中期孕妇主观社会适应与客观社会支持对围产期抑郁发生的影响  

Influence of the subjective social adaptation and objective social support of pregnant women during the second trimester of pregnancy on their perinatal depression

作　　者：赵金龙 陆慧 王雪芳 高逸 ZHAO Jinlong;LU Hui;WANG Xuefang;GAO Yi Jiaxing(Maternal and Child Health Care Hospital,Zhejiang Province,314000)

机构地区：[1]浙江省嘉兴市妇幼保健院,314000

出　　处：《中国计划生育学杂志》2024年第11期2488-2492,共5页Chinese Journal of Family Planning

基　　金：浙江省医药卫生科技计划(2023KY1223)。

摘　　要：目的:评估孕中期社会适应能力与社会支持水平对围产期抑郁的影响。方法:便利采样选取2023年3-6月于本院进行产前检查的孕中期孕妇266例,采集孕妇人口学特征、孕产情况、情绪状态、社会适应能力以及社会支持水平作为研究自变量。随访孕妇至产后12周,以随访期内是否发生围产期抑郁分为围产期抑郁组(41例)和非抑郁组(225例),比较组间各自变量水平。以Kaplan-Meier生存分析,在单因素条件下分别评估孕中期孕妇社会适应与社会支持对围产期抑郁产生的影响;以COX比例风险回归模型评估围产期抑郁的影响因素。结果:两组计划妊娠爱丁堡产后抑郁量表(EPDS)评分、7项广泛性焦虑量表(GAD-7)评分、社会功能缺陷筛查量表(SDSS)评分以及社会支持评定量表(SSRS)评分存在差异(均P<0.05)。Kaplan-Meier生存分析显示,社会适应能力偏低的孕中期孕妇随访期内保持“围产期非抑郁状态”的时间(33.72±0.70周)短于较高社会适应能力孕妇(36.30±0.36周)。高社会支持水平孕妇随访期内保持“围产期非抑郁状态”的时间(37.00±0.33周)长于低社会支持孕妇(34.57±0.57周)。COX比例风险回归分析显示,多因素条件下SDSS量表与SSRS量表评分异常对围产期抑郁产生影响,RR分别为1.393(95%CI 1.111~1.745)和0.840(95%CI 0.777~0.907)。结论:孕中期孕妇主观社会适应能力及客观社会支持度均对围产期抑郁产生影响,提示临床应针对重点人群早期识别并干预。Objective:To evaluate the influence of the social adaptability and the social support level evaluated by COX proportional hazard regression model of pregnant women during the second trimester of pregnancy on their perinatal depression.Methods:A total of 266 pregnant women who underwent prenatal examination in the hospital during the second trimester of pregnancy from March to June 2023were selected in this study.The demographic characteristics,the maternal status,the emotional state,the social adaptability and the social support level of the women were collected as the independent variables.These pregnant women were followed up to 12 weeks after delivery,and these women were divided into group A(41 cases with perinatal depression)and group B(225 cases without perinatal depression)according to whether the perinatal depression of the women occurred or not during the follow-up period.Kaplan-Meier survival analysis was used to evaluate the effects of the social adaptation or the social support level of the women during the second trimester of pregnancy on their perinatal depression under the single factor conditions.The COX proportional risk regression model was used to evaluate the influencing factors of the perinatal depression of the women.Results:There were significant differences in the planned pregnancy,the Edinburgh postnatal depression scale(EPDS)score,the 7-item generalized anxiety disorder scale(GAD-7)score,the social disability screening scale(SDSS)score and the social support rating scale(SSRS)score of the women between the two groups(all P<0.05).Kaplan-Meier survival analysis showed that the remained"perinatal non-depression"time(33.72±0.70 gestational weeks)of the pregnant women with low social adaptation ability during the follow-up period was significantly shorter than that(36.30±0.36 gestational weeks)of the pregnant women with high social adaptation ability.The remained"perinatal non-depression"time(37.00±0.33 gestational weeks)of the pregnant women with the high social support level during the f

关 键 词：围产期抑郁 孕中期 社会适应 社会支持 影响因素 

分 类 号：R749.4[医药卫生—神经病学与精神病学] R714.6[医药卫生—临床医学]