产后抑郁症患者心理社会因素分析

The analysis of psychosocial factors in patients with postpartum depression

目的探讨影响产后抑郁症的心理社会因素。方法采用艾森克个性问卷(EPQ)、爱丁堡产后抑郁量表(EPDS)和生活事件量表(LES)对研究组(n=32)和对照组(n=40)进行调查。结果研究组N分明显高于对照组(P<0.01),E分低于对照组(P<0.05),P、L分差异无统计学意义;负性生活事件紧张总值明显高于对照组(P<0.01),生活事件紧张总值、生活事件数目高于对照组(P<0.05),正性生活事件紧张总值差异无统计学意义(P>0.05),而社会支持总分明显低于对照组(P<0.01)。结论产后抑郁症患者有个性内向、情绪不稳定、固执、社会能力不良、与人相处不融洽等个性特点,且社会支持明显不良,故应尽早积极干预。

Objectivet To study pschosocial factors in the invasion of postpartum depression. Methods Eysenck Personality Questionnaire（EPQ）, the Edinburgh Postnatal Depression Scale（EPDS） and Life Events Scale （LES） were used to investigate 32 patients suffering from postpartum depression in the test group and 40 normal parturient in the control group. Results N score of EPQ in test group was significantly higher than that in control group（P〈0.01） ; E score of EPQ in test group was lower than that in control group（P〈0.05） ; the total negative life events score of LES in test group was significantly higher than that in control group（P〈0.01） ;total life events score of LES in test group was higher than that in control group（P〈0.05） ; total social support score of LES in test group was significantly lower than that in control group （P〈0.01）. Conclusion Patient with postpartum depression are indrawn, obstinate, humorsome, and short of social supports. So active intervention should be made for them as soon as possible.