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孕期第三个月抑郁症状的心理社会相关因素。

Psychosocial correlates of depression symptoms during the third trimester of pregnancy.

作者信息

Records Kathie, Rice Michael

机构信息

Arizona State University, Phoenix, AZ 85004, USA.

出版信息

J Obstet Gynecol Neonatal Nurs. 2007 May-Jun;36(3):231-42. doi: 10.1111/j.1552-6909.2007.00140.x.

DOI:10.1111/j.1552-6909.2007.00140.x
PMID:17489929
Abstract

OBJECTIVE

To explore the psychosocial correlates of depression symptoms during the third trimester of pregnancy.

DESIGN

Cross-sectional design guided by Selye's theory of stress.

SETTING

Prenatal care provider offices or mutually agreeable locations in the Pacific Northwest.

PARTICIPANTS

One hundred thirty-nine women in their third trimester of pregnancy. The majority was Caucasian and married. Fifty-two of the participants (38%) had scores greater than or equal to 16 on the Centers for Epidemiologic Studies Depressed Mood Scale.

MAIN OUTCOME MEASURE

The Centers for Epidemiologic Studies Depressed Mood Scale.

RESULTS

Stepwise linear regression indicated that 46% of the variance of third-trimester depressive symptoms was due to brief and intermittent negative mood states that occurred primarily during the first trimester, a lack of marital satisfaction and social support, and gravida. Lifetime abuse did not contribute significantly to third-trimester depression symptoms.

CONCLUSIONS

One third of the sample reported subclinical levels of depression symptoms. Prenatal care providers may want to consider these minor and brief mood changes as predictive of depression symptoms later in pregnancy, particularly when experienced during the first trimester.

摘要

目的

探讨妊娠晚期抑郁症状的心理社会相关因素。

设计

以塞利的应激理论为指导的横断面设计。

地点

太平洋西北地区的产前护理提供者办公室或双方商定的地点。

参与者

139名妊娠晚期妇女。大多数为白种人且已婚。52名参与者(38%)在流行病学研究中心抑郁情绪量表上的得分大于或等于16分。

主要结局指标

流行病学研究中心抑郁情绪量表。

结果

逐步线性回归表明,妊娠晚期抑郁症状变异的46%归因于主要发生在孕早期的短暂和间歇性负面情绪状态、婚姻满意度和社会支持的缺乏以及孕妇情况。既往受虐史对妊娠晚期抑郁症状的影响不显著。

结论

三分之一的样本报告有亚临床水平的抑郁症状。产前护理提供者可能需要将这些轻微和短暂的情绪变化视为妊娠后期抑郁症状的预测因素,尤其是在孕早期出现时。

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