吉林医学
吉林醫學
길림의학
JILIN MEDICAL JOURANL
2014年
31期
6901-6902,6903
,共3页
产前%抑郁症%危险因素
產前%抑鬱癥%危險因素
산전%억욱증%위험인소
Antenatal%Depression%Risk factors
目的：评估孕妇产前抑郁、惊恐障碍与自杀意念的患病率，并确定与产前抑郁相关的独立因素。方法：采用《精神疾病诊断与统计手册》第四版（DSM - IV）作为测评工具，对接受持续产前保健的1887例孕妇进行健康问卷调查，分析确定产前抑郁症的相关因素。结果：孕妇产前抑郁症的患病率为9.9%，其中5.1%为重度抑郁，4.8%为轻度抑郁。惊恐障碍症的患病率为3.2%，自杀意念患病率为2.6%。社会心理应激、家庭暴力、慢性疾病等因素都显著增加了发生重度产前抑郁症的可能性，但是年龄与产前抑郁症患病率的相关性下降。结论：产前抑郁症是常见的，其患病率与可识别的临床风险因素相关。医护人员要加强对产前抑郁的认识，为孕妇提供针对性心理护理干预。
目的：評估孕婦產前抑鬱、驚恐障礙與自殺意唸的患病率，併確定與產前抑鬱相關的獨立因素。方法：採用《精神疾病診斷與統計手冊》第四版（DSM - IV）作為測評工具，對接受持續產前保健的1887例孕婦進行健康問捲調查，分析確定產前抑鬱癥的相關因素。結果：孕婦產前抑鬱癥的患病率為9.9%，其中5.1%為重度抑鬱，4.8%為輕度抑鬱。驚恐障礙癥的患病率為3.2%，自殺意唸患病率為2.6%。社會心理應激、傢庭暴力、慢性疾病等因素都顯著增加瞭髮生重度產前抑鬱癥的可能性，但是年齡與產前抑鬱癥患病率的相關性下降。結論：產前抑鬱癥是常見的，其患病率與可識彆的臨床風險因素相關。醫護人員要加彊對產前抑鬱的認識，為孕婦提供針對性心理護理榦預。
목적：평고잉부산전억욱、량공장애여자살의념적환병솔，병학정여산전억욱상관적독립인소。방법：채용《정신질병진단여통계수책》제사판（DSM - IV）작위측평공구，대접수지속산전보건적1887례잉부진행건강문권조사，분석학정산전억욱증적상관인소。결과：잉부산전억욱증적환병솔위9.9%，기중5.1%위중도억욱，4.8%위경도억욱。량공장애증적환병솔위3.2%，자살의념환병솔위2.6%。사회심리응격、가정폭력、만성질병등인소도현저증가료발생중도산전억욱증적가능성，단시년령여산전억욱증환병솔적상관성하강。결론：산전억욱증시상견적，기환병솔여가식별적림상풍험인소상관。의호인원요가강대산전억욱적인식，위잉부제공침대성심리호리간예。
Objective To estimate the prevalence of major and minor depression,panic disorder,and suicidal ideation during pregnancy while also identifying factors independently associated with antenatal depressive disorders. Method In this prospective study,participants were 1887 women receiving ongoing prenatal care. Prevalence of psychiatric disorders was measured using the Diagnostic and Statistical Manual of Mental Disorders,Fourth Edition(DSM - IV)criteria based on the Patient Health Questionnaire. Identified factors associated with probable major depressive disorder and any depressive disorder. Results Antenatal depressive disorders were present in 9. 9% with 5. 1% probable major depression and 4. 8% probable minor depression. Panic disorder was present in 3. 2% ,and current suicidal ideation was reported by 2. 6%. Among patients with probable major depression,29. 5% reported current suicidal ideation. Psychosocial stress,do-mestic violence,chronic medical conditions,each significantly increased the odds of probable antepartum major depressive disorder,whereas older age. decreased the odds. Factors associated with odds of any depression were similar overall. Conclusion Antenatal major and minor depressive disorders are common and significantly associated with clinically relevant and identifiable risk factors. Medical staff should strengthen the understanding of antenatal depression,and provide pertinent psychological nursing intervention for pregnant women.
