新型冠状病毒肺炎疫情期间我国孕产妇心理健康状况调查

The level and determinants of mental health among Chinese pregnant women during the COVID-19 epidemic

目的了解新型冠状病毒肺炎疫情期间我国孕产妇心理健康状况,并探讨其影响因素。方法2020年2月22日至3月5日,采用患者健康问卷抑郁症状群量表、广泛性焦虑量表、一般健康问卷对全国12省市的1261例孕产妇进行调查。结果孕产妇抑郁发生率为27.7%,焦虑发生率14.3%,焦虑、抑郁与心理健康呈正相关(均P<0.01)。因疫情延误产检、疫情对围生期的影响是孕产妇抑郁、焦虑的的共同危险因素。结论新型冠状病毒肺炎疫情期间,我国孕产妇焦虑、抑郁的发生率较高,影响因素较多。应重视孕产妇心理状态,进行个体化干预措施。

Objective To investigate the level of mental health of pregnant women during the COVID-19 epidemic,and to explore the influencing factors.Methods Totally 1261 pregnant women from 12 provinces and cities in China were investigated using the Patient Health Questionnaire(PHQ-9),7-tem Generalized Anxiety Disorder Scale(GAD-7)and 12-item General Health Questionnaire(GHQ-12)from February 22 to March 5,2020.Results The prevalence of depression was 27.7%and of anxiety was 14.3%.Anxiety and depression were positively correlated with mental health(P<0.01 for both).The delay of maternity check-ups and impact of the epidemic on perinatal period were the common risk factors of depression and anxiety.Conclusion Anxiety and depression were prevalent among pregnant women during the COVID-19 epidemic,and affected by multiple factors.Healthcare providers should pay attention to mental health of pregnant women and take person-centered interventions.