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孕早期和孕中期抑郁状况及影响因素

徐继红,  闫盼盼,  孙琛

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文章导航 > 中华疾病控制杂志  > 2021 >  25(2): 231-234
徐继红, 闫盼盼, 孙琛. 孕早期和孕中期抑郁状况及影响因素[J]. 中华疾病控制杂志, 2021, 25(2): 231-234. doi: 10.16462/j.cnki.zhjbkz.2021.02.021
引用本文: 徐继红, 闫盼盼, 孙琛. 孕早期和孕中期抑郁状况及影响因素[J]. 中华疾病控制杂志, 2021, 25(2): 231-234. doi: 10.16462/j.cnki.zhjbkz.2021.02.021
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XU Ji-hong, YAN Pan-pan, SUN Chen. Depression status and influencing factors of pregnant women in early and mid-pregnancy[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(2): 231-234. doi: 10.16462/j.cnki.zhjbkz.2021.02.021
Citation: XU Ji-hong, YAN Pan-pan, SUN Chen. Depression status and influencing factors of pregnant women in early and mid-pregnancy[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(2): 231-234. doi: 10.16462/j.cnki.zhjbkz.2021.02.021
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孕早期和孕中期抑郁状况及影响因素

doi: 10.16462/j.cnki.zhjbkz.2021.02.021
  • 1.

    100081 北京，国家卫生健康委科学技术研究所人类遗传资源中心

  • 2.

    261053 山东，潍坊医学院心理学系

基金项目: 

中央级公益性科研院所基本科研业务费专项重点项目 2019GJZ06

详细信息
    通讯作者:

    徐继红，E-mail：gracexjh@163.com

  • 中图分类号: R715.3

Depression status and influencing factors of pregnant women in early and mid-pregnancy

  • 1.

    Human Genetic Resources Center, National Research Institute for Health Commission, Beijing 100081, China

  • 2.

    Department of Psychology, Weifang Medical University, Weifang 261053, China

Funds: 

Special Fund of the Chinese Central Government for Basic Scientific Research Operations 2019GJZ06

More Information

    摘要
  • 摘要:   目的  探究孕早期和孕中期孕妇的抑郁状况及其影响因素。  方法  2019年7月1日至12月31日，使用一般情况调查表、影响因素调查表和爱丁堡产后抑郁量表，通过在线调查系统追踪随访308名孕妇。采用Logistic线性回归分析模型分析相关影响因素。  结果  孕早期和孕中期抑郁的发生率分别为25.97%和23.70%。回归分析结果显示，近期是否发生过应激性负性生活事件、孕后饮食满意度以及配偶对孕妇的关心情况是导致孕早期孕妇抑郁的影响因素(均有P＜0.05)。近期是否发生应激性负性生活事件、配偶对孕妇的关心情况、对目前身体状况的担忧以及孕妇对所接受领导关心的满意度是导致孕中期孕妇抑郁的影响因素(均有P＜0.05)。  结论  孕早期抑郁的发生率高于孕中期，孕早期和孕中期抑郁的影响因素既有共性也有不同。
    Abstract:   Objective  To investigate the depression status and influencing factors of pregnant women in early and mid-pregnancy, respectively.  Methods  From July 1 to December 31, 2019, 308 pregnant women were recruited through an online survey system via the general situation questionnaire, influencing factor questionnaire and Edinburgh postpartum depression scale. Logistic liner regression analysis model was used to explore the influencing factors of depression in early and mid-pregnancy.  Results  The incidences of depression in early and mid-pregnancy were 25.97% and 23.70%, respectively. The results of regression analysis showed that the recent negative life events, dietary satisfaction after pregnancy, and the spouse's concern were influencing factors of depression in early pregnancy (all P < 0.05). The recent negative life events, the spouse's concern, worry about current physical conditions, and pregnant women's satisfaction with leaders' care were influencing factors of depression in mid-pregnancy (all P < 0.05).  Conclusions  The incidence of depression in early pregnancy is higher than that in mid-pregnancy. The influencing factors of depression during early and mid-pregnancy have both common and unique factors.
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  • 表  1  不同人口学特征下孕早期和孕中期抑郁检出率分布情况[n(%)]

    Table  1.   Condition of depression in early and mid-pregnancy under different demographic distributions [n(%)]

    变量 总人数 孕早期 χ2值 P值 孕中期 χ2值 P值
    无抑郁症状 有抑郁症状 无抑郁症状 有抑郁症状
    年龄(岁) 0.148 0.700 0.076 0.783
      18 ~ 152 114(75.00) 38(25.00) 117(76.97) 35(23.03)
      30 ~ 44 156 114(73.08) 42(26.92) 118(75.64) 38(24.36)
    文化程度 3.559 0.059 0.161 0.688
      高中及以下 83 55(66.27) 28(33.73) 62(74.70) 21(25.30)
      本科及以上 225 173(76.89) 52(23.11) 173(76.89) 52(23.11)
    职业a 5.648 0.017 2.908 0.088
      企事业单位 166 132(79.52) 34(20.48) 133(81.12) 33(19.88)
      个体服务业/农业/无业 142 92(67.61) 46(32.39) 102(71.83) 40(28.17)
    月收入(元) 0.523 0.914 1.274 0.735
       < 5 000 77 55(71.43) 22(28.57) 57(74.03) 20(25.97)
      5 000~ 101 76(75.25) 25(24.75) 81(80.20) 20(19.80)
      10 000~ 87 64(73.56) 23(26.44) 65(74.71) 22(25.29)
      ≥20 000 43 33(76.74) 10(23.26) 32(74.42) 11(25.58)
    胎次b 3.960 0.047 0.236 0.627
      一胎 201 156(77.61) 45(22.39) 152(75.62) 49(24.38)
      二胎 83 55(66.27) 28(33.73) 65(78.31) 18(21.69)
    注：a职业：数据有缺失；b胎次：308人中有24人为三胎及以上，数据分析时未统计在内。
    下载: 导出CSV

    表  2  孕早期和孕中期抑郁影响因素回归分析

    Table  2.   Regression analysis of influencing factors of depression during early and mid-pregnancy

    变量 β值 sx Wald χ2值 OR(95% CI)值 P值
    孕早期
      有抑郁症状 1.000
      近期发生过应激性负性事件 1.870 0.340 30.230 6.490(3.332~12.641) < 0.001
      孕后饮食满意度 0.862 0.285 9.131 2.367(1.354~4.140) 0.003
      配偶的关心情况 0.741 0.339 4.773 2.098(1.079~4.078) 0.029
    孕中期
      有抑郁症状 1.000
      近期发生过应激性负性事件 1.386 0.319 18.863 3.998(2.139~7.471) < 0.001
      配偶的关心情况 1.106 0.279 15.716 3.021(1.749~5.218) < 0.001
      对目前身体状况的担忧 0.690 0.306 5.089 1.994(1.095~3.631) 0.024
      孕妇对所接受领导关心的满意度 0.626 0.308 4.119 1.870(1.022~3.423) 0.042
    下载: 导出CSV
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  • 收稿日期:  2020-03-26
  • 修回日期:  2020-06-27
  • 刊出日期:  2021-02-10

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