孕期心理干预对预防产后抑郁症的效果评价

目的探讨孕期心理干预对预防产后抑郁症的可行性。方法将600例孕妇随机分为2组并随访至产后2周。心理干预组分别对孕早期、孕中期和孕晚期进行3个阶段的心理干预,对照组只进行常规产前检查。孕期采用抑郁自评量表、焦虑自评量表调查,产后2周采用艾迪产后抑郁量表（EPDS）并增加本次有关妊娠、分娩前后的生活事件等内容进行调查。结果心理干预组孕妇临产前焦虑和抑郁情绪总粗分值分别为32.13±3.26和34.26±3.78,明显低于对照组,其产后抑郁症发生率为3.7%,亦明显低于对照组,有统计学差异（P〈0.01）;潜在心理背景分析表明：心理干预组的孕产妇在妊娠心境、产后育儿、与社会家人关系等得到明显改善（P〈0.01）,而对来自分娩周围环境、分娩疼痛等压力无明显改善,与非心理干预组比较无统计学差异（P〉0.05）。结论孕期心理干预可明显改善孕产妇的心理状况和降低产后抑郁症的发生率。

Impact of psychic intervention during pregnancy on Postpartum Depression

Objective To study the effects of psychic intervention during pregnancy on Postpartum Depression. Methods A total of 600 pregnant women were randomly divided into 2 groups： intervention group （ n = 300） and con- trol group （ n = 300）, and most of them were followed up 2 weeks postnatally. Psychic intervention was performed in the first, second, and third trimester of pregnancy on intervention group. Conventional checks before pregnancy were carried out in control group. Self-rating Anxiety Scale （SAS） and Self-rating Depression Scale （SDS） were adopted to survey the pregnant women, and Edinburgh Postnatal Depression Scale （EPDS） was adopted to survey the parturient women. Results The anxiety and depression scores of the pregnant women in intervention group were 32. 13 ± 3.26, and 34. 26 ± 3.78 re- spectively, lower than those in control group （P 〈0. 01 ）, and so was the incidence of postnatal depression of the parturi- ent women （P 〈0. 01 ）. Compared with control group, the pregnant sentiment, baby care, and social and familial functio- ning in intervention group were remarkably improved （P 〈 0. 01 ）; the environmental stress and labor pains, however, showed no statistical difference between the two groups （P 〉 0. 05 ）. Conclusion Psychic intervention during pregnancy could evidently improve the psychological status associated with pregnancy and puerperium and decrease the incidence of postnatal depression.