四川精神卫生
四川精神衛生
사천정신위생
SICHUAN MENTAL HEALTH
2014年
5期
398-401,402
,共5页
魏华%潘攀%汤稳权%邹涛
魏華%潘攀%湯穩權%鄒濤
위화%반반%탕은권%추도
产后抑郁%述情障碍%领悟社会支持%因素分析
產後抑鬱%述情障礙%領悟社會支持%因素分析
산후억욱%술정장애%령오사회지지%인소분석
Postpartum depression%Alexithymia%Perceived social support%Factor analysis
目的：探讨分娩前、后产妇述情障碍、领悟社会支持、抑郁变化及三者之间的关系。方法选取安阳市人民医院就诊的孕期≥28周的525名孕妇为研究对象,追踪调查至分娩后一周,采用爱丁堡产后抑郁量表(EPDS)、孕产妇社会支持量表(MSSS)、多伦多述情障碍量表[TAS-20,包括情感识别障碍(DIF)、情感描述障碍(DDF)、外向性思维(EOT)3个分量表]进行测评。结果产妇DIF得分低于分娩前[(19.11±4.67)vs.(18.14±4.46),P<0.05]。产后EPDS得分与MSSS得分呈负相关(r=-0.39)、与TAS-20各因子得分呈正相关(r=0.16~0.37,P均<0.05)。逐步回归分析显示,EPDS得分与MSSS得分呈负相关(β=-0.42)、与DIF得分呈正相关(β=0.26,P均<0.05)。 MSSS在TAS-20对EPDS影响中不完全中介效应成立(β=-0.33),χ2/df=0.909、P=0.436、RMSEA=0.009、NFI=0.995、RFI=0.983、IFI=0.991、TLI=0.971、CFI=0.989。结论产妇述情障碍直接或间接通过降低产妇对社会支持的领悟能力而影响产后抑郁。
目的：探討分娩前、後產婦述情障礙、領悟社會支持、抑鬱變化及三者之間的關繫。方法選取安暘市人民醫院就診的孕期≥28週的525名孕婦為研究對象,追蹤調查至分娩後一週,採用愛丁堡產後抑鬱量錶(EPDS)、孕產婦社會支持量錶(MSSS)、多倫多述情障礙量錶[TAS-20,包括情感識彆障礙(DIF)、情感描述障礙(DDF)、外嚮性思維(EOT)3箇分量錶]進行測評。結果產婦DIF得分低于分娩前[(19.11±4.67)vs.(18.14±4.46),P<0.05]。產後EPDS得分與MSSS得分呈負相關(r=-0.39)、與TAS-20各因子得分呈正相關(r=0.16~0.37,P均<0.05)。逐步迴歸分析顯示,EPDS得分與MSSS得分呈負相關(β=-0.42)、與DIF得分呈正相關(β=0.26,P均<0.05)。 MSSS在TAS-20對EPDS影響中不完全中介效應成立(β=-0.33),χ2/df=0.909、P=0.436、RMSEA=0.009、NFI=0.995、RFI=0.983、IFI=0.991、TLI=0.971、CFI=0.989。結論產婦述情障礙直接或間接通過降低產婦對社會支持的領悟能力而影響產後抑鬱。
목적：탐토분면전、후산부술정장애、령오사회지지、억욱변화급삼자지간적관계。방법선취안양시인민의원취진적잉기≥28주적525명잉부위연구대상,추종조사지분면후일주,채용애정보산후억욱량표(EPDS)、잉산부사회지지량표(MSSS)、다륜다술정장애량표[TAS-20,포괄정감식별장애(DIF)、정감묘술장애(DDF)、외향성사유(EOT)3개분량표]진행측평。결과산부DIF득분저우분면전[(19.11±4.67)vs.(18.14±4.46),P<0.05]。산후EPDS득분여MSSS득분정부상관(r=-0.39)、여TAS-20각인자득분정정상관(r=0.16~0.37,P균<0.05)。축보회귀분석현시,EPDS득분여MSSS득분정부상관(β=-0.42)、여DIF득분정정상관(β=0.26,P균<0.05)。 MSSS재TAS-20대EPDS영향중불완전중개효응성립(β=-0.33),χ2/df=0.909、P=0.436、RMSEA=0.009、NFI=0.995、RFI=0.983、IFI=0.991、TLI=0.971、CFI=0.989。결론산부술정장애직접혹간접통과강저산부대사회지지적령오능력이영향산후억욱。
Objective To explore the relation between postpartum depression to alexithymia and perceived social support in post-partum women. Methods Totally 525 pregnant women were selected and followed-up. They were assessed with the Edinburgh Post-natal Depression Scale(EPDS) to evaluate postpartum depression, assessed with the 20-item Toronto Alexithymia Scale (TAS-20) consisting of the sub-scales of Difficulty Identifying Feelings (DIF), Difficulty Describing Feelings(DDF) and Externally Oriented Thinking (EOT) to evaluate alexithymia, assessed with the Maternity Social Support Scale(MSSS) to evaluate perceived social sup-port. Results The scores of DIF were lower in women after delivery than before[(19. 11 ± 4. 67)vs. (18. 14 ± 4. 46),P<0. 05]. The EPDS scores were negatively correlated with the MSSS scores(r= -0. 39) and positively correlated with the scores of DIF,EOT,DDF (r=0. 16~0. 37, P<0. 05) in postpartum women. Regression analysis showed that the scores of EPDS were negatively correlated with the MSSS scores (β= -0. 42) and positively correlated with the DIF scores (β=0. 26, P<0. 05). The path analysis showed that the MSSS score as a mediator between the TAS-20 scores and the scores of EPDS in postpartum women(β= -0. 33). The model fit indices were χ2/df=0. 909,P=0. 436,RMSEA=0. 009,NFI=0. 995,RFI=0. 983,IFI=0. 991,TLI=0. 971, CFI=0. 989. Con-clusion It suggests that perceived social support may play a mediating role between alexithymia and postpartum depression.
