Department of Nursing, The Second Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China.
Department of Nursing, The Sixth People's Hospital of Nantong, Nantong, Jiangsu, China.
Medicine (Baltimore). 2024 May 31;103(22):e38294. doi: 10.1097/MD.0000000000038294.
To explore the relationship between postpartum psychological disorders and emotion regulation strategies and analyze the influencing factors of postpartum psychological disorders. This study was conducted using a cross-sectional design. A total of 230 postpartum women hospitalized in the Second Affiliated Hospital of Xuzhou Medical University from October 2022 to March 2023 were selected as the investigation objects. A general data questionnaire, Hamilton Anxiety Scale, Hamilton Depression Scale, Pittsburgh Sleep Quality Index, and Emotion Regulation Questionnaire were administered to the enrolled women. Pearson correlation analysis was used to assess the association between the Hamilton Anxiety Scale, Hamilton Depression Scale, Pittsburgh Sleep Quality Index, and Emotion Regulation Questionnaire. Furthermore, logistic regression was employed to assess the influencing factors of postpartum psychological disorders. Pearson correlation analysis showed that cognitive reappraisal was negatively correlated and expression inhibition was positively associated with anxiety, depression, and sleep quality symptoms (all P < .05). Logistic regression results demonstrated that the mode of delivery, number of births, feeding method, and pressure to breastfeed were risk factors affecting postpartum psychological disorders (P < .05). Cognitive reappraisal is an effective emotion regulation strategy that can relieve postpartum psycho-neurological symptoms by reducing the symptoms of anxiety, depression, and sleep disorders. Along with encouraging pregnant women to adopt positive emotional regulation strategies, medical personnel should focus on the stress associated with cesarean section, artificial feeding, and pressure to breastfeed and adopt required intervention measures to decrease the occurrence of postpartum psychological and neurological symptoms.
探讨产后心理障碍与情绪调节策略的关系，并分析产后心理障碍的影响因素。本研究采用横断面设计。选取 2022 年 10 月至 2023 年 3 月在徐州医科大学第二附属医院住院的 230 例产后妇女作为调查对象。对纳入的妇女进行一般资料问卷、汉密尔顿焦虑量表、汉密尔顿抑郁量表、匹兹堡睡眠质量指数和情绪调节问卷。采用 Pearson 相关分析评估 Hamilton 焦虑量表、Hamilton 抑郁量表、匹兹堡睡眠质量指数和情绪调节问卷之间的相关性。采用 Logistic 回归分析评估产后心理障碍的影响因素。Pearson 相关分析显示，认知重评与焦虑、抑郁和睡眠质量症状呈负相关，表达抑制与焦虑、抑郁和睡眠质量症状呈正相关（均 P ＜ 0.05）。Logistic 回归结果显示，分娩方式、分娩次数、喂养方式和母乳喂养压力是影响产后心理障碍的危险因素（P ＜ 0.05）。认知重评是一种有效的情绪调节策略，可以通过减轻焦虑、抑郁和睡眠障碍的症状来缓解产后精神神经症状。在鼓励孕妇采用积极的情绪调节策略的同时，医务人员应关注剖宫产、人工喂养和母乳喂养压力带来的压力，并采取必要的干预措施，降低产后心理和神经症状的发生。
