摘要
目的 了解围产期抑郁女性及其配偶寻求专业心理帮助的意向及影响因素。方法 方便抽样法选取2023年3—6月在同济大学附属第一妇婴保健院就诊的267对围产期抑郁女性及其配偶作为研究对象。研究工具包括一般资料调查表、爱丁堡产后抑郁量表、一般求助问卷和寻求专业心理帮助污名的问卷。结果 围产期抑郁女性、配偶寻求专业心理帮助意向得分分别为(12.17±4.06)分、(12.61±3.88)分,差异无统计学意义(P>0.05);寻求专业心理帮助污名的问卷得分分别为(21.21±5.36)分、(22.58±5.61)分,差异有统计学意义(P<0.01)。多重线性回归分析显示,心理疾病史、心理求助史、是否了解围产期抑郁、自我污名是围产期抑郁女性寻求专业心理帮助意向的影响因素(均P<0.01);教育程度、公众污名是配偶寻求专业心理帮助意向的影响因素(P<0.05或P<0.01)。结论 围产期抑郁女性及其配偶寻求专业心理帮助意向处于中等水平,配偶在寻求专业心理帮助时的污名感高于女性。妇幼保健人员应加强夫妻在围产期的心理健康教育,帮助其正确认识围产期抑郁,理解寻求专业心理帮助的必要性,促进夫妻求助行为。
Objective To find out the intention of perinatally depressed women and their spouses to seek professional psychological help and the influencing factors.Methods The convenient sampling method was used to select 267 pairs of perinatally depressed women and their spouses who attended the First Maternity and Infant Hospital Affiliated to Tongji University from March to June 2023 as research subjects.The study methods included a general information questionnaire,the Edinburgh Postnatal Depression Scale,a General Help-Seeking Questionnaire,and the Questionnaire of Stigma for Seeking Professional Psychological Help.Results Perinatally depressed women and their spouses scored 12.17±4.06 and 12.61±3.88 on the intention to seek professional psychological help(P>0.05),and 21.21±5.36 and 22.58±5.61 on the Questionnaire of Stigma for Seeking Professional Psychological Help(P<0.05).Multiple linear regression analysis indicated that history of mental illness,history of psychological help-seeking,knowledge of perinatal depression,and self-stigma were the influencing factors of perinatally depressed women′s intention to seek professional psychological help(all P<0.01);and education level and public stigma were the influencing factors of spouses′intention to seek professional psychological help(P<0.05 or P<0.01).Conclusions Perinatally depressed women and their spouses′intention to seek professional psychological help is at an intermediate level,and their spouses show a higher sense of stigma than the women when seeking professional psychological help.Maternal and child health care personnel should strengthen the mental health education of couples during the perinatal period,in order to help them correctly recognize perinatal depression,understand the necessity of seeking professional psychological help,and promote couples′help-seeking behavior.
作者
邹沁含
段霞
ZOU Qinhan;DUAN Xia(School of Medicine,Tongji University,Shanghai 200092,China;Department of Anesthesiology,Shanghai Ninth People′s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200011;Department of Nursing Care,the First Maternity and Infant Hospital Affiliated to Tongji University,Shanghai 201204)
出处
《徐州医科大学学报》
CAS
2024年第7期540-546,共7页
Journal of Xuzhou Medical University
基金
上海市“科技创新行动计划”医学创新研究专项项目(21Y11905900)。
关键词
围产期抑郁
寻求专业心理帮助意向
影响因素
围产期抑郁女性
配偶
perinatal depression
intention to seek professional psychological help
influencing factors
perinatally depressed women
spouses
