妊娠中晚期孕妇产前抑郁情绪与其反刍思维的关系及注意偏向研究

Relationship between Prenatal Depressive Emotion and Rumination and Research on Attentional Bias among Pregnant Women in the Middle or Late Pregnancy

目的结合主客观指标分析妊娠中晚期孕妇产前抑郁情绪与其反刍思维的关系,为临床开展产前抑郁早筛查早干预提供参考。方法便利抽取广州市3所三级甲等医院277名妊娠中晚期孕妇,使用爱丁堡产后抑郁量表、反刍思维量表等进行调查,对其中47名孕妇开展情绪Stroop实验,研究其对情绪刺激的注意偏向特点。结果277名妊娠中晚期孕妇产前抑郁情绪检出率为44.4%,其与反刍思维呈正相关(均P<0.001)。文化程度是孕妇产前抑郁情绪的保护因素(OR=0.651),担心分娩安全、疫情对情绪影响及症状反刍是其危险因素(OR=1.717,1.933,1.372)。孕妇反刍思维的强迫思考因子与其情绪Stroop实验的正中负性词反应时均呈负相关(P<0.05)。结论妊娠中晚期孕妇产前抑郁情绪检出率较高且与其反刍思维呈正相关,产前抑郁情绪孕妇对情绪刺激存在偏向性。护理人员应关注反刍思维水平高的孕妇,可积极尝试和探索结合客观指标开展产前抑郁高危人群的筛查。

Objective To analyze the relationship between prenatal depressive emotion and rumination among pregnant women in their middle or late pregnancy using subjective and objective indicators,so as to provide a reference for early clinical screening and intervention of prenatal depression.Methods Convenient sampling was used to select 277 pregnant women in their middle or late pregnancy from 3 tertiary hospitals in Guangzhou City.The Edinburgh Postpartum Depression Scale and the Ruminative Response Scale were used for investigation.Of these participants,47 pregnant women were screened by emotional Stroop task to explore the features of their attentional bias to emotional stimulation.Results The rate of prenatal depressive emotion was 44.4%among the 277 pregnant women in their middle or late pregnancy.Their prenatal depressive emotion was positively correlated with rumination(P<0.001).The education level was a protective factor of pregnant women’s prenatal depressive emotion(OR=0.651);worry about the safety of childbirth,emotional impact of COVID-19 and symptom rumination were the risk factors(OR=1.717,1.933,1.372).The brooding factor of rumination was negatively correlated with their reaction times of positive,neutral and negative words in the emotional Stroop task(P<0.05).Conclusions The rate of prenatal depressive emotion among pregnant women in their middle or late pregnancy was high,and positively correlated with rumination.There was a bias towards emotional stimulation among those prenatal depressed pregnant women.Nurses should pay attention to those pregnant women with high level of rumination,and actively explore the combination of objective indicators to screen those pregnant women with high risk of prenatal depressive emotion.