孕中晚期抑郁水平及影响因素的调查

Study on the level and influencing factors of prenatal depression

目的:探讨广州市越秀区孕妇抑郁水平及其与生活事件、社会支持、应对方式以及人格的关系,为产前抑郁的干预提供依据。方法:采用自评抑郁量表(SDS)、生活事件量表(LES)、社会支持量表(SSRS)、应对方式问卷(CSQ)及艾森克人格问卷(EPQ),对在越秀区孕妇学校学习的627名孕中晚期妇女进行问卷调查。结果:抑郁发生率为30·79%,其中0·96%为重度抑郁,6·86%为中度抑郁,22·97%为轻度抑郁;负性生活事件是抑郁水平的危险因素,而解决问题和社会总支持则是其保护因素。结论:社会环境因素和个体因素深刻影响孕中晚期抑郁水平,产前抑郁的干预应从多层次多方位进行。

Objective： To explore the relationship between life event, society supports scale, coping style, personality and prenatal depression so as to improve preventing and controlling countermeasure for prenatal depression. Methods： 627 prenatal pregnant women learning in schools of Yuexiu district were investigated by using the Self - Rating Depression Scale （SDS） and the information also were collected by using the Life Event Scale, Social Support Scale （SSRS） , Coping Questionnaire （CSQ） and the Eysenck Personality Questionnaire （EPQ） . Results： The incidence of depression was 30. 79% , 0. 96 % of which were severe depression, 6. 86% were moderate depression, 22. 97% were mild depression; negative life events was risk factor for depression, while problem - solving and social support were protective factors. Condusion： Social factors and individual factors impact the level of prenatal depression significantly, the intervention should be carried out in multi -level and multi- directional.