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有反复性流产史孕妇的焦虑、抑郁和社会支持:一项横断面研究。

Anxiety, depression and social support in pregnant women with a history of recurrent miscarriage: a cross-sectional study.

机构信息

School of Nursing, Sun Yat-sen University , Guangzhou, China.

Registered nurse, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology , Wuhan, China.

出版信息

J Reprod Infant Psychol. 2020 Nov;38(5):497-508. doi: 10.1080/02646838.2019.1652730. Epub 2019 Aug 14.

Abstract

: This study aims to investigate the prevalence of anxiety and depressive symptoms and the associations between social support and anxiety/depressive symptoms amongst Chinese pregnant women with a history of recurrent miscarriage. : A cross-sectional study was conducted in Guangzhou, China, between September 2016 and May 2017 with 278 Chinese pregnant women with a history of recurrent miscarriage. Measures included the Self-rating Anxiety Scale (SAS), the Edinburgh Postnatal Depression Scale (EPDS) and the Perceived Social Support Scale (PSSS). : The occurrence of anxiety (SAS ≥ 50) and depressive symptoms (EPDS ≥ 13) were 45.0% and 37.0%, respectively. The women reported moderate level of social support. The low and moderate level of social support and education of high school or below were the predictors for anxiety and depressive symptoms. The other predictors for anxiety symptoms were having been married for ≥5 years and no child. Another predictor for depressive symptoms was aged ≥35 years. Anxiety predicted depressive symptoms. : The results suggest early routine screening for anxiety and depressive symptoms amongst the Chinese pregnant women with a history of recurrent miscarriage. Health-care professionals should give more effort to enhance these women's social support to decrease their anxiety and depressive symptoms.

摘要

本研究旨在调查中国复发性流产孕妇焦虑和抑郁症状的发生率,以及社会支持与焦虑/抑郁症状之间的关系。

这是一项在中国广州进行的横断面研究,于 2016 年 9 月至 2017 年 5 月期间纳入了 278 名有复发性流产史的中国孕妇。研究采用的测量工具包括自评焦虑量表(SAS)、爱丁堡产后抑郁量表(EPDS)和领悟社会支持量表(PSSS)。

焦虑(SAS≥50)和抑郁症状(EPDS≥13)的发生率分别为 45.0%和 37.0%。这些孕妇报告了中等水平的社会支持。低水平和中等水平的社会支持以及高中及以下教育程度是焦虑和抑郁症状的预测因素。结婚时间≥5 年且无子女是焦虑症状的另一个预测因素,而年龄≥35 岁则是抑郁症状的一个预测因素。焦虑症状预测了抑郁症状的发生。

研究结果表明,应对有复发性流产史的中国孕妇进行焦虑和抑郁症状的常规早期筛查。卫生保健专业人员应努力增强这些女性的社会支持,以减轻她们的焦虑和抑郁症状。

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