摘要
目的探讨女性童年创伤经历对孕产期抑郁的影响,并检验可能的中介因素,为孕产期抑郁的防治提供新思路。方法本研究于2021年10月至2022年4月采用三阶段抽样的方式抽取甘肃省8个市907例孕产妇为调查对象。采用问卷调查的方法收集资料,通过爱丁堡产后抑郁量表(EPDS)评估孕产期抑郁,使用反刍思维量表(RRS)评估反刍思维水平,采用童年创伤问卷(CTQ)评估女性童年创伤经历。利用Spearman相关分析童年创伤与孕产妇抑郁症状的相关性,使用SPSS 22.0 Process插件分析反刍思维水平在童年创伤经历与孕产期抑郁之间所起的中介作用。结果Spearman相关分析结果表明,孕产妇抑郁与童年创伤、反刍思维均正相关(r值分别为0.315、0.707,P<0.001),童年创伤与反刍思维正相关(r=0.379,P<0.001);童年创伤对孕产妇抑郁、反刍思维均有显著的预测作用(β值分别为0.131、0.362,P<0.001),将反刍思维作为中介变量放入模型后,童年创伤对孕产妇抑郁的直接预测作用不显著(β=0.005,P>0.05),反刍思维对孕产妇抑郁的预测作用仍然显著(β=0.347,P<0.001)。结论女性童年创伤经历可以通过提高反刍思维水平而增加其孕产期抑郁的发生。因此,针对有童年创伤经历的孕产妇可重点评估其反刍思维水平,提供及时、综合的干预,预防其孕产期抑郁的发生,以提高孕产期女性的生活质量。
Objective To explore the impact of childhood traumatic experiences on maternal depression and examine the potential mediating factors to provide new insights into the prevention and treatment of maternal depression.Methods This study adopted a three-stage sampling method from October 2021 to April 2022 to select 907 pregnant women from 8 cities in Gansu Province as research subjects.Data were collected through questionnaire surveys.Maternal depression was assessed by the Edinburgh Postnatal Depression Scale(EPDS).Rumination levels were evaluated by the Rumination Response Scale(RRS).Women's childhood trauma experiences was assessed by the Childhood Trauma Questionnaire(CTQ).Spearman correlation analysis was used to examine the correlation between childhood trauma and depressive symptoms in pregnant women and the SPSS 22.0 Process plugin was used to analyze the mediating effect of rumination levels in the relationship between childhood trauma experiences and maternal depression.Results The results of Spearman correlation analysis showed that maternal depression were positively correlated with childhood trauma and rumination levels(r values were 0.315 and 0.707,respectively,P<0.001),and the childhood trauma was positively correlated with rumination levels(r=0.379,P<0.001).Childhood trauma has a significant predictive effect on maternal depression and rumination levels(βvalues were 0.131 and 0.362,respectively,P<0.001).After including rumination levels as a mediating variable in the model,the direct predictive effect of childhood trauma on maternal depression became non-significant(β=0.005,P>0.05),while the predictive effect of rumination levels on maternal depression remained significant(β=0.347,P<0.001).Conclusion Female childhood traumatic experiences may increase the occurrence of maternal depression by elevating rumination levels.Therefore,pregnant women with a history of childhood trauma should be assessed for their rumination levels,and timely and comprehensive interventions should be provided to prevent t
作者
张雪莲
龚林琳
弓建
汪燕妮
曹玲香
王艳艳
ZHANG Xuelian;GONG Linlin;GONG Jian;WANG Yanni;CAO Lingxiang;WANG Yanyan(Department of Obstetrics and Gynecology,The Third People's Hospital of Gansu Province,Gansu Lanzhou 730020,China;School of Public Health,Lanzhou University,Gansu Lanzhou 730000,China;Department of Immunization Planning,Qilihe District Center for Disease Control and Prevention,Gansu Lanzhou 730050,China)
出处
《中国妇幼健康研究》
2024年第6期1-6,共6页
Chinese Journal of Woman and Child Health Research
基金
甘肃省科技计划项目(软科学专项,21CX6ZA033)。
关键词
孕产妇
抑郁
童年创伤
反刍思维
maternal women
depression
childhood trauma
rumination
