孕妇抑郁预警量表的编制

摘要
图/表
参考文献
相关文章 (15)

全文: PDF (566 KB) HTML (34 KB)
输出: BibTeX | EndNote (RIS)

摘要目的基于国内孕妇抑郁的现状,编制孕妇抑郁预警量表,进一步监测围产期妇女的心理健康状况,预测抑郁倾向,以减少围产期妇女发生抑郁的风险。方法首先,采用文献法构建孕妇抑郁预警量表的理论结构假设,并于2020年10月初在安徽省合肥市某医院内随机挑选了18名孕妇进行开放式问卷调查,平均年龄(28.46±3.37)岁,在此基础上形成75个项目的初测问卷。其次,选取2020年10月10日至2021年1月10日前往合肥市某医院妇产科就诊的孕妇进行预测,参与调查的孕妇共170名,采用初测问卷对170名孕妇进行第一次施测,对数据进行项目分析、探索性分析后,最终形成了24个项目的孕妇抑郁预警量表。最后,选取2021年4月23日至6月23日前往合肥市某医院妇产科就诊的孕妇开展第二次施测,参与调查的孕妇共有215名,采用正式量表对215名孕妇进行第二次施测,回收数据进行结构验证和信效度分析后,最终形成了包括5个因子的孕妇抑郁预警量表。结果经SPSS 23.0数据处理系统处理,得到总量表的α系数为0.68>0.6,各因子的α系数都处于可接受范围内。经AMOS 26.0建立结构方程模型(SEM)验证,χ²/df为1.26,RMSEA为0.04,IFI为0.93,PNFI为0.61,各项指标均理想。结论本次研究确定了孕妇抑郁预警量表的五个维度,即自我认同、社会关系支持、挫折承受能力、产后体态担忧、新生儿状况担忧,形成了包含24个条目的孕妇抑郁预警量表。经检测,量表效度良好,信度尚在可接受范围。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	朱苗苗
	张洁茹
	王慧洁
	明玉杰
	张聪
	李孝明
	王平

关键词 ：围产期妇女, 预防抑郁, 量表编制

Abstract：Objective Based on the current situation of depression among Chinese pregnant women,a depression warning scale for pregnant women was developed to monitor the mental health during perinatal period,further predict the tendency of depression and hence to reduce the risk of depression. Methods Firstly,the theoretical structure hypothesis of scale was constructed based on bibliographic method.18 pregnant women,average age was(28.46±3.37) years old,were randomly selected for an open questionnaire survey in early October 2020 at a hospital in Hefei,Anhui Province.A preliminary questionnaire consisting of 75 items was formed based on this pre-survey.Secondly,170 pregnant women who visited the obstetrics and gynecology department of a hospital in Hefei during October 10,2020 to January 10,2021 were selected for prediction and the preliminary questionnaire was administered to them for the first time.After data analysis and exploratory analysis,a pregnant women depression warning scale with 24 items was finally formed.Finally,a second test was conducted on 215 pregnant women who visited the obstetrics and gynecology department of a hospital in Hefei during April 23 to June 23,2021.The formal scale was administered to them for the second time,and the data was collected for structural validation and reliability analysis,through which a pregnant women depression warning scale with 5 factors was finally formed. Results SPSS 23.0 software was used for data analysis.The α coefficient of the total amount table was 0.68>0.6,and the α coefficient of each factor was within the acceptable range.The χ²/ DF,RMSEA,IFI and PNFI values were 1.26,0.04,0.93 and 0.61,respectively,verified by structural equation model(SEM) established by AMOS 26.0. Conclusion A 24-item pregnant women depression early warning scale which covered five dimensions,namely,self-identification,social relationship support,frustration tolerance,postpartum posture worry,newborn status worry,was formed and identified.The scale validity is good,and the reliability is within an acceptable range after the final test.

Key words： perinatal women prevention of depression scale compilation

收稿日期: 2022-07-01

ZTFLH:

R17

基金资助:安徽省哲学社会科学规划项目研究成果(AHSKF2019D014)

通讯作者: 王平(wp9813@qq.com)

引用本文:

朱苗苗, 张洁茹, 王慧洁, 明玉杰, 张聪, 李孝明, 王平. 孕妇抑郁预警量表的编制[J]. 中国生育健康杂志, 2023, 34(6): 526-531. ZHU Miaomiao, ZHANG Jieru, WANG Huijie, MING Yujie, ZHANG Cong, LI Xiaoming, WANG Ping. Development of depression warning scale for pregnant women. Chinese Journal of Reproductive Health, 2023, 34(6): 526-531.

链接本文:

http://cjrh.bjmu.edu.cn/CN/ 或 http://cjrh.bjmu.edu.cn/CN/Y2023/V34/I6/526

1 辛虹.围产期抑郁.北京:人民卫生出版社,2016:365.
2 黄春艳,罗雪梅,程秋蓉.妊娠期妇女焦虑、抑郁状态的研究进展.中国社区医师,2019,35:7-11.
3 高锦萍,朱瑞芳,曹妍,等.网络干预疗法对产后抑郁症治疗效果的Meta分析.循证护理,2021,7:182-189.
4 林翔,郑丹,林雪凤,等.我国围产期抑郁症发生率的Meta分析.福建医药杂志,2017,39:131-133.
5 张双美,吴宁,陈渊,等.基于倾向评分匹配的先兆流产孕妇产前抑郁危险因素分析.中国卫生统计,2022,39:125-127.
6 Huang HC,Sung FC,Chen PC,et al.Obstetric outcomes in pregnant women with and without depression:population-based comparison.Sci Rep,2017,7:13937.
7 蒋承玉.心理护理对顺产产妇产程的影响.中西医结合心血管病电子杂志,2018,6:93.
8 余志英.心理、生理以及社会支持等因素对自然分娩产程的影响研究.罕少疾病杂志,2016,23:46-48.
9 Hidaka BH.Depression as a disease of modernity:explanations for increasing prevalence.J Affect Disord,2012,140:205-214.
10 Nisar A,Yin J,Waqas A,et al.Prevalence of perinatal depression and its determinants in Mainland China:A systematic review and meta-analysis.J Affect Disord,2020,277:1022-1037.
11 van Lee L,Chia A,Phua D,et al.Multiple modifiable lifestyle factors and the risk of perinatal depression during pregnancy:Findings from the GUSTO cohort.Compr Psychiatry,2020,103:152210.
12 陈彰慧,陈慧敏,黄德慧.孕妇心理压力之探索.高雄医志,1991,5:505-509.
13 姜乾金.领悟社会支持量表.中国行为医学科学,2001,10:41-42.
14 戴晓阳,姚树桥,蔡太生,等.NEO个性问卷修订本在中国的应用研究.中国心理卫生杂志,2004,3:171-174.
15 Carver C.Assessing coping strategies:a theoretically based approach.J Pers Soc Psychol,1989,56:267-283.
16 王才康,胡中锋,刘勇.一般自我效能感量表的信度和效度研究.应用心理学,2001,7:37-40.
17 夏比旦·吐逊江,古丽加那提·吾买尔,张薇,等.孕妇妊娠压力对孕期自评抑郁影响中社会支持的中介效应.中国预防医学杂志,2022,23:180-184.
18 赵进法,陈天娇,程灶火.大学生自我认同感与人际关系状况的调查研究.科技风,2019:260.
19 张颖,杜玉开.765例生育二胎妇女产后抑郁发生情况及其影响因素研究.安徽预防医学杂志,2021,27:470-473,500.
20 拓明花,田海燕,马丛花,等.妊娠晚期抑郁与社会支持的相关性研究.宁夏医科大学学报,2017,39:1166-1170.
21 覃寿学,施容光,农燕丽,等.社会支持在人类免疫缺陷病毒感染孕产妇负性情绪和应对方式之间的中介效应.第二军医大学学报,2017,38:1537-1542.
22 Kang AW,Pearlstein TB,Sharkey KM.Changes in quality of life and sleep across the perinatal period in women with mood disorders.Qual Life Res,2020,29:1767-1774.
23 倪渊渟.产后抑郁女性的疾病叙事与身份认同.华中科技大学,2020:14-15.
24 Seymour KE,Miller L.ADHD and Depression:the Role of Poor Frustration Tolerance.Curr Dev Disord Rep,2017,4:14-18.
25 Curry SJ,Krist AH,Owens DK,et al.Interventions to Prevent Perinatal Depression:US Preventive Services Task Force Recommendation Statement.JAMA,2019,321:580-587.