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1.
目的对比孕妇在不同孕期情绪状态的差异,探讨非意愿妊娠对不同孕期孕妇情绪状态影响的异同。方法随机选取1237名被试(早孕406人、中孕402人、晚孕429人),收集被试的人口学信息并完成症状自评量表(SCL-90)。进行数据描述统计,方差分析,LSD检验以及独立样本t检验。结果非意愿妊娠被试占42.80%。方差分析显示,孕妇晚孕期的情绪状态在躯体化(F=4.984,P<0.01)、人际敏感(F=4.226,P<0.05)、抑郁(F=3.495,P<0.05)、恐怖(F=7.354,P<0.01)、精神(F=4.603,P<0.05)5个方面明显优于早孕期与中孕期。t检验及折线图表明,早中孕期意愿妊娠组孕妇在人际(t=-2.523,P<0.05)、抑郁(t=-3.607,P<0.01)、焦虑(t=-2.852,P<0.01)、偏执(t=-3.184,P<0.01)、精神(t=-2.070,P<0.05)5个方面优于非意愿妊娠组。晚孕期,非意愿妊娠影响孕妇的躯体化(t=-2.886,P<0.01)、强迫(t=-2.713,P<0.01)、抑郁(t=-3.406,P<0.01)、焦虑(t=-2.744,P<0.01)及精神(t=-2.542,P<0.05)5个维度。结论晚孕期孕妇情绪明显优于早中孕期,但都在一定程度上受非意愿妊娠的影响。  相似文献   

2.
目的考察应对方式和神经质在生活事件与负性情绪间的中介作用。方法采用青少年生活事件问卷、大五人格问卷-神经质分量表、流调中心用抑郁量表、应对方式量表、状态特质焦虑量表对3010名大学生进行调查。结果神经质以及生活事件各因子与焦虑、抑郁均呈显著正相关(P<0.01);问题解决和求助的应对方式与抑郁、焦虑均呈显著负相关(r=-0.09,-0.13,-0.16,-0.19;P<0.01),而其他应对方式与抑郁、焦虑均呈显著正相关(P<0.01);神经质、应对方式在生活事件与负性情绪间的中介效应显著(F=240.17,P<0.01)。结论大学生负性情绪与生活事件、人格特质中的神经质和不成熟的应对方式密切相关;神经质和应对方式在生活事件的应激对大学生负性情绪的影响中起着部分中介作用。  相似文献   

3.
目的:探讨急进高原新兵状态-特质焦虑、抑郁特点及相关因素。方法:采用状态-特质焦虑问卷(STAI)、抑郁自评量表(SDS)、创伤后应激障碍自评量表(PCL-C)、阿森斯失眠量表(AIS)、神经质量表(Nf)对急进高原800名新兵进行团体心理测评。结果:①急进高原新兵状态、特质焦虑发生率分别为30.1%和31.4%,其中,重度状态、特质焦虑发生率分别为3.1%和2.3%,抑郁发生率为19.5%,其中,重度抑郁为0.4%;②急进高原新兵SDS得分显著高于平原新兵(t=2.462;P0.05)。SAI和TAI得分显著低于平原新兵(t=-3.681,-4.509;P0.01);③急进高原新兵年龄≤18岁组TAI得分显著高于≥21岁组(F=3.534;P0.05),文化程度低组TAI得分显著高于文化程度高组(t=2.426;P0.05);④STAI得分和SDS得分与创伤后应激障碍(PTSD)、失眠、神经质、高原反应呈显著正相关(r=0.286~0.679;P0.01)。结论:急进高原新兵存在状态、特质焦虑以及抑郁。特质焦虑呈现一定的年龄和文化特征,状态-特质焦虑、抑郁与创伤后应激、失眠、神经质、高原反应密切相关。  相似文献   

4.
目的研究广州市中学生情绪障碍现状及其特点,情绪障碍与学习成绩的关系。方法采用BDI抑郁自评量表、STAI状态-特质焦虑量表、GHQ健康量表对广州市6所中学进行分层抽样调查,收集被试期末成绩,研究原始分数与情绪障碍的关系。结果 1初一和初二学生焦虑情绪分值不属于正常范围,分别占其总人数的32.32%和33.85%。初一学生心理不健康比例比初二少6.62%;2随年级升高,高中学生异常抑郁情绪比例呈递减关系。高中学生焦虑情绪分数没落在正常范围的比例分别为高一36.84%、高二20.5%、高三35.9%;3中学生情绪障碍与学习成绩相关显著:抑郁(r=-0.198,P<0.05)、焦虑(r=-0.236,P<0.05)、心理健康状况(r=-0.213,P<0.05)。结论广州市中学生抑郁和焦虑情绪障碍现状都比较差,应给予重视。  相似文献   

5.
目的:探讨男性服刑人员抑郁、状态-特质焦虑特点及与自动思维的关系。方法:采用抑郁自评量表(SDS)、状态-特质焦虑问卷(STAI)和自动思维问卷(ATQ)对四川省某监狱903名服刑人员进行团体心理测评,进行t检验、单因素方差分析和相关分析。结果:①服刑人员抑郁症状阳性发生率为68.8%,其中,重度抑郁为6.3%;状态、特质焦虑阳性发生率分别为86.9%和83.1%,其中,重度状态、特质焦虑分别为19.3%和16.9%;②服刑人员SDS、SAI和TAI得分均显著高于常模(t=22.11,15.66,12.21;P0.01);③服刑人员SDS得分存在显著的年龄组间差异(F=5.724,P0.01),呈现随年龄增长而上升的趋势;④服刑人员SDS、SAI和TAI得分在受教育程度上存在显著的组间差异(F=12.019,7.251,6.270;P0.01),受教育程度越高,得分越低;⑤SDS、SAI、TAI与ATQ得分显著正相关(r=0.466,0.486,0.599;P0.01)。结论:服刑人员存在明显抑郁和焦虑症状,呈现一定的年龄、文化特征,抑郁和焦虑程度与自动思维明显相关,在心理教育矫治中应考虑这些因素。  相似文献   

6.
目的:探索新冠肺炎疫情暴发期间医务人员与非医务人员焦虑抑郁水平及相关因素。方法:通过微信公众号方式发放在线问卷,共调查医务人员170名,非医务人员217名。内容包括一般情况调查表、广泛性焦虑量表(GAD-7)、患者健康问卷(PHQ-9)和心理弹性量表(CD-RISC-10),采用logistic回归分析焦虑、抑郁情绪的相关因素。结果:医务人员中抑郁情绪检出率42.9%,焦虑情绪检出率46.5%。非医务人员抑郁情绪检出率62.7%,焦虑情绪检出率52.5%。在所有被调查者中,非医务人员(OR=0.58,95%CI:0.36~0.93,P<0.05)是抑郁情绪的危险因素,接触(疑似)感染者(OR=2.63,95%CI:1.43~4.85,P<0.01)是焦虑情绪的危险因素。心理弹性差是抑郁情绪(医务人员:OR=10.36,95%CI:3.46~31.05,P<0.001,非医务人员:OR=17.14,95%CI:6.39~45.97,P<0.001)和焦虑情绪(医务人员:OR=14.30,95%CI:4.68~43.69,P<0.001,非医务人员:OR=11...  相似文献   

7.
目的:通过对焦虑障碍患者个性倾向、自我效能感、特质焦虑等影响因素的相关研究,探讨焦虑障碍可能的病理心理学机制。方法:采用病例对照研究,对144例焦虑障碍患者和144名健康人利用中国人个性量表-情感量表(CPAI2-E)、状态-特质焦虑问卷(STAI)、自我效能感量表(GSES)评定。结果:①患者组情感量表的诸因子得分显著高于对照组(P<0.01);②患者组特质焦虑得分显著高于对照组,而自我效能感得分对照组高于患者组(P<0.01);③状态焦虑与情感量表各因子、特质焦虑呈正相关(r=0.459~0.781,P<0.01),与自我效能感量呈负相关(r=-0.332,P<0.01)。④多元逐步回归分析发现,特质焦虑和焦虑紧张因子与焦虑情绪的关系更为密切。结论:特质焦虑、抑郁、焦虑紧张、躯体症状、躯体化、性适应不良及自卑倾向等诸多因素间的交互作用可能是焦虑障碍发生的病理心理学基础,特质焦虑与焦虑情绪的关系更为密切。  相似文献   

8.
目的:探讨大学生负性情绪调节预期、负性生活事件与状态焦虑之间的关系。方法:使用负性情绪调节预期量表、青少年生活事件量表和状态-特质焦虑问卷对安徽某高校的300名大学生进行问卷调查。结果:1大学生状态焦虑水平在生源地方面存在显著差异(F=3.473,P<0.05),在辅导员管理方式方面存在显著性差异(F=3.932,P<0.05);2负性情绪调节预期与状态焦虑存在显著负相关(r=-0.478,P<0.01),且负性情绪调节预期对状态焦虑具有显著地负向预测作用;3负性生活事件与状态焦虑之间存在显著正相关(r=0.278,P<0.01),且负性生活事件对状态焦虑具有显著地正向预测作用。结论:大学生负性情绪调节预期水平越低,承受的负性生活事件越多,状态焦虑水平就越高。  相似文献   

9.
目的分析孕妇总体幸福感及影响因素,以便提高孕妇的生活质量。方法采用焦虑、抑郁自评量表、社会支持量表、总体幸福感量表对200名孕妇和80名非妊娠妇女进行调查。结果孕妇的总体幸福感与焦虑、抑郁程度及社会支持分别为(123.33±12.05;39.41±7.34;38.36±6.53;41.89±6.34),较非妊娠妇女增高(P<0.05或0.01)。孕妇受教育程度、收入、社会支持与总体幸福感呈显著正相关。高学历孕妇的社会支持及总体幸福感均高于低学历者(P<0.05~0.01)。结论孕妇孕期会得到更多社会支持,从而减少负性情绪对自身心理的影响,从而提高孕妇的幸福感,高学历者更为明显。  相似文献   

10.
目的:探讨军人在参加演练任务期间心理素质与焦虑抑郁的关系,为演练官兵心理素质训练提供参考依据。方法:随机抽取某部参加演练任务的官兵429名,采用军人心理素质量表、抑郁自评量表、状态-特质焦虑量表进行问卷调查。结果:(1)演练官兵心理素质总分及除勇敢外各因子显著高于军人常模(t=2.27,4.83,2.27,6.95,3.32;P0.05);(2)演练官兵状态焦虑和特质焦虑得分显著低于全国常模(t=-12.27,-9.84,P0.01),抑郁得分显著高于全国常模(t=2.48,P0.05);(3)单因素方差分析显示,不同心理素质演练官兵状态焦虑、特质焦虑和抑郁分差异显著(F=3.15,5.29,5.02;P0.05);(4)演练官兵状态焦虑、特质焦虑和抑郁得分与心理素质得分显著负相关(t=-0.49~0.61,P0.01);回归分析显示心理素质忠诚、耐挫因子负向预测状态焦虑(β=-0.24,-0.37;P0.05),勇敢、自信因子负向预测抑郁得分(β=-0.29,-0.33;P0.01)。结论:演练官兵心理素质良好,心理素质对演练官兵焦虑抑郁状态影响明显,需要采取选拔、训练等干预措施,提升官兵心理素质和心理健康。  相似文献   

11.
Accumulating evidence suggests that pregnancy does not protect women from mental illness. The aim of this study was to assess the prevalence, sociodemographic correlates, and the risks factors for perinatal depression and anxiety. Five hundred ninety women between 28th and the 32nd gestational weeks were recruited and submitted to a sociodemographic, obstetric, and psychological interview. The Edinburgh Postnatal Depression Scale (EPDS) and the state-trait anxiety inventory (STAI-Y) were also administered in antenatal period and 3?months postnatally. The Structured Clinical Interview for DSM-IV (SCID-I) was used to diagnose mood and anxiety disorders. Three months after delivery, EPDS was administered by telephone interview. Women with an EPDS score ≥10 were 129 in antenatal period (21.9%) and 78 in postnatal period (13.2%). During pregnancy 121 women (20.5%) were positive for STAI-Y state and 149 women (25.3%) for STAI-Y trait. The most important risk factors for antenatal depression are: foreign nationality, conflictual relationship with family and partner, and lifetime psychiatric disorders. The principal risk factors for postnatal depression are: psychiatric disorders during pregnancy and artificial reproductive techniques. Psychiatric disorders, during and preceding pregnancy, are the strongest risk factors for antenatal state and trait anxiety. Antenatal depressive and anxiety symptoms appear to be as common as postnatal symptoms. These results provide clinical direction suggesting that early identification and treatment of perinatal affective disorders is particularly relevant to avoid more serious consequences for mothers and child.  相似文献   

12.
Summary Objectives: To estimate the prevalence and risk factors for antenatal anxiety (AA) and antenatal depression (AD). Methods: We performed a cross sectional study of 432 women attending a private clinic in the city of Osasco, S?o Paulo, from 5/27/1998 to 5/13/2002. The following instruments were used: Spielberger state-trait anxiety inventory (STAI), Beck depression inventory (BDI), and a questionnaire for socio-demographic and obstetric data. Inclusion criteria were: pregnant women with no past or present history of depression, psychiatric treatment, alcohol or drug abuse and no clinical and obstetric complications. The prevalence of AA, according to STAI, and AD, according to Beck Inventory, were estimated with 95% confidence intervals (95% CI). Odds ratios and 95% CI were used to examine the association between AA and AD and exposures variables. Results: The prevalence of AA, state and trait were 59.5 (95 CI%: 54.8:64.1%) and 45.3% (95% CI: 40.6:50.0), respectively. The prevalence of AD was 19.6 (95% CI:15.9:23.4). In the multivariate analysis, AA-trait (OR: 5.26; 95% CI 2.17:12.5, p < 0.001), AA-state (OR: 2.27; 95% CI 1.08:4.76, p = 0.02) and AD (OR: 2.43; 95% CI 1.40:4.34, p = 0.002) were associated with lower women’s educational level. AA-trait (OR: 3.43; 95% CI 1.68:7.00, p = 0.001), AA-state (OR: 2.22; CI 95% 1.09:4.53, p = 0.02) and AD (OR: 2.82; CI 95% 1.35:5.97, p = 0.005) were also associated with not being married. AA-trait was associated with lower women’s income (OR: 2.22; 95% CI 0.98:5.26, p = 0.05) and not being white (OR: 1.7; 95% CI 1.00:2.91, p = 0.04), while AD was associated with lower couple’s income (OR: 2.43; 95% CI 1.40:4.34, p = 0.001) and greater number of previous abortions (OR: 2.21; 95% CI 1.23:3.97, p = 0.009). Conclusions: Prevalence of AA and AD were high in this sample of women attending a private care setting, particularly AA state and trace. AA and AD were associated with similar socio-demographic and socio-economic risk factors, suggesting some common environmental stressors may be involved.  相似文献   

13.
Black women and Latinas have more symptoms of depression and anxiety during pregnancy than do their non‐Latina White counterparts. Although effective interventions targeting internalizing disorders in pregnancy are available, they are primarily tested with White women. This article reviews randomized controlled trials and non‐randomized studies to better understand the effectiveness of psychological interventions for anxiety and depression during pregnancy in Latinas and Black women. Additionally, this review summarizes important characteristics of interventions such as intervention format, treatment modality, and the use of cultural adaptations. Literature searches of relevant research citation databases produced 68 studies; 13 of which were included in the final review. Most studies were excluded because their samples were not majority Latina or Black women or because they did not test an intervention. Of the included studies, three interventions outperformed a control group condition and showed statistically significant reductions in depressive symptoms. An additional two studies showed reductions in depressive symptoms from pretreatment to post‐treatment using non‐controlled designs. The remaining eight studies (seven randomized and one non‐randomized) did not show significant intervention effects. Cognitive behavioral therapy was the modality with most evidence for reducing depressive symptoms in pregnant Black and Latina women. No intervention was found to reduce anxiety symptoms, although only two of the 13 measured anxiety as an outcome. Five studies made cultural adaptations to their treatment protocols. Future studies should strive to better understand the importance of cultural modifications to improve engagement and clinical outcomes with pregnant women receiving treatment for anxiety and depression.  相似文献   

14.
Summary Objective: This study investigated the prevalence and nature of generalized anxiety symptoms in women who were eight weeks postpartum. Method: A community-based sample of 68 postpartum women completed an interview assessing generalized anxiety disorder and depression and a self-report measure of worry associated with concerns relevant to postpartum women. Results: Three women (4.4%) met DSM-IV criteria for generalized anxiety disorder, and an additional 19 women (27.9%) endorsed subsyndromal difficulties with generalized anxiety. Approximately one third of these women endorsed symptoms of depression. In contrast, only two woman met criteria for major depressive disorder. Conclusion: Postpartum generalized anxiety has a higher prevalence than postpartum depression. Received February 26, 2002; accepted November 11, 2002 Published online January 31, 2003 Acknowledgement This work was supported by a New Faculty Scholar Award and a Graduate Research Fellowship from the University of North Dakota. The authors would like to express their appreciation to Jennifer Brendle, Peter Schmutzer, Talia Tweten, and Chad Lystad for their assistance with this research. Correspondence: Amy Wenzel, Ph.D., Department of Psychology, University of North Dakota, Grand Forks, ND 58202-8380, U.S.A.; e-mail: amy_wenzel@und.nodak.edu  相似文献   

15.
BACKGROUND: The purpose of this study was to assess how seasonal changes in mood and behaviour were associated with depression and anxiety symptoms in a sample from a general population, and to investigate how prevalence figures were affected by month of questionnaire completion. METHODS: The target population included all individuals in the Hordaland county (Norway) born 1953-57 (N=29,400). In total, 8598 men (57% response rate) and 9983 women (70% response rate) attended the screening station. Half of the men (randomly chosen) and all of the women were offered a questionnaire to fill in with items on seasonality. This was measured using the Global Seasonality Score (GSS), a central component of the Seasonal Pattern Assessment Questionnaire (SPAQ). The Hospital Anxiety and Depression Scale (HADS) was used to measure anxiety and depression. Both questionnaires were completed by 2980 men (68.9%) and 8074 women (80.9%). RESULTS: Seasonality was positively associated with levels of both anxiety and depression regardless of the season the interview took place. In subjects with a low/moderate degree of seasonality there were modestly higher levels of depressive symptoms during November through March than the other months. LIMITATIONS: We had a substantial number of non-responders. CONCLUSIONS: Our results raise the possibility of seasonality being a separate dimensional trait associated with both anxiety and depression.  相似文献   

16.
目的:了解妇女在围产期不同时点的抑郁症状检出率及其影响因素。方法:2016年9月到2017年2月,在两家妇幼保健院进行产检的508名妇女中完成了全部时点的随访(从孕早期至产后6周,随访7次),使用爱丁堡产后抑郁量表(EPDS)进行抑郁筛查,计算所有时点的抑郁症状检出率,同时在各个时点测量抑郁影响因素。结果:7次随访的抑郁症状检出率为24.8%~37.6%;产后两个时点的中重度抑郁症状检出率均高于轻度抑郁症状(13.0%~14.3%vs.11.8%~13.0%,均P<0.05)。孕早期抑郁症状(OR=2.54、2.05)和产后焦虑(OR=1.43、1.13)与产后1周及产后6周的抑郁症状均正向关联;孕早期焦虑与孕12周至40周共5个时点的抑郁症状正向关联(OR=7.27、1.28、1.18、1.18、1.18)。结论:围产期不同时点的抑郁症状检出率不同,焦虑在整个围产期都与抑郁持续相关。  相似文献   

17.
Access to treatment for postnatal anxiety and depression is dependant on women seeking help for psychological symptoms. The aim of this paper was to investigate what women themselves say about seeking help for emotional difficulties after childbirth. The Maternal Health Study is a prospective pregnancy cohort study investigating the physical and psychological health of 1,507 nulliparous women during pregnancy and after birth. One thousand, three hundred eighty-five women completed a computer-assisted telephone interview at 9 months postpartum; 8.5% of women reported intense anxiety or panic attacks occasionally or often, and 9.5% reported depressed mood, between 6 and 9 months postpartum. Of those experiencing anxiety symptoms alone 44.4% had spoken to a health professional, compared with 65.5% of women experiencing depressive symptoms alone (RR = 0.68, 95% CI—0.5 to 0.9). Measures of anxiety and depressive symptoms at 9 months postpartum were not validated against diagnostic criteria. Anxiety is a common experience in the perinatal period. More research is needed into this area to determine what levels of anxiety are ‘normal’ and acceptable to women during this period. Public health campaigns may have been more effective in encouraging women to seek help for depression than anxiety.  相似文献   

18.
There is a high prevalence of depression in Germany and all over the world. Maternal depressive symptoms during pregnancy have been shown in some studies to be associated with an increased risk of preterm birth and low birth weight. The influence of maternal depressive symptoms during pregnancy on preterm delivery and fetal birth weight was investigated in a prospective single-centre study. A sample of 273 healthy pregnant women was assessed for symptoms of antepartum depression. Symptoms were measured using the Edinburgh Postnatal Depression Scale (EPDS) and the Patient Health Questionnaire (PHQ). Symptoms of anxiety were assessed using the State/Trait Anxiety Inventory. Patients who scored above the cutoff were contacted by phone for a Structured Clinical Diagnostic interview. Neonatal measurements were obtained from the birth registry of the Department of Obstetrics. Baseline data were assessed with a self-styled data sheet. Prevalence of elevated depressive symptoms was 13.2 % when measured with the EPDS and 8.4 % with the PHQ. According to DSM-IV criteria, only four (EPDS) respective two (PHQ-D) of these patients could be diagnosed with a depressive disorder and ten (EPDS) respective seven (PHQ) with an anxiety disorder. There was no significant influence on preterm birth or birth weight. Maternal depressive symptoms are self-reported. Elevated subclinical symptoms of depression and anxiety during pregnancy are common. However, this study showed no evidence that these symptoms are associated with adverse pregnancy outcome.  相似文献   

19.
Depression, and disabling levels of mixed depressive, anxious and somatic symptoms, termed common mental disorder, occurring in the perinatal period are an important health problem in low- and middle-income countries. In this cross-sectional study, pregnant women were recruited from a district hospital antenatal clinic in Malawi. Symptoms of depression and anxiety, and non-specific somatic symptoms commonly associated with distress, were measured using validated local versions of the Self Reporting Questionnaire (SRQ). In a sub-sample, Diagnostic Statistical Manual (DSM)-IV diagnoses of major and minor depressive disorders were made using the Structured Clinical Interview for DSM-IV. Maternal socio-demographic and health variables were measured, and associations with SRQ score and depression diagnosis were determined. Of 599 eligible women, 583 were included in the analysis. The adjusted weighted prevalence of current major depressive episode and current major or minor depressive episode were 10.7 % (95 % CI 6.9–14.5 %) and 21.1 % (95 % CI 15.5–26.6 %), respectively. On multivariate analysis, SRQ score was significantly associated with lower perceived social support, experience of intimate partner violence, having had a complication in a previous delivery, higher maternal mid-upper arm circumference and more years of schooling. Major depressive episode was associated with lower perceived social support and experience of intimate partner violence. This study demonstrates that antenatal depression/CMD is common in Malawi and is associated with factors that may be amenable to psychosocial interventions.  相似文献   

20.

Objectives

This study aimed to investigate associations of physical activity (PA) and sedentary behavior (SB) with depression and anxiety symptoms during pregnancy among Chinese, Malay, and Indian women.

Methods

Women answered PA and SB (sitting time and television time) interview questions and self-completed the Edinburgh Postnatal Depression Scale (EPDS) and State-Trait Anxiety Inventory (STAI) questionnaires, at week 26–28 gestation. Sufficient levels of PA (≥600MET-minutes/week) and higher sitting time (≥7 h/day) were determined. Associations of PA and SB with probable antenatal depression (EPDS-score ≥15), higher state anxiety (score ≥42), and higher trait anxiety (score ≥43) were determined by logistic regression analysis.

Results

Among the 1144 pregnant women included in the study, 7.3, 22.5, and 23.6 % had probable antenatal depression, higher state anxiety, and higher trait anxiety symptoms, respectively. In the adjusted models, women with sufficient level of PA were less likely to have probable antenatal depression (OR 0.54, 95 % CI 0.31–0.94, p?=?0.030) and higher trait anxiety symptoms (OR 0.68, 95 % CI 0.48–0.94, p?=?0.022). PA was not associated with state anxiety symptoms. SB was not associated with any of the investigated outcomes.

Conclusions

Sufficient PA was associated with a reduced likelihood of probable antenatal depression and trait anxiety symptoms. Further investigation of these findings is warranted to determine cause-effect relationships and identify potential preventive strategies.
  相似文献   

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