摘要
目的·调查复发性流产患者抑郁、焦虑情况,探究其影响因素。方法·招募复发性流产患者及无复发性流产史人群完成问卷调查,内容包括一般情况、抑郁自评量表、焦虑自评量表,对结果进行统计分析。结果·共计回收有效问卷1 064例,复发性流产患者725例,1次流产史患者217例,无自然流产史者122例。结果显示复发性流产患者及1次流产史患者抑郁、焦虑评分高于无自然流产史患者,差异有统计学意义;在未妊娠的复发性流产患者中低学历、低收入、结婚时间3~5年者具有较高的焦虑、抑郁评分,自然流产次数≥4次、有人工流产史、无前次活产史者具有较高的抑郁评分,差异有统计学意义。结论·复发性流产患者妊娠前后较无流产史人群均易发生抑郁等负面情绪,可能与收入、学历、结婚年数、流产次数、无前次活产相关;1次流产史患者也易发生抑郁、焦虑情况;必要时应给予适当的心理干预。
Objective · To investigate the status of depression and anxiety in patients with recurrent spontaneous abortion （RSA） and the possible influence factors and to provide theoretical support for further psychological intervention. Methods · RSA patients and women with no history of RSA were invited to complete a questionnaire, including basic information, Self-Rating Depression Scale （SDS） and Self-Rating Anxiety Scale （SAS）. All data were analyzed by SPSS. Results · Of all 1 064 cases included in this study, 725 were RSA cases, 217 cases with one spontaneous abortion and 122 in control group with no history of spontaneous abortion. Our results showed that both RSA patients and patients with one spontaneous abortion have significantly higher SDS and SAS scores than control group. Furthermore, non-pregnant RSA patients with lower education level, lower household income and 3-5 years of marriage have significantly higher levels of depression and anxiety. Patients with multiple miscarriages （≥4）, history of induced abortion and no live birth, score significantly higher in SDS. Conclusion · Whether pregnant or not, RSA patients are much easier to become depressive and anxious, which may be associated with education level, household income, length of marriage, numbers of pregnancy losses and previous live birth. Women with one spontaneous abortion also show a significant higher tendency of depression and anxiety. These patients should be given proper psychological intervention if necessary.
作者
贺立颖
王统菲
刘志兰
徐海静
陈超
康晓敏
赵爱民
HE Li-ying WANG Tong-fei LIU Zhi-lan XU Hai-jing CHEN Chao KANG Xiao-min ZHAO Ai-min(Department of Obstetrics and Gynecology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China)
出处
《上海交通大学学报（医学版）》
CAS
CSCD
北大核心
2017年第3期381-385,共5页
Journal of Shanghai Jiao tong University:Medical Science
关键词
复发性流产
抑郁
焦虑
recurrent spontaneous abortion
depression
anxiety
