中国临床心理学杂志

孕期家庭暴力等因素与产后抑郁的关系

作者：张勇¹ 2 邹韶红¹ 3 曹玉萍¹ 张亚林¹

单位：1. 中南大学湘雅二医院精神卫生研究所湖南长沙 410011
2. 天津市安定医院天津 300222
3. 新疆自治区人民医院临床心理科新疆乌鲁木齐 830001

关键词：家庭暴力孕期产后抑郁

分类号：R395.2

出版年,卷(期):页码：2012,20(4):506-509

摘要：

目的:调查孕期家庭暴力等因素和产后抑郁的相关关系。方法:采用回顾性调查,利用受虐评估问卷(AAS)对门诊846名孕妇进行筛查,在产后30-42天筛查产后抑郁的发生状况。结果:①孕期家庭暴力发生率为11.3%,精神暴力为主要形式;②受虐妇女产后抑郁发生率31.2%,孕期受虐者产后抑郁发生率显著高于未受虐组(66.7%%/9.7%);③孕期精神暴力、家暴认可态度、意外怀孕、丈夫饮酒、丈夫职业是工人以及担心胎儿健康等因素可能预测产后抑郁。结论:孕期精神暴力、家暴认可态度以及意外怀孕等可能是产后抑郁的风险因素。

Objective: To explore the correlation of domestic violence and postnatal depression among pregnant women.Methods: In a cross-sectional survey, 846 pregnant women were screened with the Abuse Assessment Screen; 215 women completed the postnatal follow-up. All participants underwent the evaluation of postnatal depression with the Edinburgh Postpartum Depression Scale. Results: ①The overall prevalence of domestic violence during pregnancy was 11.3%, and the most common form of domestic violence was psychologic abuse. ②The follow -up interviews showed 31.2% of the pregnant women was screened as postnatal depression, and showed a significantly higher prevalence of postnatal depression among women who had been abused during pregnancy (66.7%) than among those who had not (9.7%). ③Psychologic abuse during pregnancy, an unexpected pregnancy, an attitude of acceptance toward violence, and concern over the newborn's health were related with postnatal depression. Conclusion: Domestic violence during pregnancy and related factors contribute to postnatal depression in pregnant women.

基金项目：

国家自然科学基金项目(30670753);国家社科基金项目(06BSH043)资助

作者简介：

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