摘要
目的了解甘肃省孕产妇亚临床抑郁症状现状及其影响因素,探讨正念和情绪调节对孕产妇抑郁症状的影响,为预防和减少孕产妇抑郁,改善其生活质量提供理论参考。方法采用分阶段方便抽样的方法,抽取甘肃省内907例孕产妇,通过爱丁堡产后抑郁量表评估孕产妇的抑郁症状,使用正念注意觉知量表来测量孕产妇的正念水平,用情绪调节量表来评估孕产妇认知重评和表达抑制策略的使用情况。结果907例孕产妇中有357名有亚临床抑郁症状,占39.36%。Pearson相关分析显示,正念水平(r=-0.284,P<0.01)和情绪调节能力(r=-0.093,P<0.01)与孕产妇抑郁症状呈显著负相关。Logistics回归分析表明,随着正念水平的增加,孕产妇出现抑郁症状的可能性会逐渐减少(OR=0.980,95%CI:0.970~0.991);认知重评能力的提高也能减少孕产妇的抑郁情绪(OR=0.913,95%CI:0.891~0.936);表达抑制水平的降低也能减少孕产妇的抑郁情绪(OR=1.123,95%CI:1.082~1.165)。结论正念水平越高的妇女和情绪调节能力越好的孕产妇,较少出现孕产期抑郁症状。
Objective To explore the effects of mindfulness and emotion regulation on maternal depression in pregnancy and postpartum period of women in Gansu Province,and to prevent and reduce the maternal depression.Methods A total of 907 women who came to the department of obstetrics and gynecology in hospital were randomly selected in Gansu Province.The depression status was evaluated by the Edinburgh Postpartum Depression Scale.Maternal mindfulness was measured by using the Mindfulness Attention Awareness Scale,and maternal cognitive reappraisal and expressive inhibition were assessed by using the Emotion Regulation Scale(including the Cognitive Revaluation Scale and the Expressive Inhibition subscale).Results Among 907 women,357 of them had depressive symptoms,accounting for 39.36%.Person correlation analysis showed that the level of mindfulness(r=-0.284,P<0.01)and emotion regulation ability(r=-0.093,P<0.01)were significantly negatively correlated with maternal depression.Logistics regression analysis showed that maternal depression scores were lower with higher levels of mindfulness(OR=0.980,95%CI:0.970-0.991)and better cognitive revaluation expressive(OR=0.913,95%CI:0.891-0.936)and inhibition emotional regulation(OR=1.123,95%CI:1.082-1.165).Conclusion The higher the level of mindfulness,the less likely women are to develop depressive symptoms.The better the ability to regulate emotions,the less the women are to develop depressive symptoms.
作者
张雪莲
汪燕妮
李英
王和静
王艳艳
ZANG Xue-lian;WANG Yan-ni;LI Ying;WANG He-jing;WANG Yan-yan(The Third People′s Hospital of Gansu Province,Lanzhou 730020,China)
出处
《中国健康教育》
北大核心
2022年第12期1072-1076,共5页
Chinese Journal of Health Education
基金
甘肃省科技计划项目软科学专项(21CX6ZA033)
关键词
正念
情绪调节
孕产期
抑郁
Mindfulness level
Emotion regulation
Maternal
Depression
作者简介
张雪莲(1974-),女,大学本科,副主任医师,主要从事医院感染管理工作;通信作者:王艳艳,女,副主任医师,研究方向:传染病及免疫规划。E-mail:272295983@qq.com
