Division of Health Sciences, Graduate School of Medical Science, Kamazawa University, 6-11-80 Kodatsuno, 920-0942, Kanazawa, Ishikawa, Japan,
Environ Health Prev Med. 2006 Jul;11(4):199-205. doi: 10.1007/BF02905279.
In this study, we evaluated postpartum stress using a postpartum depression scale and by measuring the level of a stress-related substance, to clarify the relationship between the stresscoping capabilities of women in the final stage of pregnancy and their postpartum stress reactions.
Between April 2004 and October 2004, 54 women participated in a question naire survey and the measurement of their secretory immunoglobulin A (s-IgA) level as a stress-related substance two times in the final stage of their pregnancy (prepartum) and in their early puerperium (postpartum) was carried out. The questionnaire used in the prepartum stage included the following parameters: "basic features", "Sense of Coherence (SOC)" and "Japanese version of the self-assessment depression scale" of Zung. The questionnaire employed in the postpartum stage included the following parameters: "course of delivery", "Self-evaluation of delivery experience", and "Postpartum depression scale".
The depression score was higher and the s-IgA level was lower in the low-SOC score group than in the high-SOC score group, indicating that stress reactions were more intense in the low-SOC score group.
It was revealed that stress reactions were more intense for women with a low SOC score. Moreover, the finding of a relationship between the low SOC score in the prepartum stage and depressive tendency suggests that women who are likely to develop depressive tendency can be predicted in the prepartum stage, and the significance of measuring SOC in the prepartum stage is thus suggested.
本研究通过使用产后抑郁量表和测量应激相关物质的水平，评估产后应激，旨在阐明妊娠晚期妇女的应激应对能力与产后应激反应之间的关系。
2004 年 4 月至 2004 年 10 月，54 名妇女参与了问卷调查，并在妊娠晚期（产前）和产后早期（产后）两次测量了她们的分泌型免疫球蛋白 A（s-IgA）作为应激相关物质的水平。产前阶段使用的问卷包括以下参数：“基本特征”、“心理一致感（SOC）”和 Zung 的“日本版自评抑郁量表”。产后阶段使用的问卷包括以下参数：“分娩过程”、“分娩体验自评”和“产后抑郁量表”。
低 SOC 评分组的抑郁评分较高，s-IgA 水平较低，表明低 SOC 评分组的应激反应更为强烈。
结果表明，SOC 评分较低的女性应激反应更为强烈。此外，产前阶段 SOC 评分较低与抑郁倾向之间的关系表明，可以在产前阶段预测可能出现抑郁倾向的女性，因此建议在产前阶段测量 SOC。
