Current status and influencing factors of anxiety and depression during pregnancy
Objective To understand the detection rates of anxiety and depression during pregnancy and their influencing factors.Methods A cross-sectional survey was conducted from July 2022 to July 2023 at the Hunan Provincial Maternal and Child Health Care Hospital.The general data of pregnant women and their levels of anxiety and depression during pregnancy were assessed using a basic information questionnaire,a self-rated anxiety scale,and the Edinburgh Postnatal Depression Scale.A multivariable logistic regression model was used to analyze the influencing factors of anxiety and depression during pregnancy.A total of 924 ques-tionnaires were distributed,with 892 valid responses,yielding an effective response rate of 96.5％.Results A-mong the 892 pregnant women surveyed,the detection rate for anxiety was 16.8％(150/892),and the detec-tion rate for depression was 51.3％(458/892).History of spontaneous miscarriage and pregnancy with mal-formed fetuses were positively correlated with prenatal anxiety[odds ratio(OR)=1.660,4.125,95％confi-dence interval(95％CI)1.005-2.742 and 1.140-14.930,respectively].Ethnic minorities were positively correlated with prenatal depression(OR=1.931,95％CI 1.068-3.493).No insomnia after the last month of pregnancy and the three months before pregnancy,and good or very good marital relationships were negatively correlated with prenatal depression(OR=0.425,0.344,0.325,0.245,respectively;95％CI 0.233-0.773,0.165-0.718,0.112-0.944,0.086-0.700).Conclusion Special attention should be paid to the mental health of pregnant women with a history of natural miscarriages,pregnancies with malformed fetuses,and those from ethnic minorities.Absence of insomnia and good marital relationships are protective factors against depression during pregnancy.
PregnancyAnxietyDepressionAnalysis of influencing factorsCross-sectional study
万方数据
维普
