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孕期抑郁症的影响因素及社会支持与孕期抑郁的相关性

Factors Affecting Depression During Pregnancy and the Correlation Between Social Support and Pregnancy Depression.

作者信息

Aktas Songul, Yesilcicek Calik Kiymet

机构信息

Obstetrics and Gynecology Nursing Department, Faculty of Health Science, Karadeniz Technical University, Trabzon, Turkey.

出版信息

Iran Red Crescent Med J. 2015 Sep 22;17(9):e16640. doi: 10.5812/ircmj.16640. eCollection 2015 Sep.

Abstract

BACKGROUND

Women are seriously subjected to psychiatric diseases during pregnancy and depression is the most prevailing one among these diseases. There is a relation between the social support and depression in pregnancy whose predisposing factors are genetic, psychological, biological, environmental, and hormonal.

OBJECTIVES

This study aimed to determine the frequency of depression symptoms, and its risk factors. Also it studied the correlation between social support and pregnancy depression.

PATIENTS AND METHODS

This research is a descriptive cross-sectional study. It was conducted on 266 pregnant women selected by simple random method from all pregnant women admitted at the Maternity Hospital of Trabzon, Turkey from May 21 to June 13, 2008. The data were collected with a questionnaire form, the Beck depression inventory (BDI), and the multidimensional scale of perceived social support (MSPSS).

RESULTS

The mean BDI score of the pregnant women was 11.12 ± 6.65. According to the BDI, 46.2% of the pregnant women had no depression symptoms, 34.59% of them had mild, 13.91% had moderate, and 4.89% had severe level of depression symptoms. It was found that such factors as the educational level of the pregnant women and their husbands, having an undesired pregnancy, suffering from a chronic disease before pregnancy, presence of pregnancy-related problems, having a child with disability or having relatives whose children had disability, and smoking during pregnancy were the risk factors affecting the severity of the depression symptoms and these results were statistically significant (P < 0.05). On the other hand, the mean MSPSS score was 67.89 ± 14.26 and it was found that the pregnant women got the highest social support from their husbands. It was found that there was a significant correlation between BDI and MSPSS total score and its subscale scores (P < 0.05).

CONCLUSIONS

According to this study, one-fifth of pregnant women were found to experience depressive symptoms, which require treatment during pregnancy, and the factors such as having no support from relatives was found to be associated with the severity of depressive symptoms during pregnancy.

摘要

背景

女性在孕期易患精神疾病,其中抑郁症最为常见。孕期社会支持与抑郁症之间存在关联,其诱发因素包括遗传、心理、生物、环境和激素等方面。

目的

本研究旨在确定抑郁症状的发生率及其危险因素。同时研究社会支持与孕期抑郁症之间的相关性。

患者与方法

本研究为描述性横断面研究。选取2008年5月21日至6月13日在土耳其特拉布宗妇产医院收治的所有孕妇中通过简单随机方法选取的266名孕妇作为研究对象。通过问卷调查表、贝克抑郁量表(BDI)和领悟社会支持多维量表(MSPSS)收集数据。

结果

孕妇的BDI平均得分为11.12±6.65。根据BDI,46.2%的孕妇无抑郁症状,34.59%为轻度,13.91%为中度,4.89%为重度抑郁症状。发现孕妇及其丈夫的教育水平、意外怀孕、孕前患有慢性病、存在与妊娠相关的问题、生育残疾儿童或有亲属生育残疾儿童以及孕期吸烟等因素是影响抑郁症状严重程度的危险因素,且这些结果具有统计学意义(P<0.05)。另一方面,MSPSS平均得分为67.89±14.26,发现孕妇从丈夫那里获得的社会支持最高。发现BDI与MSPSS总分及其各子量表得分之间存在显著相关性(P<0.05)。

结论

根据本研究,发现五分之一的孕妇有抑郁症状,孕期需要治疗,且亲属缺乏支持等因素与孕期抑郁症状的严重程度相关。

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