不孕症女性患者焦虑抑郁状况及相关因素分析

Situation and related factors of anxiety and depression in infertile women

目的了解不孕症女性患者心理健康状况,探讨相关影响因素。方法对144例不孕妇女进行症状自评量表(SCL-90)和抑郁自评量表(SDS)、焦虑自评量表(SAS)评定,并与对照组作比较。结果不孕症女性患者中,焦虑发生率为25.0%(36/144),抑郁发生率为20.8%(30/144),SCL-90筛查阳性率为18.8%(27/144)。不孕症女性患者的SAS评分、SDS评分、SCL-90焦虑及精神病性因子评分均高于对照组(P均<0.01)。SCL-90总分及其他因子评分与对照组比较差异无统计学意义(P>0.05)。不孕类型、与家庭成员关系、受教育程度、家庭经济是不孕症女性患者焦虑抑郁情绪的影响因素(P<0.05)。年龄、BMI、不孕年限则与SAS评分、SDS评分、SCL-90总分无关(P>0.05)。结论不孕症女性患者普遍存在焦虑及抑郁,因此在不孕症的治疗中,要重视对患者进行心理干预。

Objective To evaluate the psychological status of infertile women and discuss the relat-ed factors.Methods 144 infertile women were assessed with the symptom checklist-90 （SCL-90）, the self-rating anxiety scale （ SAS） and the self-rating depression scale （ SAS, compared with control group.Results In the 144 infertile women , t he incidence of anxiety was 25.0% （ 36/144 ） depression was 20.8% （ 30/144）, positive rate of SCL-90 was18.8% （27/144）.The scores of SAS、 SDS and anxiety and psychosis of SCL-90 for in infertile women were all significantly higher than those in controls （ P〈0.01 ）.SCL-90 total score and other factor score were no significant difference in two groups （P〉0.05）.The infertility type、 fam-ily member relationships、 education background、 household economy were all influencing factors of the scores of SAS、 SDS and SCL-90 （ P〈0.05）.The age, BMI, the duration of infertility weren＇t related with SAS, SDS score and SCL-90 total score （P〉0.05）.Conclusion Anxiety and depression in infertility women was common.Therefore , psychological intervention should be paid attention to during the treatment.