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产后抑郁症发生与产妇社会心理因素的相关性分析

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目的 分析产后抑郁症(PPD)发生与产妇社会心理因素的相关性。方法 选取2022年8月1日至2023年7月31日在宁夏医科大学总医院产科住院分娩的产妇作为研究对象。收集产妇的一般资料及爱丁堡产后抑郁量表(EPDS)、症状自评量表(SCL-90)、社会支持量表(SSRS)评分,依据EPDS评分将产妇分为PPD组和对照组,分析PPD与社会心理因素的相关性,探究PPD发生的影响因素。结果 共收集230名产妇的问卷,EPDS得分≥13分53名,EPDS得分<13分177名。PPD组的妊娠次数、分娩次数少于对照组(P<0。01)。PPD组的躯体化、强迫、人际敏感、抑郁、敌对、焦虑、恐怖、偏执、精神病性评分均高于对照组,差异具有统计学意义(P<0。01)。PPD组的客观支持、主观支持及支持利用度评分均低于对照组,差异具有统计学意义(P<0。01)。Pearson相关性分析结果显示,EPDS评分与SCL-90中敌对和恐怖评分呈正相关(P<0。01)。多因素Logistic回归分析结果显示,SCL-90中的敌对是产妇发生PPD的影响因素(P<0。01)。结论 敌对是PPD发生的危险因素,对外界敌对越明显的产妇越易出现PPD;预防PPD或改善预后应关注产妇心理因素,也要增加社会支持。
Correlation analysis between postpartum depression and social psychological factors of parturients
Objective To analyze the correlation analysis between postpartum depression(PPD)and social psychological factors of parturients.Methods The pregnant women who gave birth in the obstetrics department of the General Hospital of Ningxia Medical University from August 1,2022 to July 31,2023 were selected as the research objects.The general data and the scores of Edinburgh Postnatal Depression Scale(EPDS),Symptom Checklist-90(SCL-90)and Social Support Rating Scale(SSRS)of the parturients were collected.According to EPDS score,the parturients were divided into PPD group and control group.The correlation between PPD and social psychological factors was analyzed,and the influencing factors of PPD were explored.Results A total of 230 questionnaires of parturients were collected.There were 53 cases with EPDS score≥13 points and 177 cases with EPDS score<13 points.The number of pregnancies and deliveries in the PPD group were less than those in the control group(P<0.01).The scores of somatization,compulsion,interpersonal sensitivity,depression,hostility,anxiety,terror,paranoia and psychosis in the PPD group were higher than those in the control group,and the differences were statistically significant(P<0.01).The scores of objective support,subjective support and support utilization in the PPD group were lower than those in the control group,and the differences were statistically significant(P<0.01).Pearson correlation analysis showed that EPDS score was positively correlated with hostility and terror scores in SCL-90(P<0.01).Multivariate Logistic regression analysis showed that hostility in SCL-90 was the influencing factor of PPD in parturients(P<0.01).Conclusion Hostility is a risk factor for PPD,and the more obvious the hostility to the outside world,the more likely PPD occurs.Prevention of PPD or improvement of prognosis should pay attention to psychological factors of parturients and increase social support.

postpartum depressionpsychological factorsocial supporting factor

孙媛、文玉军、马文倩、强焕珍、刘丹、何玲

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宁夏医科大学总医院产科,宁夏银川,750004

宁夏医科大学颅脑疾病重点实验室,宁夏银川,750004

宁夏医科大学总医院妇科,宁夏银川,750004

产后抑郁症 心理因素 社会支持因素

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(36)