余敏;徐东;蔡毅媛;吴颖岚;刘华;龚雯洁;

• 1:中南大学湘雅公共卫生学院
• 2:中山大学全球卫生中心
• 3:中山大学公共卫生学院
• 4:贵州医科大学公共卫生学院

摘要(Abstract)：

目的:了解妇女在围产期不同时点的抑郁症状检出率及其影响因素。方法:2016年9月到2017年2月,在两家妇幼保健院进行产检的508名妇女中完成了全部时点的随访(从孕早期至产后6周,随访7次),使用爱丁堡产后抑郁量表(EPDS)进行抑郁筛查,计算所有时点的抑郁症状检出率,同时在各个时点测量抑郁影响因素。结果:7次随访的抑郁症状检出率为24.8%～37.6%;产后两个时点的中重度抑郁症状检出率均高于轻度抑郁症状(13.0%～14.3%vs.11.8%～13.0%,均P<0.05)。孕早期抑郁症状(OR=2.54、2.05)和产后焦虑(OR=1.43、1.13)与产后1周及产后6周的抑郁症状均正向关联;孕早期焦虑与孕12周至40周共5个时点的抑郁症状正向关联(OR=7.27、1.28、1.18、1.18、1.18)。结论:围产期不同时点的抑郁症状检出率不同,焦虑在整个围产期都与抑郁持续相关。

关键词(KeyWords)： 围产期抑郁;焦虑;产后抑郁;心理健康

Abstract:

Keywords:

基金项目(Foundation): 国家自然科学基金(81773446,81402690)

作者(Author): 余敏;徐东;蔡毅媛;吴颖岚;刘华;龚雯洁;

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DOI:

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