产褥期抑郁情绪的前瞻性研究

A prospective study on puerperal depression mood

目的:了解产后3 d产后忧郁的发生及其在产后42 d的恢复情况,产后忧郁与产后抑郁症之间的关系及各自相关的影响因素。方法:应用爱丁堡产后抑郁量表(EPDS)和产妇一般情况调查表分别于产后3 d及42 d对667名无孕期并发症/合并症和精神疾患的产妇进行测评,用SPSS12.0统计分析软件对发生率以及相关影响因素进行统计分析。结果:产后3 d产后忧郁发生率为23.1%;产后42 d产后抑郁症发生率为6.3%;产后忧郁者有15.9%在产后42 d发展为产后抑郁症,占发生产后抑郁症的57.9%;有84.1%在产后42 d恢复正常,产后忧郁与产后抑郁症之间存在显著相关性。家庭支持等心理社会因素及经前期综合征等生物学因素和产后抑郁情绪密切相关;产后与家人关系状况、产后3 d EPDS分值及经前期综合征史与产后忧郁的恢复密切相关。结论:产后忧郁可能为产后抑郁症的先兆,对产后忧郁的及早筛查和干预对预防和降低产后抑郁症的发生率有重要的意义。

Objective： To explore the incidence and recovery process of maternity blues; to explore the relationship between maternity blues and postpartum depression, as well as their influencing factors. Methods： 667 healthy mothers who without complications and psychopathy were investigated by using EPDS and general status questionnaires respectively at 3 days and 42 days postpartum, Results： The incidence of maternity blues and postpartum depression was 23.1%, 6. 3% respectively. About 15.9% women with maternity blues suffered postpartum depression. About 84. 1% women with maternity blues recovered at 42 days. Approximately 57.9% women with postpartum depression had maternity blues. There was a highly significant positive correlation between maternity blues and postpartum depression. Some psychosocial and biological factors such as support system and premenstrual syndrome were significantly related to puerperal depression mood. Relationship with family members , EPDS scores 3 days postpartum and premenstrual syndrome were significantly related to recovery of maternity blues. Conclusion： Maternity blues may be the predictor of postpartum depression. Earlier screening and intervene for maternity blues mother would be important for decreasing incidence of postpartum depression.