Investigation and analysis of anxiety,depression and sleep quality of pregnant women in early pregnancy of different age stages
Objective To investigate current situation of anxiety,depression and sleep quality in pregnant women of different age stages in their early pregnancy.Methods 27 423 pregnant woman in early pregnancy(at 8-12 weeks of gestation)who received prenatal examination in obstetrical clinic of Chongqing Municipal Maternal and Child Health Hospital from February 2020 to December 2021 were selected as study subjects.The pregnant women were assessed with such scales as generalized anxiety disorder-7(GAD-7),patient health questionnaire-9(PHQ-9)and Pittsburgh sleep quality index(PSQI).And the pregnant women in the first trimester of pregnancy were divided into four groups:20-25 years old group,26-30 years old group,31-35 years old group and 36-40 years old group according to their age at gestation.The incidences of different degrees of anxiety and depression,sleep quality,and difference in sleep quality between moderate and severe anxiety and between moderate and severe depression were compared among the four age groups.Results There were statistically significant differences in proportions of anxiety and depression among the four age groups(x2=46.851 and 54.779 respectively,both P＜0.001).And along with increase in age of the pregnant woman,the proportions of mood disorders(anxiety and depression)in early pregnancy gradually decreased.There was no significant difference in score in sleep quality among the four age groups(x2=6.588,P=0.089).In the pregnant women with moderate and above depression,with the increase in degree of depression,the proportion of the pregnant women with poor sleep quality in early pregnancy elevated significantly(x2=35.449,P＜0.001).Conclusion With increase in age,the risks of the pregnant women for anxiety and depression in early pregnancy decrease gradually.While the risk for sleep disorder in early pregnancy don't differ significantly among the different age groups.But depression mood exerts negative effect on their sleep quality.
万方数据
维普
