Alipour Zahra, Kheirabadi Gholam Reza, Eslami Ahmad Ali, Kazemi Ashraf
Department of Midwifery and Reproductive Health, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Behavioral Sciences Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
J Educ Health Promot. 2018 Dec 28;7:160. doi: 10.4103/jehp.jehp_201_17. eCollection 2018.
Mental health issues including depression and anxiety are common in pregnancy worldwide. This study aimed to identify factors associated with mental disorders in a sample of Iranian pregnant women.
A cross-sectional study was conducted among pregnant women referred to a prenatal-care clinic in an urban area, Isfahan, Iran. The questionnaires in this study included the General Health Questionnaire and additional structured questionnaires exploring sociodemographic, obstetric, and economic risk factors and empowerment for decision-making regarding pregnancy, parenting, financial authority, trust, and confidence in health-care staff. Regression analysis was performed to assess the impact of the number of variables on the likelihood of the presence of mental health problems.
Overall, 54.2% and 11.7% of the women had anxiety and depression, respectively. No statistically significant associations were reported between anxiety and depression and obstetric characteristics such as gestational age, parity, abortion, previous infertility, unwanted pregnancy, and the screening test results. According to the logistic regression analysis, the predictors of depression and anxiety were acknowledging psychological changes in pregnancy and empowerment for decision-making regarding pregnancy and parenting and financial authority ( < 0.05).
probably, women's empowerment on becoming aware of psychological changes during pregnancy and making decisions on pregnancy, parenting, and financial authority is the factor affecting the mental health of pregnant women.
包括抑郁症和焦虑症在内的心理健康问题在全球孕期女性中很常见。本研究旨在确定伊朗孕期女性样本中与精神障碍相关的因素。
在伊朗伊斯法罕一个城市地区的一家产前保健诊所对前来就诊的孕妇进行了一项横断面研究。本研究中的问卷包括一般健康问卷以及其他结构化问卷，这些问卷探讨了社会人口学、产科和经济风险因素，以及在怀孕、育儿、财务支配权、信任和对医护人员的信心等方面的决策自主权。进行回归分析以评估变量数量对存在心理健康问题可能性的影响。
总体而言，分别有54.2%和11.7%的女性患有焦虑症和抑郁症。未报告焦虑症和抑郁症与产科特征（如孕周、产次、流产、既往不孕、意外怀孕和筛查测试结果）之间存在统计学上的显著关联。根据逻辑回归分析，抑郁症和焦虑症的预测因素是认识到孕期的心理变化以及在怀孕、育儿和财务支配权方面的决策自主权（<0.05）。
女性在意识到孕期心理变化并就怀孕、育儿和财务支配权做出决策方面的自主权可能是影响孕期女性心理健康的因素。
