妊娠早期及中孕早期与晚期夫妇焦虑抑郁情绪比较

目的了解早孕期／中孕早期和晚期孕妇及其丈夫的心理健康状况，为开展孕期心理保健提供思路O方法对2010年6月至2011年6月期问在北京妇产医院产科门诊孕早期和中孕早期（8～16周）孕妇及其丈夫263对（早期组）和晚孕期（1〉28周）196对夫妇（晚期组）进行问卷调查和焦虑抑郁量表（HAD）测定。结果对于孕妇而言，晚孕组在焦虑和抑郁水平上都高于早期组，有显著性差异（t值分别为2．06和3．53，均P〈0．05）；对于丈夫而言，早期组和晚孕组在焦虑水平上没有显著差异（t=1．86，P〉0．05），在抑郁水平上，晚孕组显著高于早期组（t=2．44，P〈0．05）。早期组孕妇的焦虑和抑郁水平均显著高于丈夫（t值分别为2．08和2．17，均P〈0．05），晚孕组孕妇抑郁水平高于丈夫，有显著性差异（t=3．71，P〈0．05）。孕妇和其丈夫之间在焦虑和抑郁水平上都存在显著相关（尺值分别为0．405和0．371，均P〈0．01）。结论晚孕期孕妇在焦虑和抑郁水平上都高于早期组，孕妇和其丈夫之间在焦虑和抑郁水平上都存在显著相关。

Comparison of anxiety and depression of couples between first trimester and early period of second trimester with last trimester

Objective To understand the mental health status of pregnant women and their husbands during early pregnancy, early period of second trimester and third trimester, so as to provide some thoughts for psychological care in pregnancy period. Methods From June 2010 to June 2011,263 pregnant women with early pregnancy or early period of second trimester （8-16 weeks） and their husbands （early group） and 196 couples （ ≥28 weeks） with third trimester （late group） visiting the Obstetrics Clinic of Beijing Obstetrics and Gynecology Hospital Affiliated to Capital Medical University were surveyed with questionnaires and measured by hospital anxiety and depression scale （HAD）. Results For pregnant women, both the level of anxiety and depression were higher in late group than those in early group, and the difference was significant （ t value was 2.06 and 3.53, respectively, both P 〈 0. 05 ）. For husbands, there was no significant difference in anxiety between two groups （t = 1. 86 ,P 〉0.05）, but the depression level in late group was higher than that in early group （t =2.44 ,P 〈 0.05 ）. In early group the anxiety and depression level of pregnant women were both significantly higher than those of husbands （ t value was 2.08 and 2.17, respectively, both P 〈 0.05 ）, while in late group, maternal depression level was higher than husbands＇ （ t = 3.71, P 〈 0.05 ）. There was close association in anxiety and depression between pregnant women and husbands （ r value was 0.405 and O. 371, respectively, both P 〈0. O1 ）. Conclusion The level of anxietyand depression of pregnant women is higher in late group than that in early group. Anxiety and depression of pregnant women and those of their husbands are significantly associated with each other.