围产期产妇和配偶抑郁状况调查及相关因素分析

Depressive level and the related factors in perinatal maternal and their spouses

目的:调查围产期配偶双方心理状况,分析产后抑郁危险因素,为围产期产妇及配偶保健提供参考依据。方法:对362名准新生儿父母在产前及产后1-4周进行社会支持评定量表、爱丁堡产后抑郁量表(EPDS)评定,并在产后予自编的抑郁相关因素评估表评定;通过Logistics回归分析产后抑郁主要的危险因素。结果:产妇产后抑郁发生率为26.07%,配偶抑郁发生率14.9%;产妇产后抑郁最主要危险因素为产前抑郁、低社会支持、高危妊娠;配偶抑郁最主要危险因素为产前抑郁、低社会支持、低经济收入。结论:产后抑郁在产妇及其配偶身上均可发生;高社会支持是夫妻双方避免围产期抑郁发生的保护因素。

[Objective]To investigate the psychological status of perinatal spouses and to analyzes the risk factors for postpartum depression. [ Method] 362 new parents were assessed by the social support scale and the Edinburgh Postnatal Depression Scale （EPDS） at antepanum and 1 - 4 weeks after parturition, and general depression related rating scale after parturition. Logistics re- gression analysis was used to explored the primary risk factors of postpartum depression. [Result] The incidence rate of mater- nal postpartum depression was 26.07 % and 14.9 % in their spouses. The most important risk factors for postpartum depression were prenatal depression, low social support and high- risk pregnancy in puerperant, and prenatal depression, low social sup- port and low income in their spouses by logistics regression analysis.[ Conclusion] Postpartum depressive symptoms can be ex- isted in women and their spouses. High social support was the protective factor in the couples to to avoid being depression.