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山东大学学报 (医学版) ›› 2024, Vol. 62 ›› Issue (3): 87-91.doi: 10.6040/j.issn.1671-7554.0.2023.1051

• 医学心理学 • 上一篇    下一篇

儿童期不良经历对妊娠期抑郁症状的影响:母胎依恋的中介作用

曹丹凤,李慧   

  1. 山东第一医科大学第一附属医院(山东省千佛山医院)护理部, 山东 济南 250014
  • 发布日期:2024-05-06
  • 通讯作者: 李慧. E-mail:275769598@qq.com

Influence of adverse childhood experiences on depression in pregnancy: mediating effect of maternal-fetal attachment

CAO Danfeng, LI Hui   

  1. Department of Nursing, The First Affiliated Hospital of Shandong First Medical University &
    Shandong Provincial Qianfoshan Hospital, Jinan 250014, Shandong, China
  • Published:2024-05-06

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摘要： 目的 探讨母胎依恋在儿童期不良经历与妊娠期抑郁症状间的中介作用。 方法 选取2020年1-12月在山东省某三甲医院产科病房住院的900名孕妇为研究对象,采用一般信息调查表、爱丁堡产后抑郁量表(Edinburgh Postnatal Depression Scale, EPDS)、儿童期不良经历问卷修订版量表(Revised Adverse Childhood Experience Questionnaire, ACEQ-R)和母胎依恋关系量表(Maternal Antenatal Attachment Scale, MAAS)进行问卷调查,探讨母胎依恋在儿童期不良经历与妊娠期抑郁症状间的中介作用。使用SPSS 21.0 PROCESS插件程序进行中介分析,Bootstrap程序进行中介效应检验。 结果 儿童期不良经历与母胎依恋(B=-0.73,P<0.001)、母胎依恋与妊娠期抑郁症状(B=-0.07,P<0.001)、儿童期不良经历与妊娠期抑郁症状(B=0.60,P<0.001)这三者之间的路径系数均达到显著水平。母胎依恋在儿童期不良经历与妊娠期抑郁症状之间存在中介效应,其间接效应为0.053,占总效应(0.597)的8.9%。 结论 儿童期不良经历可以通过母胎依恋对妊娠期抑郁产生影响。医护人员应积极学习母胎依恋及相关心理干预知识,在临床工作中为孕妇提供有针对性的指导。

关键词: 妊娠期, 抑郁症状, 儿童期不良经历, 母胎依恋, 中介作用

Abstract: Objective To investigate the mediating role of maternal attachment between adverse childhood experiences and depressive symptoms during pregnancy. Methods A total of 900 pregnant women hospitalized in the obstetric ward of a tertiary hospital in Shandong Province from January to December 2020 were selected as the research subjects. General Information Questionnaire, Edinburgh Postpartum Depression Scale(EPDS), Revised Adverse Childhood Experiences Questionnaire(ACEQ-R)and Maternal Antenatal Attachment Scale(MAAS)were used to explore mediating role of maternal attachment between adverse childhood experiences and depressive symptoms during pregnancy. The SPSS 21.0 PROCESS plug-in program was used for mediation analysis, and the Bootstrap program was used to test the mediation effect. Results The path coefficients between adverse childhood experiences and maternal fetal attachment(B=-0.73, P<0.001), maternal fetal attachment and depressive symptoms during pregnancy(B=-0.07, P<0.001), adverse childhood experiences and depressive symptoms during pregnancy(B=0.60, P<0.001)were all significant. Maternal-fetal attachment had a mediating effect between adverse childhood experiences and depressive symptoms during pregnancy. The indirect effect was 0.053, accounting for 8.9% of the total effect(0.597). Conclusion Adverse childhood experiences can influence prenatal depression through maternal-fetal attachment. Medical staff should actively learn about maternal fetal attachment and related psychological intervention knowledge, and provide targeted guidance for pregnant women in clinical work.

Key words: Pregnancy, Depressive symptoms, Adverse childhood experiences, Maternal-fetal attachment, Mediation

中图分类号: 

  • R47
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