在夫妻中产前抑郁症的患病率,危险因素和家庭动态:一个多中心的横截面研究
Chengli Tang1, Mengru Wu1, Rui Wu1
1School of Nursing, Anhui Medical University, No 81 Meishan Road, Hefei 230032, Anhui, China.
Journal of affective disorders
|June 21, 2025
概括
围产期抑郁症影响到母亲和父亲,婚姻和岳母问题是显著的危险因素. 以家庭为中心的护理和心理支持对于减轻夫妇产前抑郁症至关重要.
科学领域:
- 围产期心理健康研究
- 生殖精神病学是一种精神病学.
- 家庭系统心理学 家庭系统心理学
背景情况:
- 在产前期,父母的抑郁症对公众健康构成重大挑战.
- 了解夫妇产前抑郁症的患病率和风险因素对于有效的干预至关重要.
- 家庭动态,包括婚姻和姻亲关系,对父母的心理健康起着至关重要的作用.
研究的目的:
- 为了确定在夫妇中产前抑郁症的患病率.
- 确定与怀孕期间母亲和父亲抑郁症相关的关键风险因素.
- 用结构方程建模分析家庭关系对产前抑郁症的影响.
主要方法:
- 一项多中心,横截面研究,涉及中国2460名孕妇及其伴侣.
- 使用爱丁堡产后抑郁量表 (EPDS) 进行心理评估.
- 使用后勤回归和结构方程建模 (SEM) 来识别风险因素和关系动态.
主要成果:
- 伴并发性产前抑郁症在夫妇中的患病率为3.3%,女性 (16.4%) 和男性 (14.6%) 的患病率相似.
- 婚姻困境,意外怀孕,个人抑郁病史和伴侣的抑郁症状是父母双方的关键风险因素.
- 岳母关系显著影响了婚姻困境和母亲抑郁症,对母亲抑郁症的间接影响比父亲抑郁症更大.
结论:
- 在产前期优先考虑母亲和父亲的心理健康至关重要,特别是在面对婚姻和岳母关系的压力时.
- 以家庭为中心的护理方法,包括有针对性的心理支持,可以有效地减少产前抑郁症.
- 干预措施应解决家庭关系和父母心理健康之间的复杂相互作用.
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