| 高萍,刘珊,冯琳,邱成艳,简凤,高茹.初产妇产前抑郁：社会支持和分娩恐惧及相关因素的影响[J].四川精神卫生杂志,2025,(4):315-320.Gao Ping,Liu Shan,Feng Lin,Qiu Chengyan,Jian Feng,Gao Ru,Prenatal depression in primiparous women： effects of social support， fear of childbirth and related factors[J].SICHUAN MENTAL HEALTH,2025,(4):315-320 |
| 初产妇产前抑郁：社会支持和分娩恐惧及相关因素的影响 |
| Prenatal depression in primiparous women： effects of social support， fear of childbirth and related factors |
| 投稿时间：2024-09-04 |
| DOI：10.11886/scjsws20240904002 |
| 中文关键词: 初产妇 社会支持 分娩恐惧 抑郁 产前 |
| 英文关键词:Primiparous women Social support Fear of childbirth Depression Prenatal |
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| 中文摘要: |
| 背景 产前抑郁对产妇健康和妊娠结局具有重要影响。既往研究表明，产妇产前抑郁与社会支持相关、社会支持与分娩恐惧相关，但关于产妇产前抑郁、社会支持、分娩恐惧三者之间关系的研究较少，且未查见关于社会支持与分娩恐惧对初产妇产前抑郁影响的研究。目的 了解初产妇产前抑郁现状，分析其产前抑郁与社会支持和分娩恐惧的相关性，并进一步探讨社会支持和分娩恐惧对初产妇产前抑郁的影响，为改善该群体的心理健康状况提供参考。方法 选取2022年12月—2023年9月成都市温江区人民医院住院部收治的380名初产妇为研究对象。采用自制调查表、爱丁堡产后抑郁量表（EPDS）、社会支持评定量表（SSRS）以及分娩态度量表（CAQ）进行调查。采用Pearson相关分析检验初产妇各量表评分之间的相关性。采用多元线性回归分析检验产前抑郁的影响因素。结果 共发放问卷380份，回收有效问卷372份（97.89%）。检出222名（59.68%）初产妇存在产前抑郁。初产妇EPDS评分与SSRS评分呈负相关（r=-0.283，P<0.01），与CAQ评分呈正相关（r=0.341，P<0.01）。多元线性回归分析结果显示，社会支持（β=-0.166，P<0.01）和分娩恐惧水平（β=0.269，P<0.01）是初产妇产前抑郁的影响因素。结论 初产妇产前抑郁情况不容乐观，其产前抑郁水平与社会支持和分娩恐惧密切相关。 |
| 英文摘要: |
| Background Prenatal depression has an important impact on maternal health and pregnancy outcomes. Previous studies have shown that maternal prenatal depression is associated with social support， and social support is related to fear of childbirth. However， there is limited research on the relationship among maternal prenatal depression， social support and fear of childbirth， and no studies have specifically explored the influence of social support and fear of childbirth on prenatal depression in primiparous women.Objective To investigate the current status of prenatal depression among primiparous women， and to analyze the correlation between social support and fear of childbirth， and to further explore the influence of social support and fear of childbirth on prenatal depression in this population， so as to provide references for improving their mental health.Methods A total of 380 primiparous women admitted to the inpatient department of Chengdu Wenjiang District People's Hospital from December 2022 to September 2023 were enrolled as study subjects. A self-made questionnaire， Edinburgh Postnatal Depression Scale （EPDS）， Social Support Rating Scale （SSRS） and Childbirth Attitudes Questionnaire （CAQ） were used to conduct the survey. Pearson correlation analysis was employed to examine the relationships between scale scores. Multiple linear regression analysis was conducted to identify influencing factors of prenatal depression.Results A total of 380 questionnaires were distributed， with 372 （97.89%） valid responses collected. Among the participants， 222 cases （59.68%） were identified with prenatal depression. Pearson correlation analysis revealed that EPDS score was negatively correlated with SSRS score （r=-0.283， P<0.01） and positively correlated with CAQ score （r=0.341， P<0.01）. Multiple linear regression analysis indicated that social support （β=-0.166， P<0.01） and fear of childbirth （β=0.269， P<0.01） were influencing factors of prenatal depression in primiparous women.Conclusion The prevalence of prenatal depression among primiparous women is concerning， with depression levels showing significant associations with both social support and fear of childbirth. |
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