摘要
目的:探讨不同年龄孕妇抑郁发生状况及其产科相关因素。方法:选取2015年9月至2016年9月在复旦大学附属妇产科医院首次产检的6923名孕妇,分为低龄组(277名)、适龄组(5829名)和高龄组(817名)。对各组进行抑郁自评量表(SDS)筛查,以标准分≥50分为筛查阳性,分析各组抑郁筛查情况及其产科相关因素。结果:孕妇抑郁筛查阳性率为23.15%,组间差异具有统计学意义(P<0.05)。单因素分析显示,低龄组孕次、产次与抑郁筛查阳性有关;适龄组孕次、产次、不良孕产史、既往剖宫产史均与抑郁筛查阳性有关;高龄组产次与抑郁筛查阳性有关(P均<0.05)。多因素分析显示,相对于既往有怀孕史的初产妇,各组初次怀孕者抑郁筛查阳性的风险均较低;高龄组经产妇抑郁筛查阳性的风险也较低(P<0.05或P<0.01)。适龄组有不良孕产史者抑郁筛查阳性的风险较高(P<0.01)。低龄组孕前体质量指数(BMI)≥24者抑郁筛查阳性的风险较低(P<0.05)。结论:不同年龄孕妇的抑郁筛查阳性率及其产科相关因素不同,低龄孕妇、有不良孕产史的适龄孕妇的心理状态需重点关注。
Objective:To investigate the status of depression in pregnant women of different ages and analyze obstetric related factors.Method:A total of 6923 pregnant women who underwent the first prenatal examination in the Obstetrics and Gynecology Hospital of Fudan University were divided into younger group(n=277),age-appropriate group(n=5829)and elderly group(n=817).Each group was screened with Self-rating Depression Scale(SDS),and the standard score≥50 was positive for screening.Depression screening of pregnant women in all age groups and obstetric related factors were analyzed.Results:The positive rate of depression screening in the pregnant women was 23.15%,with statistically significant difference among the three groups(P<0.05).Univariate analysis showed that gravidity and parity were related to depression in the younger group;gravidity,parity,history of adverse pregnancies and history of previous cesarean section were all related to depression in the age-appropriate group;parity was also related to depression in the elderly group(all P<0.05).Multivariate analysis showed that the risk of depression for the first time pregmant woman was lower than primiparas with a history of pregnancy in the three groups;the pluriparas in the older group also had a lower risk of depression(P<0.05 or P<0.01).In the age-appropriate group,pregnant women with a history of adverse pregnancies were at higher risk of depression(P<0.01).In the younger group,pregnant women with pre-pregnancy body mass index(BMI)≥24 had a lower risk of depression(P<0.05).Conclusion:The positive rate of depression screening and obstetric related factors in the pregnant women of different ages was different.More attention should be paid to the psychological status of younger pregnant women and pregnant women of appropriate age with a history of adverse pregnancies.
作者
胡瑶
蔡美玉
胡卫红
贺木兰
夏贤
HU Yao;CAI Mei-yu;HU Wei-hong;HE Mu-lan;XIA Xian(Shanghai Mental Health Center,Shanghai 200030,China)
出处
《临床精神医学杂志》
2020年第5期304-307,共4页
Journal of Clinical Psychiatry
基金
国家重点研发计划资助项目(2016YFC1000403)
上海市精神卫生中心院级课题(2016-YJ-06)。
关键词
抑郁
孕妇
年龄因素
产科相关因素
depression
pregnant women
age factors
obstetric related factors
