中华行为医学与脑科学杂志
中華行為醫學與腦科學雜誌
중화행위의학여뇌과학잡지
CHINESE JOURNAL OF BEHAVIORAL MEDICINE AND BRAIN SCIENCE
2015年
4期
364-366
,共3页
祝慧%崔云龙%熊朋迪%祝卓宏
祝慧%崔雲龍%熊朋迪%祝卓宏
축혜%최운룡%웅붕적%축탁굉
经验性回避%抑郁%产妇
經驗性迴避%抑鬱%產婦
경험성회피%억욱%산부
Experiential avoidance%Depression%Pregnant
目的 探讨经验性回避与产后抑郁的关系,为接纳与承诺疗法在产后抑郁的心理治疗中提供实证依据.方法 309名待产妇女采用自编孕产妇一般资料调查表,接纳与行动问卷第二版(AAQ-Ⅱ)和自评抑郁量表(SDS),分别对其在住院待产期间和产后3～7d进行问卷调查.结果 产前、产后抑郁组AAQ-Ⅱ得分[(18.54±8.25)分,(19.07±7.82)分]高于正常组[(15.47±7.03)分,(14.57±6.57)分],差异有统计学意义(t=-3.15,-5.07;均P＜0.01);产前产后AAQ-Ⅱ总分与产前SDS、产后SDS总分均呈正相关关系(r=0.34,0.34,0.24,0.42;均P＜0.01);层次回归分析显示,在阶层一中,新生儿异常情况和产前抑郁对产后抑郁的预测效应显著(3=0.09,0.62;均P＜0.01);在阶层二中,控制孕产妇年龄、产后并发症、新生儿异常情况以及产前SDS后,产前AAQ-Ⅱ对产后SDS的解释力仍显著(β=0.13,P=0.006;△R 2=0.01,P=0.006).结论 经验性回避对产后抑郁具有一定的预测作用,经验性回避程度越高,产后抑郁发生的可能性越大.
目的 探討經驗性迴避與產後抑鬱的關繫,為接納與承諾療法在產後抑鬱的心理治療中提供實證依據.方法 309名待產婦女採用自編孕產婦一般資料調查錶,接納與行動問捲第二版(AAQ-Ⅱ)和自評抑鬱量錶(SDS),分彆對其在住院待產期間和產後3～7d進行問捲調查.結果 產前、產後抑鬱組AAQ-Ⅱ得分[(18.54±8.25)分,(19.07±7.82)分]高于正常組[(15.47±7.03)分,(14.57±6.57)分],差異有統計學意義(t=-3.15,-5.07;均P＜0.01);產前產後AAQ-Ⅱ總分與產前SDS、產後SDS總分均呈正相關關繫(r=0.34,0.34,0.24,0.42;均P＜0.01);層次迴歸分析顯示,在階層一中,新生兒異常情況和產前抑鬱對產後抑鬱的預測效應顯著(3=0.09,0.62;均P＜0.01);在階層二中,控製孕產婦年齡、產後併髮癥、新生兒異常情況以及產前SDS後,產前AAQ-Ⅱ對產後SDS的解釋力仍顯著(β=0.13,P=0.006;△R 2=0.01,P=0.006).結論 經驗性迴避對產後抑鬱具有一定的預測作用,經驗性迴避程度越高,產後抑鬱髮生的可能性越大.
목적 탐토경험성회피여산후억욱적관계,위접납여승낙요법재산후억욱적심리치료중제공실증의거.방법 309명대산부녀채용자편잉산부일반자료조사표,접납여행동문권제이판(AAQ-Ⅱ)화자평억욱량표(SDS),분별대기재주원대산기간화산후3～7d진행문권조사.결과 산전、산후억욱조AAQ-Ⅱ득분[(18.54±8.25)분,(19.07±7.82)분]고우정상조[(15.47±7.03)분,(14.57±6.57)분],차이유통계학의의(t=-3.15,-5.07;균P＜0.01);산전산후AAQ-Ⅱ총분여산전SDS、산후SDS총분균정정상관관계(r=0.34,0.34,0.24,0.42;균P＜0.01);층차회귀분석현시,재계층일중,신생인이상정황화산전억욱대산후억욱적예측효응현저(3=0.09,0.62;균P＜0.01);재계층이중,공제잉산부년령、산후병발증、신생인이상정황이급산전SDS후,산전AAQ-Ⅱ대산후SDS적해석력잉현저(β=0.13,P=0.006;△R 2=0.01,P=0.006).결론 경험성회피대산후억욱구유일정적예측작용,경험성회피정도월고,산후억욱발생적가능성월대.
Objective To explore the relationship between postpartum depression and experiential avoidance of parturient and to provide empirical evidences for acceptance and commitment therapy in mental treatment of postpartum depression.Methods 309 pregnant women were assessed with self-made general information questionnaire,self-rating depression scale (SDS) and acceptance and action questionnaire-2nd edition (AAQ-Ⅱ) in predelivery periods and 3-7 days after childbirth respectively.Results AAQ-Ⅱ scores in the predelivery or postpartum depression group ((18.54±8.25),(19.07±7.82)) were higher than that in the normal group((15.47±7.03),(14.57±6.57)),and the difference was statistically significant(t=-3.15,-5.07,all P＜0.01).It was found that the predelivery or postpartum AAQ-Ⅱ scores were positively associated with the SDS scores of predelivery periods and postpartum periods respectively(r=0.34,0.34,0.24,0.42,all P＜0.01).Hierarchical multiple regression analyses were then conducted.In the first block,neonatal exceptional conditions and the predelivery SDS significantly explained variance in postpartum depression(β=0.09,0.62,all P＜0.01).In the second block,the predelivery AAQ-Ⅱ still had a significant effect on postpartum depression (β=0.13,P=0.006,△R2=0.01,P=0.006),despite control the age of parturient women,postpartum complication,neonatal exceptional conditions and the predelivery SDS.Conclusion A function to predict the occurrence of maternal postpartum depression is obtained from the experiential avoidance which is attributed to the risk of maternal postpartum depression.
