持续心理干预对预防高抑郁评分产妇产后抑郁的作用研究

Study on the effect of sustained psychological intervention on prevention of postpartum depression among puerperae with high depression scores

目的研究产前持续心理干预对预防高抑郁评分产妇产后抑郁的作用。方法选择2012年6月-2013年6月在温州市中医院孕期检查的产妇，经SDS初步筛查，将SDS评分在42--52分之间的89例产妇作为研究对象，随机分为两组，对研究组45例产妇进行持续心理干预，比较两组产后各阶段产后抑郁情况。结果研究组产前和产后1’个月SDS评分较人组前明显降低，与人组时和对照组比较差异有统计学意义（P〈0．05）。研究组产后6周、产后3个月、12个月产后抑郁发生率分别为48．89％、37．78％、20．0％，对照组分别为90．91％、86．36％、47．73％，两组比较差异有统计学意义（P〈0．05）。结论高抑郁评分产妇是产后抑郁的高危人群，持续心理干预具有针对性，可做到防患于未然，对降低产后抑郁症的发生具有积极的作用。

Objective To study the role of persistent prepartum psychological intervention on preventing postpartum depression in puerperae with high depression scores. Methods SDS preliminary screening was conducted in the pregnant woman during the inspection in Wenzhou Hospital of Traditional Chinese Medicine from June 2012 to June 2013, and then 89 pregnant women with SDS scores between 42 and 52 points were selected to serve as the research subjects. All the women were randomly divided into 2 groups, and persistent psychological intervention was conducted among 45 pregnant women in the study group. Postpartum depression in each postpartum stage was compared between the 2 groups. Results In the study group, SDS scores at antepar- turn and one month postpartum were both significantly decreased as compared with before entering the group, moreover, with statistically significant differences as compared with before entering the group and the control group （ P ~ 0.05 ）. The incidence rates of depression at 6- week, 3- month and 12- month postpartum of the study group and the control group were 48.89% and 90.91%, 37.78 % and 86.36 %, 20 % and 47.73 % respectively, there were statistically significant differences between the 2 groups （P 〈 0.05）. Conclusions Puerperae with high depression scores are at high risk of postpartum depression. Persis- tent psychological intervention is a highly individualized approach to management, moreover, it has a positive effect on reducing the occurrence of postpartum depression.