围生期孕产妇专业心理求助污名现状及影响因素分析

Stigma for seeking professional psychological help and its influencing factors among perinatal women

目的了解围生期孕产妇专业心理求助污名现状并分析其影响因素。方法选取湖南省2所三级甲等医院517名围生期孕产妇作为调查对象。使用一般资料问卷、寻求专业性心理帮助污名问卷、爱丁堡产后抑郁量表、自尊量表、多元心理健康素养量表进行调查,通过多元线性逐步回归分析围生期孕产妇专业心理求助污名的影响因素。结果围生期孕产妇专业心理求助污名总分为(21.16±6.10)分。多元线性回归分析结果显示,抑郁、自尊、心理健康素养是专业心理求助污名的影响因素(均P<0.05)。结论围生期孕产妇的专业心理求助污名处于中等偏低水平,可从个人、家庭、医护人员三方面采取针对性干预措施降低其专业心理求助污名水平,促进母婴健康。

Objective To investigate the status of stigma for seeking professional psychological help among perinatal women and analyze the influencing factors.Methods A total of 517 perinatal women were enrolled and completed the general information questionnaire,the Questionnaire of Stigma for Seeking Professional Psychological Help(SSPPH),the Edinburgh Postnatal Depression Scale(EPDS),the Self-Esteem Scale(SES)and the Multiple Mental Health Literacy Measure(MMHLM).Multiple stepwise li-near regression model was used to analyze the influencing factors of stigma for seeking professional psychological help.Results The perinatal women scored(21.16±6.10)points in stigma for seeking professional psychological help.Multiple stepwise linear regression analysis results showed that depression,self-esteem,mental health literacy were influencing factors of stigma for seeking professional psychological help(all P<0.05).Conclusion The level of stigma for seeking professional psychological help among perinatal women was slightly below medium level.Diverse and targeted measures were should be taken at individual,family,and health care worker level,in a effort to reduce the level of stigma for seeking professional psychological help among perinatal women,and facilitate maternal and infant health.