孕妇产前抑郁影响因素研究

目的:用Logistic回归模型分析孕中期妇女(妊娠12～28周)抑郁的影响因素。方法:对870例孕妇进行爱丁堡抑郁量表(Edinburgh Postnatal Depression Scale,EPDS)调查,并进行孕妇基本信息(生理状态、经济水平、工作状态、文化水平、病史、家庭支持状况)采集,用单因素分析、Logistic回归分析孕中期妇女抑郁的影响因素,并进行模型拟合与评估。结果:280例(32.2%)孕妇可能存在产前抑郁情绪(EPDS评分≥13分),单因素分析和Logistic回归分析显示家庭支持情况,尤其是配偶父母的支持直接影响孕妇抑郁状况(P<0.05);工作状态、文化程度、生理状态、经济水平和病史对抑郁的影响无统计学意义(P>0.01)。结论:家庭支持是孕妇抑郁的影响因素。

Investigation on effect factors of antepartum depression

Objective:To analyze the effect factors of antepartum depression.Methods:870 pregnant women were surveyed by Edinburgh Postnatal Depression Scale (EPDS),the basic informations of pregnant women were collected,then the effect factors of antepartum depression were analyzed by univariate analysis and logistic regression analysis,and the model fitting and evaluation were also conducted.Results:The prevalence of antepartum depression was 32.2% (280 pregnant women) (EPDS score≥13).According to logistic regression analysis,family support,especially the support from parent of spouse was a very important effect factor of antepartum depression (P<0.01);occupational status,educational background,physiological status,economic level and medical history had little impact on antepartum depression (P>0. 01).Conclusion:Family support is a effect factor of antepartum depression.