成都地区产前抑郁现状及影响因素分析

Prevalence of antenatal and predictors of antenatal depression in Chengdu

目的了解成都地区产前抑郁现状,分析产前抑郁的影响因素.方法以2013年10月至2014年2月在华西第二医院门诊部进行产前检查的孕晚期孕妇为研究对象,采用爱丁堡产后抑郁量表(Edinburgh Postnatal Depression Scale,EPDS)以13分为界值评估其抑郁症状,用描述性研究评估产前抑郁率,通过Logistic回归分析社会人口因素、社会心理因素和产科因素与产前抑郁之间的关系.结果共纳入2242名孕晚期孕妇参与调查,其中319名存在抑郁症状,产前抑郁率为14.2%.对生活条件不满意(OR=1.81,95%CI=1.37-2.37)、与婆婆关系不好(OR=2.23,95%CI=1.68-2.96)、意外怀孕(OR=1.34,95%CI=1.02-1.77)的女性更容易发生产前抑郁.结论产前抑郁是孕期常见的精神疾患,产前抑郁与生活条件不满意、婆媳关系不佳和意外怀孕等因素相关,应加强产前抑郁筛查,积极开展针对性心理疏导,降低意外怀孕率,减少产前抑郁的发生.

Objective To understand the status of prenatal depression in Chengdu and analyze its influencing factors. Methods The pregnant women in the third trimester who underwent prenatal examinations in the Outpatient Department of Huaxi Second Hospital from October 2013 to February 2014 were enrolled in the study. The Edinburgh Postnatal Depression Scale(EPDS) was used to evaluate the depressive symptoms by the boundary value of 13 points. Descriptive studies were used to assess prenatal depression rates, and logistic regression was used to analyze the relationship between sociodemographic factors, psychosocial factors, and obstetric factors and prenatal depression.Results A total of 2 242 pregnant women in the third trimester were included in the survey, of which 319 had depressive symptoms and the prenatal depression rate was 14.2 %. Unsatisfied with living conditions(OR=1.81, 95 % CI=1.37-2.37), bad relationship with mother-in-law(OR=2.23, 95 % CI=1.68-2.96), unintended pregnancy(OR=1.34, 95 % CI=1.02-1.77) women are more likely to develop antenatal depression. Conclusion Prenatal depression is a common mental disorder during pregnancy. Prenatal depression is associated with unsatisfactory living conditions, poor relationship between mother-in-law and unwanted pregnancy. It is necessary to strengthen prenatal depression screening, actively carry out targeted psychological counseling, and reduce the rate of unwanted pregnancies to reduce the incidence of prenatal depression.