四川精神卫生2025，Vol.38Issue(4)：315-320,6.DOI:10.11886/scjsws20240904002
初产妇产前抑郁:社会支持和分娩恐惧及相关因素的影响
Prenatal depression in primiparous women:effects of social support,fear of childbirth and related factors
高萍 1刘珊 1冯琳 1邱成艳 1简凤 2高茹1
作者信息
- 1. 成都市温江区人民医院,四川 成都 611130
- 2. 四川大学华西公共卫生学院/华西第四医院,四川 成都 610041
- 折叠
摘要
Abstract
Background Prenatal depression has an important impact on maternal health and pregnancy outcomes.Previous studies have shown that maternal prenatal depression is associated with social support,and social support is related to fear of childbirth.However,there is limited research on the relationship among maternal prenatal depression,social support and fear of childbirth,and no studies have specifically explored the influence of social support and fear of childbirth on prenatal depression in primiparous women.Objective To investigate the current status of prenatal depression among primiparous women,and to analyze the correlation between social support and fear of childbirth,and to further explore the influence of social support and fear of childbirth on prenatal depression in this population,so as to provide references for improving their mental health.Methods A total of 380 primiparous women admitted to the inpatient department of Chengdu Wenjiang District People's Hospital from December 2022 to September 2023 were enrolled as study subjects.A self-made questionnaire,Edinburgh Postnatal Depression Scale(EPDS),Social Support Rating Scale(SSRS)and Childbirth Attitudes Questionnaire(CAQ)were used to conduct the survey.Pearson correlation analysis was employed to examine the relationships between scale scores.Multiple linear regression analysis was conducted to identify influencing factors of prenatal depression.Results A total of 380 questionnaires were distributed,with 372(97.89%)valid responses collected.Among the participants,222 cases(59.68%)were identified with prenatal depression.Pearson correlation analysis revealed that EPDS score was negatively correlated with SSRS score(r=-0.283,P<0.01)and positively correlated with CAQ score(r=0.341,P<0.01).Multiple linear regression analysis indicated that social support(β=-0.166,P<0.01)and fear of childbirth(β=0.269,P<0.01)were influencing factors of prenatal depression in primiparous women.Conclusion The prevalence of prenatal depression among primiparous women is concerning,with depression levels showing significant associations with both social support and fear of childbirth.关键词
初产妇/社会支持/分娩恐惧/抑郁/产前Key words
Primiparous women/Social support/Fear of childbirth/Depression/Prenatal分类
医药卫生引用本文复制引用
高萍,刘珊,冯琳,邱成艳,简凤,高茹..初产妇产前抑郁:社会支持和分娩恐惧及相关因素的影响[J].四川精神卫生,2025,38(4):315-320,6.
