共情能力与产后抑郁症状的相关性研究

A study on the relationship between empathy ability and postpartum depression

目的:探讨共情能力与产后抑郁症状的相关性。方法:对1366例符合入组标准的产后42 d回院进行产后保健的产妇,按照自愿原则进行一般人口学资料的收集,并进行爱丁堡产后抑郁量表(EPDS)、人际反应指针问卷(IRI-C)自评;以EPDS≥9分为划界值将入组者分组及组间比较;分析EPDS评分与IRI-C评分间的关系。结果:共有1351例产妇资料纳入分析,其中496例(36.7%)EPDS≥9分,归入抑郁症状组,855例归入非抑郁症状组。两组年龄和职业分布比较差异有统计学意义(P均<0.01)。抑郁症状组IRI-C总分及个人痛苦因子分明显高于非抑郁症状组,观点采择因子分明显低于非抑郁症状组(P均<0.01)。校正年龄、职业之后,IRI-C中的观点采择因子分(95%CI:0.87~0.95)、个人痛苦因子分(95%CI:1.15~1.27)与产后抑郁症状出现相关(P均<0.01)。结论:共情能力损害是产后抑郁症状发生发展的风险因素。

Objective:To explore the correlation between empathy and postpartum depression.Method:1366 pregnant women who met the inclusion criteria and returned to hospital for postpartum health care at 42 days after delivery were collected according to the principle of voluntariness,and self-evaluation was carried out by Edinburgh Postpartum Depression Scale(EPDS)and Interpersonal Response Index Questionnaire(IRI-C).The participants were grouped and compared between groups with the score of EPDS≥9 as the demarcation value.The relationship between EPDS score and IRI-C score was analyzed.Results:A total of 1351 cases of maternal data were included in the analysis,of which 496 cases(36.7%)with EPDS≥9 were included in the depressive symptom group and 855 cases in the non depressive symptom group.There were significant differences in age and occupation distribution between the two groups(both P<0.01).The total IRI-C score and personal distress score in the depressive symptom group were significantly higher than those in the non depressive symptom group,and perspective taking score was significantly lower than that in the non depressive symptom group(all P<0.01).After adjusting for age and occupation,perspective taking score(95%CI:0.87-0.95)and personal distress(95%CI:1.15-1.27)in IRI-C were correlated with the occurrence of postpartum depression(all P<0.01).Conclusion:The impairment of empathy is a risk factor for the occurrence and development of postpartum depression.