围产期抑郁、焦虑的现况调查

Current investigation on perinatal depression and anxiety

目的 了解围产期孕产妇伴有焦虑、抑郁症状的状况,为孕产妇的心理保健工作提供科学依据.方法 选取2012年5月-2014年4月到昆明市妇幼保健院产前门诊的就诊孕28周的孕妇共968例作为调查对象,采用爱丁堡产后抑郁量表（EPDS）、焦虑自评量表（SAS）、生活质量评定量表（SF-12）对其孕28周、孕36周及产后1个月的情绪及生活质量进行评估.结果 孕28周、孕36周及产后1月有抑郁症状的孕妇分别为25.4％,24.5％和15.9％,有焦虑症状的孕妇分别为6.6％,7.9％及7.5％,随着时间推移孕妇的生活质量总体呈上升趋势.结论 抑郁、焦虑是孕产妇常见的心理障碍,建议在有条件的产前门诊开展心理健康的筛查,最大限度的保护母婴身心健康.

Objective To survey mental health condition of perinatal women. To provide a scientific basis for perinatal mental health care. Methods A total of 968 women with 28th pregnant week registered in obstetric department of Kunming maternal and child health hospital during May 2012 to April 2014 were selected according to the inclusive standard. Edinburgh Postnatal Depression Scale （EPDS）, Self-Rating Anxiety Scale （SAS） and MOS 12-item Short Form Health Survey （SF-12） questionnaire were assessed at 28th pregnant week, 36th pregnant week and 4th postpartum week. Results The prevalence rate of depression at 28th pregnant week, 36th pregnant week and 4th postpartum week were 25.4%,24.5 %, 15.9% respectively. While the prevalence rate of anxiety at 28th pregnant week, 36th pregnant week and 4th postpartum week were 6.6 %, 7.9%, 7.5 % respectively. Life quality of perinatal women had an upward trend as the time went by. Conclusions As depression and anxiety are common mental disorders in perinatal women. Mental health screening should be introduced into antenatal clinic to maximize the protection of maternal and child health.