产后抑郁水平及其影响因素

目的探讨生活事件、社会支持和应付方式对产后抑郁水平的影响。方法采用随机抽样方法,抽取627例2006年1月～2007年2月间在广州市某妇幼保健院分娩的产妇,应用自评抑郁量表（SDS）、生活事件评定量表（LES）、社会支持评定量表（SSRS）和应付方式问卷进行问卷调查,用SPSS11.0软件统计分析。结果产妇SDS平均分35.94±7.68。产后明显抑郁症状发生率25.8。负性生活事件、客观支持以及积极和消极的应付方式均对产后明显抑郁症状的发生有一定的影响。结论明显产后抑郁症状发生者往往经历较多的负性生活事件,缺乏客观支持,且较多用消极的应付方式处理和对待问题,提示我们在预防和干预上应采取多层次综合措施,以降低产后抑郁水平。

An Explore of Postpartum Depression Level and Risk Factors

Objective To explore the influence of event in life,social support and coping style on postpartum depression.Methods Use random sample to choose 627 women after giving birth in a Maternal and Child Care Service Centre of Guangzhou during 09/2006 to 02/2007.The questionnaires of SDS,LES Questionnair,SSRS Questionnair and Coping Style Questionnair were used.Results The average score of SDS was 35.94±7.68.The incidence rates of postpartum depression was 25.8%.The negative event in life,objective support,active and passive coping style had certain influences to the distinct symptom of postpartum depression.Conclusion The women who had distinct symptom of postpartum depression used to experience negative events in life,be short of objective support and adopt passive coping style.This prompt us to take integrated measures to prevent and cure in order to reduce the level of postpartum depression.