摘要
目的:分析孕早期孕妇抑郁的影响因素。方法:选取2019年3月至2021年10月于空军特色医学中心临床心理科建档的567名孕早期孕妇进行前瞻性研究,采用抑郁自评量表(SDS)评估孕妇抑郁状况,根据结果将其分为抑郁组和未抑郁组,统计两组基线资料,分析孕早期孕妇抑郁的影响因素。结果:567名孕早期孕妇中,59名SDS得分≥53分,孕早期抑郁发生率为10.41%(59/567);两组年龄、体质量指数、居住面积、孕周、职业、配偶年龄、配偶职业、父母同住、妊娠次数、分娩次数、不良孕产史、计划受孕、双方父母对怀孕态度、影响夫妻生活、分娩方式的选择比较,差异均无统计学意义(P>0.05);两组学历、吸烟史、饮酒史、抑郁病史、家庭月收入、居住地、围生儿死亡经历、妊娠期合并症、被家人照顾情况、恐惧怀孕过程、对孩子性别有期待、父母对孩子性别有期待、生活事件量表(LES)评分比较,差异均有统计学意义(P<0.05);Logistic回归分析结果显示,有饮酒史、有抑郁病史、对孩子性别有期待、父母对孩子性别有期待、LES评分≥20分均为孕早期孕妇抑郁的危险因素(OR>1,P<0.05)。结论:有饮酒史、有抑郁病史、对孩子性别有期待、父母对孩子性别有期待、LES评分≥20分均为孕早期孕妇抑郁的危险因素。
Objective:To analyze influencing factors of depression in pregnant women in early pregnancy.Methods:A prospective study was conducted on 567 pregnant women in early pregnancy who were registered in the clinical psychology department of air force medical center from March 2019 to October 2021.The self-rating depression scale(SDS)was used to evaluate the depression status of these pregnant women.According to the results,they were divided into depression group and normal control group.The baseline data of the two groups were statistically analyzed.The influencing factors of depression in the early pregnant women were analyzed.Results:Among the 567 pregnant women in early pregnancy,59 had SDS score≥53,and the incidence of depression in early pregnancy was 10.41%(59/567).There were no significant differences between the two groups in age,body mass index,living area,gestational age,occupation,spouse age,spouse career,parents living together,number of pregnancies,number of births,history of adverse pregnancy,planned conception,parents’attitude towards pregnancy,influence on sexual life and choice of delivery mode(P>0.05).There were significant differences in educational background,smoking history,drinking history,depression history,family monthly income,living situation,perinatal death experience,current illness,family care,fear of pregnancy process,expectation of children’s gender,parents’expectation of children’s gender,life event scale(LES)score between the two groups(P<0.05).Logistic regression analysis showed that drinking history,depression history,expectation of children’s gender,parents’expectation of children’s gender,and LES score≥20 were risk factors for depression in the pregnant women in early pregnancy(OR>1,P<0.05).Conclusions:Drinking history,depression history,expectation of children’s gender,parents’expectation of children’s gender,and LES score≥20 are the risk factors for depression in the pregnant women in early pregnancy.
作者
王希超
李承瑞
吴静
于川
王进
刘佳佳
齐建林
WANG Xichao;LI Chengrui;WU Jing;YU Chuan;WANG Jin;LIU Jiajia;QI Jianlin(Department of Aviation Psychology Laboratory of Air Force Medical Center,PLA,Beijing 100142,China;Psychiatric Department of the 964 Hospital of PLA Joint Logistics Support Force,Changchun 130062 Jilin,China)
出处
《中国民康医学》
2024年第2期1-4,8,共5页
Medical Journal of Chinese People’s Health
基金
首都临床特色应用研究(Z181100001718031)
学校科技攻关项目(2019ZTD02)
空军装备基金(KJ20191A080362)。
关键词
孕妇
孕早期
抑郁
影响因素
Pregnant woman
Early pregnancy
Depression
Influencing factor
