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区分抑郁与未抑郁孕妇的风险因素和压力变量。

Risk factors and stress variables that differentiate depressed from nondepressed pregnant women.

作者信息

Field Tiffany, Hernandez-Reif Maria, Diego Miguel

机构信息

Touch Research Institutes, University of Miami School of Medicine, Department of Pediatrics (D-820), P.O. Box 016820, Miami, FL 33101, USA.

出版信息

Infant Behav Dev. 2006 Apr;29(2):169-74. doi: 10.1016/j.infbeh.2005.09.005. Epub 2006 Feb 3.

DOI:10.1016/j.infbeh.2005.09.005
PMID:17138272
Abstract

Eight hundred ten pregnant women (N=340 depressed and N=470 nondepressed) were recruited at prenatal clinics at around 20 weeks gestational age. The women were diagnosed as depressed based on the Center for Epidemiological Studies Depression scale (CES-D) and the Structured Clinical Interview for Depression (SCID). They were interviewed on several demographic variables, risk factors and stress questionnaires. On average, the depressed pregnant women were younger, had lower education levels and socioeconomic status and were less often married. Fewer of the depressed women and their partners were happy when they were told they were pregnant, a greater number of the depressed women experienced a stressful situation during pregnancy, more of the depressed women were prescribed antibiotics during pregnancy, the depressed women had less optimal obstetric complications scores, and a greater percentage of them delivered prematurely. Finally, the scores of the depressed pregnant women on the stress questionnaires suggested greater depression (CES-D), anxiety (STAI), anger (STAXI), pregnancy anxieties (PAAS) and daily hassles.

摘要

810名孕妇(340名抑郁孕妇和470名非抑郁孕妇)在孕龄约20周时于产前诊所招募。根据流行病学研究中心抑郁量表(CES-D)和抑郁结构化临床访谈(SCID),这些女性被诊断为抑郁。她们接受了关于几个人口统计学变量、风险因素和压力问卷的访谈。平均而言,抑郁的孕妇年龄较小,教育水平和社会经济地位较低,结婚率也较低。当得知自己怀孕时,抑郁女性及其伴侣中感到高兴的较少,更多抑郁女性在孕期经历过压力状况,更多抑郁女性在孕期被开了抗生素,抑郁女性的产科并发症评分较低,且她们中早产的比例更高。最后,抑郁孕妇在压力问卷上的得分表明她们有更严重的抑郁(CES-D)、焦虑(STAI)、愤怒(STAXI)、孕期焦虑(PAAS)和日常烦恼。

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