产妇神经质人格与产后创伤后应激障碍的相关性研究

目的明确产妇产后创伤后应激障碍(posttraumatic stress disorder,PTSD)现状,分析产妇神经质人格与产后PTSD的关系。方法便利抽样选择2018年1-6月在西安市6所社区卫生服务站携婴幼儿接种疫苗或健康体检的726名产妇作为研究对象,采用创伤后应激障碍检查量表-平民版、大五人格问卷-神经质分量表及领悟社会支持量表对其进行调查并进行统计分析。结果产妇产后PTSD总条目均分为(1.79±1.21)分,PCL-C得分≥38分者68例,PTSD阳性筛查率为9.4%。产妇神经质人格与产后PTSD水平呈正相关(r=0.48,P<0.05),分层回归分析显示,神经质人格能独立解释产后PTSD总变异的23.4%(F=15.783,P<0.05)。结论产妇产后有发生PTSD的可能,神经质人格与产后PTSD水平密切相关,神经质人格可以正向预测产后PTSD水平。

Relationship between Maternal Neuroticism and Posttrauniatic Stress Disorder in Women after Postpartum

Objective To clarify the status of posttraumatic stress disorder(PTSD)and analyze the relationship between neuroticism and PTSD.Methods The convenience sampling method was adopted to investigate 726 delivery women after postpartum in 6 community health service stations in Xi’an city who carried infants for vaccination or health examination.They were surveyed by the Posttraumatic Stress Checklist-Civilian version(PCL-C),Five Factors Inventory Neuroticism Subscale(FFI-N)and Perceived Social Support Scale(PSSS).Results The average score per item of PTSD was(1.79±1.21).There were 68 women who scored over 38 for PCL-C.The positive rate of PTSD was 9.4%.Neuroticism was positively correlated with PTSD in women after postpartum(r=0.48,P<0.05).Hierarchical regression analysis showed that neuroticism could independently explain 23.4%of the total variance of PTSD(F=15.783,P<0.05).Conclusions PTSD may occur in postpartum women.Neuroticism is closely related to the PTSD,and neuroticism can positively predict PTSD in women after postpartum.