不孕症妇女与健康孕妇焦虑抑郁的比较

Comparison of anxiety and depression between infertile women and healthy pregnant women

目的比较不孕症妇女与健康孕妇焦虑、抑郁状况的差异。方法该研究为横断面调查研究,采用一般资料问卷、焦虑自评量表(SAS)及抑郁自评量表(SDS)对不孕症妇女以及健康孕妇进行问卷调查。不孕症组137人,对照组(健康孕妇)150人。结果①不孕症组焦虑发生率为72.3%,对照组为26.0%,两者之间差异有统计学意义(x2=141.342,P<0.001);不孕症组抑郁发生率为56.9%,对照组为16.7%,两者之间差异有统计学意义(x2=64.233,P<0.001);②将年龄、职业、结婚时间作为协变量,协方差分析结果显示:不孕症组与对照组SAS、SDS得分差异均有统计学意义(SAS:F=35.245,P<0.001;SDS:F=6.533,P<0.05)。结论不孕症妇女焦虑、抑郁的发生率及得分均较健康孕妇高,不孕症妇女心理问题突出。

Objective To explore the differences in anxiety and depression between infertile women and healthy pregnant women. Methods This study was a cross-section survey. Self-made demographic questionnaire, Self-rating Anxiety Scale（SAS） and Self-rating Depression Scale（SDS） were used to survey the current situation of infertile women and healthy pregnant women. There were 137 cases in infertile group and 150 in control group （healthy pregnant women）. Results The incidence rate of anxiety was 72.3% in the infertile group and 26.0% in the control group, and the difference had statistical significance （x2 = 141. 342, P 〈0. 001 ）. The incidence rate of depression was 56.9% and 16.7% in the infertile group and the control group respectively, and there was significant difference （x2 = 64. 233, P 〈0.001 ）. Taking age, occupation and marriage time as covariates, covariance analysis showed that the differences in anxiety and depression scores were significant between the infertile group and the control group（ SAS ：F = 35. 245, P 〈0,001 ;SDS ：F = 6. 533, P 〈 0.05）. Conclusion The infertile women experience more anxiety and depression than healthy pregnant women, and their psychological problems are serious.