Kitamura T, Sugawara M, Sugawara K, Toda M A, Shima S
Department of Sociocultural Environmental Research, National Institute of Mental Health, Ichikawa, Japan.
Br J Psychiatry. 1996 Jun;168(6):732-8. doi: 10.1192/bjp.168.6.732.
The psychosocial correlates of depression during pregnancy were explored.
Pregnant women attending the antenatal clinic of a general hospital (n = 1329) received a set of questionnaires including Zung's Self-Rating Depression Score (SDS). SDS high scores (> 49) (the cases: n = 179) were compared with low scores (< 38) (the controls; n = 343).
The cases were characterised by: first delivery; more nausea, vomiting, and anorexia; more menstrual pains and premenstrual irritability; early paternal loss; lower maternal care and higher paternal overprotection; higher public self-consciousness score; more smoking and use of medication in pregnancy; unwanted pregnancy; negative psychological response to the pregnancy by the woman and husband; poor intimacy by the husband; and having remarried.
Depression in early pregnancy is determined mainly by psychosocial factors.
探讨孕期抑郁的社会心理相关因素。
在一家综合医院产前门诊就诊的孕妇（n = 1329）接受了一套问卷，包括zung氏自评抑郁量表（SDS）。将SDS高分（> 49）组（病例组：n = 179）与低分（< 38）组（对照组：n = 343）进行比较。
病例组的特征为：初产；更多恶心、呕吐和厌食；更多痛经和经前易怒；父亲早逝；母亲关怀较少且父亲过度保护较多；公众自我意识得分较高；孕期吸烟和用药较多；意外怀孕；女性及其丈夫对怀孕的负面心理反应；丈夫亲密程度较低；以及再婚。
孕早期抑郁主要由社会心理因素决定。
