妊娠期女性应对方式及家庭功能与抑郁症状的关联性  

Association of coping styles and family functioning with depressive symptoms in pregnant women

作　　者：张俊 江洋 朱丽 唐新龙 余万庆 ZHANG Jun;JIANG Yang;ZHU Li(Affiliated Hospital of West Anhui Health Vocational College,Lu'an 237001,China)

机构地区：[1]皖西卫生职业学院附属医院,六安237008 [2]六安市第二人民医院 [3]六安市精神卫生中心 [4]六安市中医院

出　　处：《国际精神病学杂志》2025年第1期163-168,共6页Journal Of International Psychiatry

基　　金：安徽省高校自然和人文科学研究项目(编号:2022YJZR001)。

摘　　要：目的旨在了解皖西地区妊娠期女性抑郁现状并探讨应对方式及家庭功能与妊娠期女性抑郁症状的关联性,从而为制定妊娠期女性心理健康防治策略提供科学依据。方法在2022年5~2022年11月期间,选取皖西地区5679名妊娠期女性作为调查对象,采用一般情况调查表、爱丁堡产后抑郁量表、简易应对方式问卷、家庭亲密度和适应性量表进行问卷调查,运用χ2检验、t检验以及多因素Logistic回归分析对数据进行统计分析,以揭示妊娠期抑郁的潜在影响因素。结果皖西地区妊娠期女性抑郁症状检出率为42.72%。单因素分析结果显示:不同年龄段、婚姻状况、文化程度、职业状态、家庭经济收入、孕期、躯体疾病、分娩史以及怀孕情况的妊娠期女性,其抑郁症状检出率均存在统计学上的显著差异(P值均<0.05);t检验结果显示无抑郁症状的妊娠期女性的积极应对方式、家庭亲密度和家庭适应性上的得分高于有抑郁症状的妊娠期女性(t=23.621,t=34.854,t=32.078),在消极应对方式上的得分低于有抑郁症状的妊娠期女性(t=-12.731),差异均具有统计学意义(P<0.01);Logistic回归分析显示:躯体疾病(OR=1.290,95%CI:1.111~1.497)、意外怀孕(OR=1.339,95%CI:1.106~1.623)、积极应对方式(OR=0.935,95%CI:0.925~0.945)、消极应对方式(OR=1.111,95%CI:1.096~1.126)、家庭亲密度(OR=0.952,95%CI:0.941~0.962)和家庭适应性(OR=0.970,95%CI:0.957~0.982)均为影响妊娠期女性抑郁症状的重要因素。结论皖西地区妊娠期女性抑郁症状发生率较高,且影响因素复杂,采取积极应对方式以及营造良好的家庭功能环境是降低妊娠期女性抑郁症状的有力手段。Objective To understand the current situation of depression in pregnant women in western Anhui province and explore the relationship between coping style,family function and depressive symptoms in pregnant women,so as to provide a scientific basis for the development of prevention and treatment strategies for the mental health of pregnant women.Methods From May to November 2022,5679 pregnant women in western Anhui were selected as the investigation objects,and the general situation questionnaire,Edinburgh Postpartum Depression Scale,Simple Coping Style Questionnaire,Family closeness and Adaptability Scale were used for questionnaire investigationχ2 test,t test and binary Logistic regression analysis were used for statistical analysis of the data.Results The detection rate of depressive symptoms in pregnant women in western Anhui was 42.72%.The results of single factor analysis showed that different age,marital status,educational level,occupational status,family economic income,pregnancy,physical disease,childbirth history and pregnancy conditions had statistically significant differences in the detection rate of depressive symptoms in pregnant women(P<0.05).The results of T-test showed that the scores of positive coping style,family intimacy and family adaptability in pregnant women without depressive symptoms were higher than those in preg-nant women with depressive symptoms(t=23.621,t=34.854,t=32.078),and the scores of negative coping style were lower than those in pregnant women with depressive symptoms(t=-12.731).The difference was statistically significant(P<0.01).Logistic regression analysis showed that physical disease(OR=1.290,95%CI:1.111-1.497),unplanned pregnancy(OR=1.339,95%CI:1.106~1.623),active coping style(OR=0.935,95%CI:0.925~0.945),negative coping style(OR=1.111,95%CI:1.096~1.126),family closeness(OR=0.952,95%CI:0.941~0.962)and family adaptability(OR=0.970,95%CI:0.957~0.982)were the influencing factors of depressive symptoms in pregnant women.Conclusion The incidence of depressive symptoms in pre

关 键 词：妊娠期女性 抑郁症状 应对方式 家庭功能 

分 类 号：R749.4[医药卫生—神经病学与精神病学]