产后抑郁症发病因素的探讨

目的 探讨产后抑郁症的发生率及其影响因素,方法 随机抽取在本院产前门诊初诊并决定在本院分娩的１０５２例孕妇进行医院焦虑及抑郁情绪自评量表调查,其中以艾迪产后抑郁量表（ＥＰＤＳ）跟踪调查至产后７天内共８６６例。结果 ＥＰＤＳ阳性率为１５．０１％（１３０／８６６）,并用单因素和多元逐步回归分析了产后抑郁症的影响因素,发现孕妇健康状况,孕期夫妻关系,分娩时医务人员的态度,丈夫企盼生男孩的程度及孕妇孕期听

Study for the factors related to postpartum depression

Objective To study the prevalence rate of postpartum depression(PD) and related factors. Methods 1 052 pregnant women were selected in random from our antenatal clinic from January to November, 1997 for mood study by hospital anxiety and depression (HAD), and 866 cases were further follow up till 7 days after childbirth with Edinburgh postpartum depression scale (EPDS). Results The prevalence rate of PD was 15.01% by EPDS. Using single factor and mutifactorial stepwise regression analyses for the affected factors of PD, 7 factors were most strongly related to the onset of PD: they were women's health condition; the relationship between husband and wife; the medical workers' attitude during labor; husband's desire for boy child; the number of antenatal educational classes received; anxiety and depression mood during pregnancy. The number of educational classes received was negatively correlated with PD, while the other 6 factors were all positively correlated. Conclusion The main factors related to PD are the mood of anxiety and depression during pregnancy.