女性儿童期家庭功能障碍对成年后妊娠期抑郁症状的独立和累积作用

doi:10.6040/j.issn.1671-7554.0.2021.1185

摘要/Abstract

摘要： 目的探讨女性儿童期家庭功能障碍对成年后妊娠期抑郁症状的独立和累积作用。方法 2020年1月~11月,在山东省某三甲医院产科门诊招募871名研究对象。采用自编一般信息调查表、爱丁堡产后抑郁量表及儿童期不良经历量表修订版分量表-家庭功能障碍量表,评估妊娠期女性人口学、妊娠相关信息、抑郁症状以及儿童期家庭功能障碍情况。采用分层多元线性回归探讨儿童期家庭功能障碍对妊娠期抑郁症状的独立作用和累积作用。结果在控制年龄、孕周和家庭平均月收入后,5种类型儿童期家庭功能障碍中,仅母亲遭受家庭暴力与妊娠期抑郁症状呈正向关联(β=0.14,P<0.001)。儿童期家庭功能障碍累积数目与妊娠期抑郁症状呈正向关联(β=0.09,P=0.010)。结论母亲遭受家庭暴力和儿童期家庭功能障碍累积数目与妊娠期抑郁症状呈正向关联。

关键词: 儿童期家庭功能障碍, 妊娠期, 抑郁症状, 独立作用, 累积作用

Abstract: Objective To explore the independent and cumulative associations of childhood household dysfunction with depressive symptoms during pregnancy. Methods A total of 871 subjects were enrolled in the obstetric outpatient department of a comprehensive tertiary-class hospital in Shandong Province during Jan. and Nov. 2020. The general demographic data, pregnancy-related characteristics, depressive symptoms and childhood household dysfunction were assessed with the self-designed General Information Questionnaire, Edinburgh Postpartum Depression Scale and Family Dysfunction Scale, respectively. Hierarchical multiple linear regression was used to investigate the independent and cumulative associations of childhood household dysfunction with depressive symptoms during pregnancy. Results After age, gestational age and average monthly household income were adjusted, of the 5 types of childhood family dysfunction, only “mother treated violently” was independently and positively associated with depressive symptoms during pregnancy(β=0.14, P<0.001). Accumulation of family dysfunction in childhood was positively associated with depressive symptoms during pregnancy(β=0.09, P=0.010). Conclusion “Mother treated violently” is independently and positively associated with household dysfunction, which has a cumulative effect on pregnancy depression symptoms.

Key words: Childhood household dysfunction, Pregnancy, Depressive symptoms, Independent effect, Cumulative effect

中图分类号:

R749

曹丹凤,刘宗花,王君芝,张国翔. 女性儿童期家庭功能障碍对成年后妊娠期抑郁症状的独立和累积作用[J]. 山东大学学报 (医学版), 2022, 60(6): 97-101.

CAO Danfeng, LIU Zonghua, WANG Junzhi, ZHANG Guoxiang. The independent and cumulative associations of childhood household dysfunction with depressive symptoms during pregnancy[J]. Journal of Shandong University (Health Sciences), 2022, 60(6): 97-101.

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