Universidade do São Paulo, Brazil.
Span J Psychol. 2012 Mar;15(1):295-305. doi: 10.5209/rev_sjop.2012.v15.n1.37336.
To evaluate the association of antenatal depressive symptomatology (AD) with life events and coping styles, the hypothesis was that certain coping strategies are associated to depressive symptomatology.
We performed a cross sectional study of 312 women attending a private clinic in the city of Osasco, São Paulo from 27/05/1998 to 13/05/2002. The following instruments were used: Beck Depression Inventory (BDI), Holmes and Rahe Schedule of Recent Events (SSRS), Folkman and Lazarus Ways of Coping Questionnaire and questionnaire with social-demographic and obstetric data.
women with no past history of depression, psychiatric treatment, alcohol or drug abuse and no clinical-obstetrical complications. Odds ratios and 95% CI were used to examine the association between AD (according to BDI) and exposures variables. Hypothesis testing was done with Chi2 tests and ap value < .05.
AD occurred in 21.1% of pregnant women. By the univariate analyses, education, number of pregnancies, previous abortion, husband income, situation of marriage and score of SSRS were associated with AD. All coping styles were associated with AD, except seeking support and positive reappraisal. By the multivariate analyses, four coping styles were kept in the final model: confront (p = .039), accepting responsibility (p < .001), escape-avoidance (p = .002), problem-solving (p = .005).
AD was highly prevalent and was associated with maladaptive coping styles.
评估产前抑郁症状（AD）与生活事件和应对方式的关联，假设某些应对策略与抑郁症状有关。
我们对 1998 年 5 月 27 日至 2002 年 5 月 13 日期间在圣保罗州奥萨斯科市一家私人诊所就诊的 312 名女性进行了横断面研究。使用了以下工具：贝克抑郁量表（BDI）、霍姆斯和拉赫近期事件量表（SSRS）、福克曼和拉扎勒斯应对方式问卷以及社会人口学和产科数据问卷。
无抑郁病史、精神科治疗、酒精或药物滥用以及无临床产科并发症的女性。使用比值比和 95%置信区间来检查 AD（根据 BDI）与暴露变量之间的关联。假设检验采用卡方检验和 p 值<.05。
AD 发生在 21.1%的孕妇中。通过单因素分析，教育程度、妊娠次数、既往流产、丈夫收入、婚姻状况和 SSRS 评分与 AD 相关。除寻求支持和积极重新评估外，所有应对方式均与 AD 相关。通过多因素分析，最终模型保留了四种应对方式：面对（p=.039）、承担责任（p<.001）、逃避-回避（p=.002）、解决问题（p=.005）。
AD 的患病率很高，与适应不良的应对方式有关。
