摘要
目的 探讨述情障碍、应对方式在孕期负性生活事件与抑郁症状、焦虑症状中的中介作用和调节作用,为孕期孕妇焦虑症状、抑郁症状的干预提供依据.方法 使用多伦多述情障碍量表、流调中心用抑郁量表、焦虑自评量表、简易应对方式量表、负性生活事件问卷,对1 789名孕妇进行调查.结果 消极应对和积极应对在孕期负性生活事件与孕妇抑郁症状中的调节作用显著（ΔR2分别为0.005、0.004,均P〈0.05）,述情障碍在孕期负性生活事件与孕妇抑郁症状、焦虑症状中的调节作用均不显著（ΔR2均为0.000,均P〉0.05）.消极应对、积极应对均在孕期负性生活事件与孕期焦虑症状、抑郁症状中的中介效应有显著统计学意义（R2分别为0.199、0.143、0.089和0.049,均P〈0.05）,述情障碍在孕期负性生活事件与孕妇抑郁症状、焦虑症状中的中介效应均不显著（Z值分别为0.815、0.798,均P〉0.05）.结论 应加强孕期负性生活事件孕妇应对方式的训练,尤其是减少消极应对方式.
Objective To explore the intermediary role and regulatory effect of alexithymia and coping style on negative life events, depression and anxiety so as to provide some basis for depression and anxiety intervention among pregnant woman. Methods Totally 1 789 pregnant women accomplished this survey with Toronto Alexithymia Scale （TAS）, center for epidemiologic studies depression scale （CESD）, self-rating anxiety scale （SAS）, simplified coping style questionnaire （SCSQ） and negative life events questionnaire. Results The regulatory effects of negative and positive coping styles in negative life events during pregnancy and depression in pregnant woman were remarkable （ AR2 was 0.005 and 0.004 respectively, both P 〈 0.05 ）, while the regulatory effect of alexithymia in those was not significant （ AR2 was 0. 000 ,P 〉 0.05 ）. The intermediary roles of negative coping style and positive coping style in negative life events in pregnancy, depression and anxiety in pregnant woman were statistically significant （R2 was 0. 199, 0. 143, 0. 089 and 0. 049 respectively, all P 〈 0.05 ）, but the intermediary role of alexithymia was not significant （ Z was 0. 815 and 0. 798 respectively, both P 〉 0.05 ）. Conclusion Training on coping style in negative life events for pregnant women should be strengthened, and negative coping style should be diminished particularly.
出处
《中国妇幼健康研究》
2011年第5期593-596,共4页
Chinese Journal of Woman and Child Health Research
关键词
孕妇
述情障碍
生活事件
抑郁
焦虑
调节效应
中介效应
pregnant woman
alexithymia
life events
depression
anxiety
regulatory effect
intermediary role
