登记怀孕妇女的抑郁状态

M. V. NAEL-PRUPES, O. Kharkova, A. Soloviev
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摘要

已经确定,影响产后抑郁症发生的最重要因素包括抑郁症的倾向,特别是那些在怀孕期间没有得到诊断和/或治疗不充分的抑郁症。本文探讨了登记怀孕妇女抑郁症状的流行程度和抑郁状态的特点。采用问卷调查法研究抑郁症状和心理情绪状态的患病率。采用WAM问卷评估幸福感、活动量和情绪,采用贝克抑郁量表诊断抑郁症。登记怀孕妇女出现抑郁症状的比例为14.9%。社会特征不影响症状的表现,但生活条件证明了这种关系。没有自己的住房而是租房的妇女在怀孕期间患抑郁症的风险要高出三倍。贝克抑郁量表的“抑郁”指标与“幸福感”、“情绪”和“活动”指标呈负相关(rs= -0.474, r < 0.001, rs= -0.356, r = 0.002, rs= -0.468, r < 0.001)。研究还发现,孕妇在感觉不舒服时出现抑郁症状的几率比是8.1倍,在活动减少时是7.7倍,在情绪低落时是17.4倍。已登记孕妇抑郁状态的特征表明,研究不同妊娠期妇女的心理情绪状态,可以发现可能导致产后抑郁的迹象,并及时启动预防方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
DEPRESSIVE STATE IN WOMEN REGISTERED PREGNANT
It has been determined that the most important factors influencing the occurrence of postpartum depression include a tendency to depressive disorders, especially those which are not diagnosed and/or inadequately treated during pregnancy. This article deals with the prevalence of depression symptoms and the characteristics of depressive state in women registered pregnant. To study the prevalence of depression symptoms and psycho-emotional state questionnaires were used. The WAM questionnaire was used to assess well-being, activity and mood, and the Beck Depression Inventory was used to diagnose depression. The prevalence of depression symptoms in women registered pregnant was 14.9%. Social characteristics did not influence the appearance of symptoms, but living conditions demonstrated such a relationship. Depression risk during pregnancy is three times higher in women who do not have their own housing, but rent it. The indicator of ‘depression’ according to the Beck Depression Inventory was negatively correlated with the indicators of ‘well-being’, ‘mood’ and ‘activity’ (rs= -0.474, р < 0.001, rs= -0.356, р = 0.002, rs = -0.468, р < 0.001). It was also found that the odds ratio of having signs of depression in women registered pregnant is 8.1 times higher when feeling unwell, 7.7 times higher in decreased activity and 17.4 times higher in low mood. The presented characteristics of the depressive state in women registered pregnant have shown that the study of psycho-emotional state in women at different gestation periods can make it possible to notice signs that can lead to postpartum depression and to start a prevention program in time.
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