孕期家庭暴力等因素与产后抑郁的关系

Correlation of Domestic Violence and Postnatal Depression among Pregnant Women

目的:调查孕期家庭暴力等因素和产后抑郁的相关关系。方法:采用回顾性调查,利用受虐评估问卷(AAS)对门诊846名孕妇进行筛查,在产后30-42天筛查产后抑郁的发生状况。结果:①孕期家庭暴力发生率为11.3%,精神暴力为主要形式;②受虐妇女产后抑郁发生率31.2%,孕期受虐者产后抑郁发生率显著高于未受虐组(66.7%%/9.7%);③孕期精神暴力、家暴认可态度、意外怀孕、丈夫饮酒、丈夫职业是工人以及担心胎儿健康等因素可能预测产后抑郁。结论:孕期精神暴力、家暴认可态度以及意外怀孕等可能是产后抑郁的风险因素。

Objective： To explore the correlation of domestic violence and postnatal depression among pregnant women. Methods： In a cross-sectional survey, 846 pregnant women were screened with the Abuse Assessment Screen; 215 women completed the postnatal follow-up. All participants underwent the evaluation of postnatal depression with the Edinburgh Postpartum Depression Scale. Results： （1）The overall prevalence of domestic violence during pregnancy was 11.3%, and the most common form of domestic violence was psychologic abuse. （2）The follow-up interviews showed 31.2% of the pregnant women was screened as postnatal depression, and showed a significantly higher prevalence of postnatal depression among women who had been abused during pregnancy （66.7%） than among those who had not （9.7%）. （3）Psychologic abuse during pregnancy, an unexpected pregnancy, an attitude of acceptance toward violence, and concern over the newborn＇s health were related with postnatal depression. Conclusion： Domestic violence during pregnancy and related factors contribute to postnatal depression in pregnant women.