产妇分娩前心理状态与产后抑郁症

Antenatal psychological status and postpartum depression

目的 :探讨孕妇分娩前心理状态与产后抑郁症的关系 ,为产前心理治疗提供依据。方法 :采用症状自评量表、汉密顿抑郁量表 (HDS)和汉密顿焦虑量表 (HAS)对 119例健康初产妇的心理状态进行调查分析。结果 :分娩前有抑郁症状 2 5例 ,占2 1.0 1% ,有焦虑症状 2 9例 ,占 2 4.36 % ;抑郁并焦虑 10例 ,占 15 .13%。分析显示生物学因素、心理因素和社会因素与产后抑郁症相关。结论 :处世表现、与父母关系和胎儿情况与产妇心理状态正相关 ,也是产生产后抑郁症的主要原因。

Objective:To provide evidences for antenatal psychological treatment by investigating the relation between psychological status of parturient and postpartum depression.Methods:psychological status of1 1 9primigravida was analyzed by symptom checklist,Hamilton anxiety scale( HDS) and Hamilton depression scale( HAS) .Results:Among the whole nulliparas observed,the anxious rate was2 1 .0 1 % ,the depress rate was2 4 .36% ,while1 5.1 3% were both anxious and depress.Analysis showed that3kinds of factors- biolopical,psychological and social factors are correlated with postpartum depression.Conclusions: Social behavior ,relation with parents and fetus thing were the most important factors with parents and fetus thing were the mostimportantfactors which influence psychological status and references postpartum depression.