摘要
目的探讨影响产后抑郁发生的社会心理因素,为预防产后抑郁症提供理论依据。方法采用1:1配对的病例—对照流行病学研究设计,选择确诊的100例产后抑郁症患者为病例;同时选择就诊的非抑郁症产妇,以年龄(相差1岁以内)为配比变量,与病例1:1相匹配者为对照。通过问卷调查的方法收集2组人群的社会人口学特征、夫妻关系、母女关系、分娩情况、家庭经济收入及对婴儿性别的是否满意等信息。问卷的分析和统计采用单因素及多因素的条件logistic回归分析。结果产后抑郁症患者与丈夫关系融洽度低于对照组,且有统计学意义(OR=0.232,95%CI:0.103～0.526);对照组母女关系融洽度高于病例组,且有统计学意义(OR=0.590,95%CI:0.352～0.988);病例组孕期有负性生活事件的危险性高于对照组,且有统计学意义(OR=2.469,95%CI:1.098～5.553);产后抑郁症患者家庭经济收入稳定性低于对照组,且有统计学意义(OR=0.243,95%CI:0.093～0.634)。结论孕期发生负性生活事件可能增加孕妇发生产后抑郁症的危险性,产妇与丈夫及母亲关系融洽、家庭经济收入稳定可降低产妇产后抑郁症的发生。
[ Objective] To explore the social psychological factors that influences the occurrence of postpartum depression, and to provide theoretical evidence for the prevention of postpartum depression. [ Methods ] 1 ： 1 matching cases-- control epidemiological study design was adopted, 100 confirmed cases of postpartum depression were selected; I00 cases without postpartum depression were selected as control group, based on 1：1 matching principle, by age （a difference of less than 1-year-old） for the ratio variable. The 2 groups＇information of socio-demographic characteristics, marital relationship, mother-daughter relationships, childbirth, the family income and satisfaction with gender of the baby was collected by questionnaire survey. The questionnaires were analyzed by single factor and multi-factor conditional lo- gistic regression. [ Results] Compared with the control group, patients with postpartum depression tended to have worse relationships with their husband, the difference was significant {OR = 0. 232,95% CI：0. 103 - 0.526） ; to have worse mother-daughter relationship, the differ- ence was significant （ OR = 0. 590, 95% CI：0. 352 - 0. 988 ） ; to have higher risk factors of adverse life events during pregnancy, the difference was significant （OR =2.469, 95% Cl 1. 098 -5.553）, and to have lower stability of family economic income, the difference was significant （OR = 0. 243, 95% Cl： 0.093 -0. 634）. [ Conclusion] Adverse life events during pregnancy may increase the risk of postpartum depression. However, good relationships with husband and mother, and steady income can reduce the occurrence of postpartum depression.
出处
《职业与健康》
CAS
2009年第6期564-566,共3页
Occupation and Health
关键词
产后抑郁症
社会心理因素
病例对照
条件LOGISTIC回归
Postpartum Depression
Social psychological factors
Case-control study
Conditional logistic regression
