产后抑郁症与社会心理因素

目的：经前不适、社会支持和心理应激对产后抑郁症发生的影响。方法：对88例产妇评定Edinburgh产后抑郁量表（EPDS）、社会支持评定量表（SSRS）、艾森克人格问卷（EPQ）。结果：产后抑郁症发生率为17％；产后抑郁症的既往经前不适率比正常对照组的明显为高；EPDS总分与SSRS的客观支持呈显著负相关性；产后抑郁症的住房拥挤率比正常对照组明显为低。结论：有经前不适史的产妇易感产后抑郁症；产后抑郁症病人感到客观支持减少是抑郁的结果；产妇在小家庭受到的照顾不如大家庭周到。

Postpartum depression and social psychological factors

Objective:To explore the influence of premenstrual complaint,social support and psychological stress on postpartum depression. Method:88 postpartum women were estimated by Edinburgh postpartum depression scale (EPDS),social support rating scale (SSRS),Eysenck personality questionnaire (EPQ) and some inquiring items. Results:Prevalence rate of postpartum depression was estimated 17%.Patients with postpartum depression had a higher rate of premenstrual complaint than normal postpartum women;There was a significant negative correlation between total score of EPDS and objective support score of SSRS;Patients with postpartum depression had a significantly lower rate of residential congestion than normal postpartum women. Conclusion:It was a result of depression that patients with postpartum depression felt loss of objective support. Postpartum women in small family may receive less care than those in big family.