[1]庄幼青,蒋翠婷,曾丽玲,等.产妇心理弹性在产后负性生活事件与产后抑郁间的中介效应[J].解放军护理杂志,2021,38(12):18-21.[doi:10.3969/j.issn.1008-9993.2021.12.005]
　ZHUANG Youqing,JIANG Cuiting,ZENG Liling,et al.The Mediating Effect of Maternal Resilience On Postpartum Depression and Postpartum Negative Life Events[J].Nursing Journal Of Chinese People’s Laberation Army,2021,38(12):18-21.[doi:10.3969/j.issn.1008-9993.2021.12.005]
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产妇心理弹性在产后负性生活事件与产后抑郁间的中介效应()
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《解放军护理杂志》[ISSN:2097-1826/CN:31-3186/R]

卷:
38
期数:
2021年12期
页码:
18-21
栏目:
论著
出版日期:
2021-12-15

文章信息/Info

Title:
The Mediating Effect of Maternal Resilience On Postpartum Depression and Postpartum Negative Life Events
文章编号:
1008-9993(2021)12-0018-04
作者:
庄幼青1; 蒋翠婷2; 曾丽玲1; 温济英1; 李雪然1; 张利峰2
1.广东省妇幼保健院 产科,广东 广州 510010; 2.中山大学 护理学院,广东 广州 510080
Author(s):
ZHUANG Youqing1; JIANG Cuiting2; ZENG Liling1; WEN Jiying1; LI Xueran1; ZHANG Lifeng2
1.Obstetrics Department,Women’s and Children’s Hospital of Guangdong Province,Guangzhou 510010,Guangdong Province,China; 2.School of Nursing,Sun Yat-Sen University Guangzhou 510080,Guangdong Province,China
关键词:
抑郁;  产妇;  产后负性生活事件;  心理弹性;  中介效应
Keywords:
postpartum depression;  parturients;  postpartum negative life events;  mental resilience;  mediation effect
分类号:
R473.71
DOI:
10.3969/j.issn.1008-9993.2021.12.005
文献标志码:
A
摘要:
目的 探讨负性生活事件、心理弹性与产后抑郁之间的关系,为采取针对性干预措施提供参考依据。方法 采用便利抽样法选择广州市某三级甲等医院产后康复门诊复诊的390例产妇为研究对象,采用爱丁堡产后抑郁量表、产后负性生活事件量表、心理弹性量表对其进行问卷调查,并进行路径分析。结果 产妇的产后抑郁得分为10.00(6.00～13.00)分,产后负性生活事件总分(78.14±18.93)分,心理弹性得分(65.11±12.78)分。产后抑郁与产后负性生活呈正相关(r=0.652,P<0.001),产后抑郁及产后负性生活事件与心理弹性均呈负相关(r=-0.479、-0.402,P<0.001); 心理弹性在产后负性生活事件与产后抑郁间有部分中介效应(0.113),占总效应的16.69%。结论 产后负性生活事件不仅直接作用于产后抑郁,还可通过心理弹性中介作用间接影响产后抑郁。
Abstract:
Objective To explore the relationship between postpartum depression,negative life events and mental resilience of parturient, and to provide reference for targeted intervention.Methods 390 parturients were selected from Postpartum Rehabilitation Outpatient Department of a tertiary A hospital in Guangzhou by the convenience sampling method.All parturients were investigated with the Edinburgh Postpartum Depression Scale,Postpartum Negative Life Events Scale and Conner-Davidson Resilience Scale.The route analysis was conducted.Results The maternal depression of parturients quartile score was 10.00(6.00～13.00),the maternal negative life events score was(78.14±18.93),and the mental resilience score was(65.11±12.78).Postpartum depression was positively correlated with postpartum negative life(r=0.652,P<0.001),Postpartum depression and postpartum negative life events were negatively correlated with mental resilience(r=-0.479,-0.402,P<0.001).Resilience has a partial mediating effect between postpartum depression and postpartum negative life events(0.113),accounting for 16.69% of the total effect.Conclusions Postpartum negative life events can exert influence postpartum depression directly or via the mediating role of mental resilience.

参考文献/References:

[1] 产后抑郁防治指南撰写专家组.产后抑郁障碍防治指南的专家共识(基于产科和社区医生)[J].中国妇产科临床杂志,2014,15(6):572-576.
[2] FARIAS-ANTUNEZ S,XAVIER M O,SANTOS I S.Effect of maternal postpartum depression on offspring’s gowth[J].J Affect Disord,2018(228):143-152.
[3] 张羽頔,祁月,马雪梅,等.母亲产后抑郁症状与1.5～2月龄婴儿发育的关联分析[J].中国妇幼健康研究,2020,31(7):889-894.
[4] IERARDI J A,FANTASIA H C,MAWN B,et al.The experience of men whose partners have postpartum depression[J].J Am Psychiatr Nurses Assoc,2019,25(6):434-444.
[5] JULIAN M,LE H N,COUSSONS-READ M,et al.The moderating role of resilience resources in the association between stressful life events and symptoms of postpartum depression[J].J Affect Disord,2021(293):261-267.
[6] 芦沁蕊,丁琳,王艳丽,等.心理弹性调节围产期妇女产前感知压力与产后抑郁的关系[J].护理研究,2019,33(11):1906-1910.
[7] 郭秀静.爱丁堡产后抑郁量表在成都地区产妇中应用的效能研究[D].成都:四川大学,2007.
[8] 符夏瑜,陈雄,张云志.爱丁堡产后抑郁量表在孕晚期妇女产前抑郁筛查中的临界值分析[J].中国妇产科临床杂志,2018,19(5):453-454.
[9] 文锶.产后负性生活事件、抑郁归因风格、失控感与产后抑郁的关系研究[D].重庆:西南大学,2014.
[10]YU X,ZHANG J.Factor analysis and psychometric evaluation of the connor-davidson resilience scale(CD-RISC)in Chinese people [J].Soc Behav Pers,2007,35(1):19-30.
[11]DUKO B,WOLDE D,ALEMAYEHU Y.The epidemiology of postnatal depression in Ethiopia:a systematic review and meta-analysis[J/OL].[2021-07-18].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7678214/.
[12]VAN NIEL M S,PAYNE J L.Perinatal depression:a review[J].Cleve Clin J Med,2020,87(5):273-277.
[13]高雅琴,李玉红,步仰高,等.心理韧性在产妇反刍思维与产后抑郁间的中介效应[J].解放军护理杂志,2020,37(7):11-14,19.
[14]钟伟群,贺娟,高莉芳,等.社会支持期望落差在产妇压力感知与产后抑郁间的中介效应研究[J].中国实用护理杂志,2021,37(20):1563-1567.
[15]汤彩云,卢永彪,吴文峰,等.负性生活事件与青少年抑郁的关系:反刍思维和情绪应对方式的链式中介作用[J].贵州师范学院学报,2021,37(3):38-44.
[16]张丽华,孙丽霞,吴健丽,等.产妇家庭关怀度以及育儿胜任感与产后抑郁的关系[J/OL].[2021-07-18].https://kns.cnki.net/kcms/detail/11.5257.R.20210709.1740.006.html.
[17]SANGSAWANG B,DEOISRES W,HENGUDOMSUB P,et al.Effectiveness of psychosocial support provided by midwives and family on preventing postpartum depression among first-time adolescent mothers at 3-month follow-up:a randomised controlled trial[J/OL].[2021-07-18].https://onlinelibrary.wiley.com/doi/10.1111/jocn.15928.
[18]VAN J D Z,DEW V,TOLVANEN M,et al.Longitudinal asso-ciations between sleep and anxiety during pregnancy,and the moderating effect of resilience,using parallel process latent growth curve models[J].Sleep Med,2017(40):63-68.

备注/Memo

备注/Memo:
【 收稿日期 】 2021-08-19 【 修回日期 】 2021-11-08
【 作者简介 】 庄幼青,硕士,主管护师,从事母婴专科护理工作
【 通信作者 】 张利峰,电话:020-87334850
更新日期/Last Update: 2021-12-20