抑郁在妊娠晚期孕妇身体不满与母胎依恋间的中介效应

Mediating effect of depression between body dissatisfaction and maternal-fetal attachment in late pregnancy

目的探讨妊娠晚期孕妇抑郁在身体不满及母胎依恋间的中介效应。方法便利选取2022年7—8月在郑州市某三级甲等医院产科门诊做产前常规检查的246例妊娠晚期的孕妇为研究对象。使用母胎依恋关系量表、孕期身体感受测评量表及爱丁堡产后抑郁量表对其进行调查。结果妊娠晚期孕妇母胎依恋得分为(73.89±7.31)分、身体不满得分为(47.91±7.47)分、抑郁得分为(8.09±3.25)分。身体不满与抑郁呈正相关(P<0.001),与母胎依恋呈负相关(P<0.001);母胎依恋与抑郁呈负相关(P<0.001)。抑郁在身体不满与母胎依恋起部分中介作用,中介效应占总效应的60.25%。结论妊娠晚期孕妇抑郁、身体不满和母胎依恋关系密切,身体不满可通过抑郁间接影响母胎依恋。医护人员可通过降低孕妇的身体不满程度,改善抑郁状况,增强母胎依恋水平。

Objective To investigate the mediating effect of depression between body dissatisfaction and maternal-fetal attachment in late trimester pregnancy.Methods Convenient sampling was used to select 246 pregnant women in late trimester pregnancy who had routine prenatal checkups in the obstetric outpatient clinic in one tertiary grade-A hospital in Zhengzhou City from July 2022 to August 2022,and the investigation was conducted by using the Maternal Antenatal Attachment Scale,Body Understanding Measure Pregnancy Scale,and Edinburgh Postnatal Depression Scale.Results The score of maternal-fetal attachment,body dissatisfaction and depression was 73.89±7.31,47.91±7.47,and 8.09±3.25 respectively.Body dissatisfaction was positively associated with depression(P<0.001),negatively with maternal-fetal attachment(P<0.001),and maternal fetal attachment was negatively associated with depression(P<0.001).Depression played a partially mediating role between body dissatisfaction and maternal-fetal attachment,and the mediating effect accounted for 60.25%of the total effect.Conclusion Maternal depression,body dissatisfaction,and maternal-fetal attachment are closely related,and body dissatisfaction can indirectly affect maternal-fetal attachment through depression.The improved body dissatisfaction is conducive to the enhancement of maternal-fetal attachment and mental health.