摘要
目的探讨产后抑郁的影响因素及个体心理干预效果,为产后抑郁的防治提供参考。方法选择2016年2月-2018年2月在泸县妇幼保健院妇产科分娩、爱丁堡产后抑郁量表(EPDS)评分≥9分且符合《中国精神障碍分类与诊断标准(第3版)》(CCMD-3)产后抑郁症诊断标准的产妇62例,采用自制影响因素调查问卷进行调查,分析产妇发生抑郁症状的主要影响因素。采用随机数字表法将62例产妇分为对照组和观察组各31例,对照组给予常规心理疏导,观察组给予个体化心理干预,均干预7天。干预前和干预后,采用EPDS和汉密尔顿抑郁量表17项版(HAMD-17)评定产妇抑郁症状。结果 62例产妇产后抑郁的影响因素中,受分娩疼痛、激素变化影响出现情感脆弱(30.65%)的比例最高,其次为难以做好母亲角色转变(24.19%)和难以适应分娩后自身变化(17.74%)。干预后,观察组EPDS和HAMD-17评分均低于对照组,差异均有统计学意义[(13.26±4.36)分vs.(17.63±3.56)分,(14.02±6.13)分vs.(25.32±5.54)分,t=14.272、12.526,P均<0.05]。结论产后抑郁的心理因素较多,个体化心理干预对产后抑郁的改善效果优于常规心理疏导。
Objective To explore the influencing factors of postpartum depression and the efficacy of individual psychological intervention,so as to provide references for prevention and treatment for postpartum depression.Methods The participants were 62 women who delivered at Obstetric and Gynecology Hospital of Luxian from February 2016 to February 2018.Their score of Edinburgh Postnatal Depression Scale(EPDS)was above 9 points and the symptoms were in line with the postpartum depression diagnostic criteria of Chinese Classification and Diagnostic Criteria of Mental Disease,third edition(CCMD-3).Data was collected by questionnaires that were designed for analyzing main influencing factors of postpartum depression.Participants were randomly divided into two groups(31 participants in each group).The control group was intervened by routine psychological counseling while the observation group was intervened by individual psychological intervention.Before and after the intervention,the EPDS and Hamilton Depression Scale-17 item(HAMD-17)were used to assess the degree of maternal depression.Results The proportion of emotional vulnerability(30.65%)was the highest,and difficult to adjust the new role of being a mother shows the second-highest(24.19%)relation to postpartum depression.Having difficulties to adapt to the change of delivery indicate obvious relation to postpartum depression(17.74%);After the intervention,the scores of the EPDS and HAMD-17 of observation group were lower than those of control group,and the differences were statistically significant[(13.26±4.36)vs.(17.63±3.56),(14.02±6.13)vs.(25.32±5.54),t=14.272,12.526,all P<0.05].Conclusion The influencing factors of postpartum depression are various,and the efficacy of individual psychological intervention on improving symptoms of postpartum depression is better than routine psychological counseling.
作者
吴海燕
陈超梅
张龙
Wu Haiyan;Chen Chaomei;Zhang Long(Obstetric and Gynecology Hospital of Luxian,Luzhou 646106,China;Convalescent Hospital of Luxian,Luzhou 646106,China)
出处
《四川精神卫生》
2018年第3期255-258,共4页
Sichuan Mental Health
关键词
产后抑郁
影响因素
调查
心理干预
Postpartum depression
Influencing factors
Investigation
Psychological intervention
