摘要
目的:评估孕妇产前抑郁、惊恐障碍与自杀意念的患病率,并确定与产前抑郁相关的独立因素。方法:采用《精神疾病诊断与统计手册》第四版(DSM-IV)作为测评工具,对接受持续产前保健的1 887例孕妇进行健康问卷调查,分析确定产前抑郁症的相关因素。结果:孕妇产前抑郁症的患病率为9.9%,其中5.1%为重度抑郁,4.8%为轻度抑郁。惊恐障碍症的患病率为3.2%,自杀意念患病率为2.6%。社会心理应激、家庭暴力、慢性疾病等因素都显著增加了发生重度产前抑郁症的可能性,但是年龄与产前抑郁症患病率的相关性下降。结论:产前抑郁症是常见的,其患病率与可识别的临床风险因素相关。医护人员要加强对产前抑郁的认识,为孕妇提供针对性心理护理干预。
Objective To estimate the prevalence of major and minor depression,panic disorder,and suicidal ideation during pregnancy while also identifying factors independently associated with antenatal depressive disorders. Method In this prospective study,participants were 1887 women receiving ongoing prenatal care. Prevalence of psychiatric disorders was measured using the Diagnostic and Statistical Manual of Mental Disorders,Fourth Edition（DSM - IV）criteria based on the Patient Health Questionnaire. Identified factors associated with probable major depressive disorder and any depressive disorder. Results Antenatal depressive disorders were present in 9. 9% with 5. 1% probable major depression and 4. 8% probable minor depression. Panic disorder was present in 3. 2% ,and current suicidal ideation was reported by 2. 6%. Among patients with probable major depression,29. 5% reported current suicidal ideation. Psychosocial stress,do-mestic violence,chronic medical conditions,each significantly increased the odds of probable antepartum major depressive disorder,whereas older age. decreased the odds. Factors associated with odds of any depression were similar overall. Conclusion Antenatal major and minor depressive disorders are common and significantly associated with clinically relevant and identifiable risk factors. Medical staff should strengthen the understanding of antenatal depression,and provide pertinent psychological nursing intervention for pregnant women.
出处
《吉林医学》
CAS
2014年第31期6901-6903,共3页
Jilin Medical Journal
关键词
产前
抑郁症
危险因素
Antenatal
Depression
Risk factors
