新冠肺炎流行期间北京市孕妇的焦虑抑郁症状及睡眠状况

Anxiety,depression and insomnia in pregnant women during the COVID-19 epidemic in Beijing

目的:评估新冠肺炎流行期间孕妇的焦虑抑郁症状与睡眠问题及其相关因素。方法:2020年2月28日-4月26日,通过网络问卷平台调查北京四家助产机构就诊的885例孕妇的焦虑抑郁症状及睡眠问题。采用广泛焦虑量表(GAD-7)评估焦虑症状,采用患者健康问卷抑郁症状群量表(PHQ-9)评估抑郁症状,采用失眠严重程度指数量表(ISI)评估失眠症状。结果:本样本中焦虑症状、抑郁症状及失眠症状检出率分别为12.2%,24.6%和13.6%。缺少照顾(OR=1.73)、有分娩担忧(OR=3.95)及心理弹性差(OR=4.57)是焦虑症状的危险因素;家庭收入高(OR=1.94)、有分娩担忧(OR=2.39)及心理弹性差(OR=3.04)是抑郁症状的危险因素;除已婚外其他婚姻状况(OR=4.95)、孕周较长(13~27周,OR=2.03;28周及以上,OR=2.13)、有躯体疾病史(OR=1.77)、存在分娩担忧(OR=2.78)及心理弹性差(OR=1.67)是失眠症状危险因素。结论:新冠肺炎流行期间北京市孕妇焦虑症状、抑郁症状及失眠症状常见,尤其是存在分娩担忧及心理弹性差的孕妇。

Objective:To evaluate the anxiety,depression and sleep problems and the related factors in preg-nant women and during the COVID-19 epidemic.Methods:Totally 885 pregnant women were recruited in and surveyed by online self-evaluating questionnaire from Feb 28th to April 26th,2020 in four hospitals.The psychological assessment included Generalized Anxiety Disorder Scale(GAD-7)for anxiety symptoms,Patient Health Questionnaire(PHQ-9)for depressive symptoms,and insomnia severity index(ISI)for insomnia sy mptoms.Results:In this sample,the detection rates of anxiety symptoms,depressive symptom and insomnia symptoms were 12.2%,24.6% and 13.6% respectively.Less care(OR=1.73),delivery worries(OR=3.95)and poor psychological resilience(OR=4.57)were risk factors for anxiety symptoms.High family income(OR=1.94),delivery worries(OR=2.39)and poor resilience(OR=3.04)were risk factors for depressive symptoms.Other marital status except married(OR=4.95)and larger gestational weeks(13-27 weeks,OR=2.03;28 weeks or more,OR=2.13),history of somatic disease(OR=1.77),delivery worries(OR=2.78)and poor psychological resilience(OR=1.67)were risk factors for insomnia symptoms.Conclusion:Anxiety symptoms,depression symptoms and insomnia symptoms of pregnant women in Beijing are more common during the COVID-19 epidemic,especially in those with delivery worries and poor psychological resilience under COVID-19.