Sugawara M, Toda M A, Shima S, Mukai T, Sakakura K, Kitamura T
Department of Sociocultural Environmental Research, National Institute of Mental Health, NCNP, Chiba, Japan.
J Clin Psychol. 1997 Apr;53(3):225-32. doi: 10.1002/(sici)1097-4679(199704)53:3<225::aid-jclp5>3.0.co;2-q.
To investigate the relationship between premenstrual mood changes and maternal mental health in the perinatal period, a prospective questionnaire survey of 1,329 women was carried out. Women with a premenstrual mood changes (irritability) before pregnancy showed significantly higher Zung's Self-rating Depression Scale (SDS) scores than those without it, throughout pregnancy and the postpartum period (6 time points: early, middle, and late pregnancy, 5 days, 1 month, and 6 months after childbirth). In addition, women with premenstrual irritability had greater anxiety about pregnancy and delivery, were more reluctant to accept mother roles, and felt their babies (fetuses or neonates) were more vulnerable. These findings suggest that premenstrual mood change is correlated with unstable mental health throughout the perinatal period.
为了研究经前情绪变化与围产期母亲心理健康之间的关系，对1329名女性进行了一项前瞻性问卷调查。在怀孕前有经前情绪变化（易怒）的女性，在整个孕期和产后期间（6个时间点：孕早期、中期和晚期，产后5天、1个月和6个月），其Zung氏自评抑郁量表（SDS）得分显著高于没有经前情绪变化的女性。此外，有经前易怒症状的女性对怀孕和分娩更为焦虑，更不愿意接受母亲角色，并且觉得自己的宝宝（胎儿或新生儿）更容易受到伤害。这些发现表明，经前情绪变化与围产期不稳定的心理健康相关。
