初产妇女配偶产后抑郁的影响因素

Influencing factors of postpartum depression of spouses of primipara

目的分析初产妇女的配偶产后抑郁状况,探讨影响及预测其抑郁状况的相关因素。方法应用问卷调查方法,在妇女产后3个月对初产妇的配偶进行问卷调查。应用Logisitic回归分析产后配偶抑郁的关联因素,应用ROC曲线分析婚姻质量、育儿压力及人际信任对产后配偶抑郁的预测效果。结果本研究共纳入研究对象812例,发生产后抑郁97例,产后抑郁情绪发生率11.95%。饮酒(OR=1.852,P=0.002)、轮班工作(OR=1.447,P=0.011)、育儿压力大(OR=2.742,P<0.001)、女性户主(OR=2.419,P=0.011)、每日数字媒体应用时间长(OR=3.028,P<0.001)、原生家庭排行高(OR=2.682,P=0.023)是导致产后配偶抑郁的危险因素;婚姻质量高(OR=0.392,P<0.001)、人际信任状况好(OR=0.627,P=0.025)、自有住房(OR=0.419,P=0.006)是产后配偶抑郁的保护因素。婚姻质量对产后男性配偶抑郁的影响大于育儿压力和人际信任,其ROC-AUC为0.742。结论建议相关医疗机构应加强对产后男性配偶心理问题的评估与管理,降低其产后抑郁率。

Objective:To analyze the post-partum depression of the spouses of primiparas,and explore the related factors of influencing and predicting their depression.Methods:A questionnaire survey was conducted on the spouses of primiparas 3 months after delivery.Logistic regression was used to analyze the associated factors of postpartum depression of spouse,and ROC was used to analyze the predictive effect of marital quality,parenting stress and interpersonal trust on postpartum depression of spouse.Results:A total of 812 subjects were included in this study.Ninety seven subjects suffered from postpartum depression,and the incidence of postpartum depression was 11.95%.Drinking(OR=1.852,P=0.002),shift work(OR=1.447,P=0.011),high parental pressure(OR=2.742,P<0.001),female heads of households(OR=2.419,P=0.011),long daily digital media application(OR=3.028,P<0.001),ranking higher in family of origin(OR=2.682,P=0.023)were the risk factors for postpartum depression of spouses.High marital quality(OR=0.392,P<0.001),good interpersonal trust(OR=0.627,P=0.025)and self-owned housing(OR=0.419,P=0.006)were the protective factors for postpartum depression of spouses.The influence of marital quality on male depression was greater than parental pressure and interpersonal trust,and the ROC-AUC was 0.742.Conclusions:It is suggested that relevant medical institutions should strengthen the evaluation and management of male postpartum psychological problems and reduce their postpartum depression incidence.