摘要
目的:调查北京地区孕产妇围产期抑郁发病率,分析孕晚期抑郁和产后抑郁发病的独立危险因素。方法:收集首都医科大学附属北京妇产医院门诊就诊的4476名孕产妇的人口社会学资料及临床资料,使用爱丁堡产后抑郁自评量表(Edinburgh Postnatal Depression Scale,EPDS)进行筛查,分析北京地区孕产妇女围产期抑郁发病率及年龄、配偶学历、夫妻间不良事件、代际关系、计划怀孕、个人月收入、个人最高学历、新生儿性别、月经情况等因素对围产期抑郁患病率的影响。结果:EPDS筛查结果显示,北京地区孕产妇女孕晚期抑郁和产后抑郁发病率分别为20%和15.30%,孕晚期的抑郁发病率要高于产后抑郁的发病率(P<0.01)。对于孕晚期抑郁,20~35岁的孕妇相较于大于35岁的孕妇发生孕晚期抑郁的可能性更高,具有显著性差异(P<0.05)。对于产后抑郁,个人月收入小于10000元(P<0.05)、既往有痛经史(P<0.05)、经前紧张(P<0.01)、目前存在漏尿情况(P<0.05)是产后抑郁发病的独立危险因素。结论:北京地区孕产期妇女的围产期抑郁发病率高,其中孕晚期抑郁的发病率要显著高于产后抑郁的发病率。临床需要进一步关注抑郁发病高危人群,提高围产期抑郁的早期识别和诊断。
Objective:To investigate the incidence of perinatal depression in pregnant women in Beijing,and analyze the independent risk factors of late pregnancy depression and postpartum depression.Methods:The socio-demographic information and clinical data of 4,476 pregnant women were collected for this research.All of the subjects have visited the outpatient clinic of Beijing Obstetric and Gynecology hospital from February to October 2019.The Edinburgh Postnatal Depression Scale(EPDS)was used for screening.Age,education level of husband,adverse marital events,intergenerational relationship,unintended pregnancy,monthly personal income,personal education level,gender of the newborn,menstrual status and other factors were analyzed through the logistic regression analysis as the suspicious risk factors.Results:According to the searching results,the incidence of late pregnancy depression and postpartum depression in pregnant women in Beijing area were separately 20%and 15.30%.Plus,the incidence of late pregnancy depression was higher than that of postpartum depression(P<0.01).For the late pregnancy depression,its morbidity was correlation with the age,which denoted that the risk of pregnant women between 20 to 35 years old were higher than the pregnant women older than age 35.(P<0.05).For postpartum depression,the factors like personal monthly income below 10000 RMB(P<0.05),history of dysmenorrhea(P<0.05),premenstrual tension(P<0.01),and leakage symptoms(P<0.05)were independent risk factors.Conclusion:The results show high incidence of perinatal depression women in Beijing area.Furthermore,the incidence of late pregnancy depression is significantly higher than postpartum depression.It is necessary to pay more attention to the high risk population of depression and improve the early recognition and diagnosis of perinatal depression.
作者
徐玉芹
王小榕
王子旭
陈雪
刘晓巍
赵宏
XU Yuqin;WANG Xiaorong;WANG Zixu;CHEN Xue;LIU Xiaowei;ZHAO Hong(Institute of Acupuncture and Moxibustion,CACMS,Beijing 100700,China;Beijing Obstetrics and Gynecology Hospital,Capital Medical University;Institute of Basic Research of Clinical Medicine,Chinese Academy of Chinese Medical Sciences)
出处
《中国健康心理学杂志》
2024年第1期47-51,共5页
China Journal of Health Psychology
基金
中国科技部国家重点研发计划,中医药现代化研究项目(编号:2017YFC1703606)。
