CAJ | 학술논문

目的：探讨产后抑郁症的影响因素。方法对妊娠晚期的293例孕妇进行社会人口学、匹茨堡睡眠质量量表、爱丁堡产后抑郁量表评定，并使用DSM- IV- TR轴I障碍结构式访谈患者版（SCID- I/P）进行抑郁症诊断，在产后3个月再次进行量表填写及结构式访谈诊断，最终纳入研究223例，采用非条件logistic回归模型进行相关性统计检验。结果本研究产后抑郁症的总患病率为9.4%。在校正其他影响因素后，年龄、家庭收入、婚姻满意度、睡眠质量与产后抑郁症有显著相关性，其中，年龄、睡眠质量评分（分数越高睡眠质量越差）与产后抑郁症呈正相关，家庭收入、婚姻满意度与产后抑郁症呈负相关，且妊娠晚期睡眠质量评分与产后抑郁症呈正相关。结论年龄、妊娠晚期主观睡眠质量差、家庭收入、婚姻满意度是产后抑郁症的危险因素。
목적：탐토산후억욱증적영향인소。방법대임신만기적293례잉부진행사회인구학、필자보수면질량량표、애정보산후억욱량표평정，병사용DSM- IV- TR축I장애결구식방담환자판（SCID- I/P）진행억욱증진단，재산후3개월재차진행량표전사급결구식방담진단，최종납입연구223례，채용비조건logistic회귀모형진행상관성통계검험。결과본연구산후억욱증적총환병솔위9.4%。재교정기타영향인소후，년령、가정수입、혼인만의도、수면질량여산후억욱증유현저상관성，기중，년령、수면질량평분（분수월고수면질량월차）여산후억욱증정정상관，가정수입、혼인만의도여산후억욱증정부상관，차임신만기수면질량평분여산후억욱증정정상관。결론년령、임신만기주관수면질량차、가정수입、혼인만의도시산후억욱증적위험인소。
Objective To investigate the risk factors of postpartum depression. Methods Two hundred and ninety three women with uncomplicated pregnancies in their last pregnancy trimester were enrolled in the study. The demographic character-istics were surveyed with questionnaire, the psychological status was evaluated with Pittsburgh Sleep Quality Index and Edin-burgh Postnatal Depression Scale. Depression was diagnosed with Structured Clinical Interview for DSM- IV- TR Axis I Disorders Patient Edition (SCID- I/P). The participants were evaluated again 3 months after delivery, final y 223 cases were included in the study. The correlations between postpartum depression and various parameters were analyzed with Logistic model. Results The mean age of participants was 26.5±3.0 y (21~36), and mean gestation weeks were 31.8±1.6 (28~36). The total prevalence of postpartum depression was 9.4%. After control ing other factors, postpartum depression was positively correlated with age and sleep quality index (bad sleep with a high score) , and negatively correlated with high income and satisfactory with marriage. Be-sides, sleep quality index score was associated with postpartum depressive symptoms. Conclusion Bad subjective sleep quali-ty in the third trimester of pregnancy is a risk factor for postpartum depression. Early intervention of bad sleep quality may prevent postpartum depression.