产后抑郁症的心理因素分析及预防对策研究.pdfVIP

546 2011 19 5 China J ournal of Health Psychology 2011, Vol 19,No. 5 王爱华 　刘　丽 　王　蕊 分析产后抑郁症发病的心理因素, 并探讨相应的对策。对820 例孕妇于妊娠36 ～38 周施 艾森克 个性 量表( EP Q) 及焦虑、抑郁情绪 定量表( HA D) , 在产后4 ～6 周施 爱 丁堡产后抑郁量表( EPD S) 。产后抑郁症患者在 的 量表和 量表上的评分均显著高于无产后抑郁症产妇, 在 量表上的评分则显著低于后者, 两者在 量表上的评分 EPQ N P L E 2 无显著差异。孕期有焦虑、抑郁情绪的产妇产后抑郁症的发病率显著高于孕期无焦虑、抑郁情绪的产妇( = 2 1. 43, 26. 39, P 0. 005) 。产妇产后抑郁症的发生既有其心理根源, 也与其孕期的焦虑抑郁情绪有密切的关系。加强孕期保健、采取及时筛 查与干预措施是预防产后抑郁症的关键。 产后抑郁症; 心理因素; 预防对策 . , , Psychological Factor Analysis and Preventing Countermeasures Study of Postpartum Depression Wang A ih ua L iu L i W ang R ui . O bstetr ics and Gy necolog y Sect ion, Th ird H osp ital of Tang shan, T ang shan 063000, P . R . Ch ina Abstract Objective T o analy e t he psy chological factor of postpartum depression and ex plore the corr espo nding countermea- sures. MethodsIn our research, 820 pr egnant women w er e asked to co mplete the questio nnair es of EP Q and HAD after 36- 38 4- 6 . w eeks of pr egnancy and complete the questio nnair es of EP DS at w eeks of postpartum Results PP D w omen had higher N and P scores and low er L scor es of EP Q than tho se of non- PP D w omen. T here w ere no differences betw een them on E scor es. T he incidence of postpartum depr essio n among the pr egnant w omen who had prenat al anxiety and depression was sig nificantly 2 higher than those who had not ( = 21. 43, 26. 39, P 0. 00