辅助生殖技术助孕患者伴侣亲密关系与产前抑郁的相关性研究
|
摘要
目的调查辅助生殖技术助孕患者伴侣亲密关系与产前抑郁现状,探讨伴侣亲密关系对辅助生殖技术助孕患者产期抑郁的影响,为改善助孕患者产前心理状况和健康干预提供依据。方法于2017年1月—10月,采用便利抽样法研究,选择杭州市5所三级医院行辅助生殖技术助孕患者共426人为研究对象,应用婚姻调适测定量表调查助孕患者伴侣亲密关系,应用爱丁堡产后抑郁量表调查患者的产前抑郁现状;用SPSS 18.0统计学软件进行数据处理;采用相关性分析分析辅助生殖技术助孕患者伴侣亲密关系与产前抑郁的相关性。结果 426例助孕患者亲密关系得分为(104.43±15.85)分,亲密关系良好者229例(53.76%);爱丁堡产后抑郁量表得分为(8.52±4.18)分,抑郁发生率为24.41%;Pearson相关性分析结果显示,辅助生殖技术助孕患者伴侣亲密关系与产前抑郁呈负相关(r=-0.395,P=0.008),差异具有统计学意义。结论辅助生殖技术助孕患者伴侣亲密关系与产前抑郁呈负相关,即患者伴侣亲密关系水平越高,其产前抑郁水平越低,社会、医院、家庭可以从伴侣亲密关系着手进行干预,以降低辅助生殖技术助孕患者产前抑郁水平。
Objective To investigate the influencing factors of intimate relationship with spousal and prenatal depression among patients undergoing assisted reproductive technology, and to improvement of psychological status and health intervention for patients undergoing assisted reproductive technology. Methods From January to December 2017, a total of 426 patients undergoing assisted reproductive technology from five hospitals in Hangzhou were selected, and surveyed by Marital Adjustment Test(MAT) and Edinburgh Postnatal Depression Scale(EPDS). A database of survey questionnaire was established with SPSS 18.0 software was used for date management and analysis. The method of relation analysis was using for analysis of the relation of intimate relationship with spousal and prenatal depression among patients undergoing assisted reproductive technology. Results The scores of MAT of 426 patients undergoing assisted reproductive technology were 104.43±15.85, and a total of 229 patients(53.76%) patients was with better intimate relationship. The scores of EPDS were 8.52±4.18, and the rate of score was 24.41%. The results of Pearson correlation analysis showed that there was a negative correlation between the two(r=-0.395, P=0.008), and the difference was statistically significant. Conclusion The intimate relationship with spousal is negatively correlated with prenatal depression among patients undergoing assisted reproductive technology. The higher the level of intimate relationship, the lower the level of prenatal depression among patients undergoing assisted reproductive technology. The sociology, hospital and family should be paid more attention during the intervention to reduce the level of prenatal depression.
Objective To investigate the influencing factors of intimate relationship with spousal and prenatal depression among patients undergoing assisted reproductive technology, and to improvement of psychological status and health intervention for patients undergoing assisted reproductive technology. Methods From January to December 2017, a total of 426 patients undergoing assisted reproductive technology from five hospitals in Hangzhou were selected, and surveyed by Marital Adjustment Test(MAT) and Edinburgh Postnatal Depression Scale(EPDS). A database of survey questionnaire was established with SPSS 18.0 software was used for date management and analysis. The method of relation analysis was using for analysis of the relation of intimate relationship with spousal and prenatal depression among patients undergoing assisted reproductive technology. Results The scores of MAT of 426 patients undergoing assisted reproductive technology were 104.43±15.85, and a total of 229 patients(53.76%) patients was with better intimate relationship. The scores of EPDS were 8.52±4.18, and the rate of score was 24.41%. The results of Pearson correlation analysis showed that there was a negative correlation between the two(r=-0.395, P=0.008), and the difference was statistically significant. Conclusion The intimate relationship with spousal is negatively correlated with prenatal depression among patients undergoing assisted reproductive technology. The higher the level of intimate relationship, the lower the level of prenatal depression among patients undergoing assisted reproductive technology. The sociology, hospital and family should be paid more attention during the intervention to reduce the level of prenatal depression.
引文
[1] QIAO J,FENG H L.Assisted reproductive technology in China:compliance and non-compliance[J].Transl Pediatr,2014,3(2):91-97.
[2] SCHMOEGER M,DECKERT M,WAGNER P,et al.Maternal bonding behavior,adult intimate relationship,and quality of life[J].Neuropsychiatr,2018,32(1):26-32.
[3] GONG H,NI C,SHEN X,et al.Yoga for prenatal depression: a systematic review and meta-analysis[J].BMC Psychiatry,2015,15(5):14-21.
[4] YING L,WU L H,LOKE A Y.The effects of psychosocial interventions on the mental health,pregnancy rates,and marital function of infertile couples undergoing in vitro fertilization:a systematic review[J].J Assist Reprod Genet,2016,33(6):689-701.
[5] 汪向东,姜长青,马弘.心理卫生评定量表手册(增订版)[M].北京:中国心理卫生杂志社,1999:124-160.
[6] 王建红,张蕊.爱丁堡产后抑郁量表分量表在高危妊娠孕妇心理筛查中的应用效果[J].中国妇幼保健,2017,32(14):3143-3145.
[7] 邓桂英,王文兰,欧阳结颜,等.不孕不育症患者婚姻调适状况及其与人格特征的相关性[J].现代临床护理,2014,13(6):1-5.
[8] RHODES T,RANCE J,FRASER S,et al.The intimate relationship as a site of social protection:Partnerships between people who inject drugs[J].Soc Sci Med,2017,180(5):125-134.
[9] KIM J H,SHIN H S,YUN E K.A Dyadic approach to infertility stress,marital adjustment,and depression on quality of life in infertile couples[J].J Holist Nurs,2018,36(1):6-14.
[10] 丁海燕,安晨凤,孙超.产前焦虑抑郁情绪对产科并发症和妊娠结局的影响[J].中国基层医药,2015,22(1):28-31.
[11] 代兰芬,陈华丽,李节,等.产前抑郁症对孕妇睡眠质量的影响研究[J].护理管理杂志,2014,14(2):86-87,95.
[12] HOLLEY S R,PASCH L A,BLEIL M E,et al.Prevalence and predictors of major depressive disorder for fertility treatment patients and their partners[J].Fertil Steril,2015,103(5):1332-1339.
[13] FIELD T.Prenatal Depression Risk Factors,Developmental effects and interventions:A review[J].J Pregnancy Child Health,2017,4(1):1-22.
[14] SAFFARI M,KHASHAVI Z,VALIANI M.The effect of auriculotherapy on the stress and the outcomes of assistant reproductive technologies in infertile women[J].Iran J Nurs Midwifery Res,2018,23(1):8-13.
[15] 唐惠艳,邱忠君,王成刚.正念减压疗法对试管婴儿患者焦虑抑郁情绪及知觉压力的影响[J].中国煤炭工业医学杂志,2016,19(11):1652-1656.
[16] REESE J B,LEPORE S J,HANDORF E A,et al.Emotional approach coping and depressive symptoms in colorectal cancer patients:The role of the intimate relationship[J].J Psychosoc Oncol,2017,35(5):578-596.
[17] ACETI F,GIACCHETTI N, MEUTI V,et al.Perinatal depression and affective bonds:experience in close relationship during pregnancy[J].Riv Psichiatr,2015,50(3):134-142.
[18] WHISMAN M A,JOHNSON D P,LI A,et al.Intimate relationship involvement,intimate relationship quality,and psychiatric disorders in adolescents[J].J Fam Psychol,2014,28(6):908-914.
[19] RYAN L H,WAN W H,SMITH J.Spousal social support and strain:impacts on health in older couples[J].J Behav Med,2014,37(6):1108-1117.
[20] 麻超,毋嫘,洪炜.亲密关系中男性躯体施暴行为影响因素分析[J].中国公共卫生,2014,30(1):38-42.
[21] ZURLO M C,CATTANEO DELLA VOLTA M F,VALLONE F.Predictors of quality of life and psychological health in infertile couples:the moderating role of duration of infertility[J].Qual Life Res,2018,27(4):945-954.
[2] SCHMOEGER M,DECKERT M,WAGNER P,et al.Maternal bonding behavior,adult intimate relationship,and quality of life[J].Neuropsychiatr,2018,32(1):26-32.
[3] GONG H,NI C,SHEN X,et al.Yoga for prenatal depression: a systematic review and meta-analysis[J].BMC Psychiatry,2015,15(5):14-21.
[4] YING L,WU L H,LOKE A Y.The effects of psychosocial interventions on the mental health,pregnancy rates,and marital function of infertile couples undergoing in vitro fertilization:a systematic review[J].J Assist Reprod Genet,2016,33(6):689-701.
[5] 汪向东,姜长青,马弘.心理卫生评定量表手册(增订版)[M].北京:中国心理卫生杂志社,1999:124-160.
[6] 王建红,张蕊.爱丁堡产后抑郁量表分量表在高危妊娠孕妇心理筛查中的应用效果[J].中国妇幼保健,2017,32(14):3143-3145.
[7] 邓桂英,王文兰,欧阳结颜,等.不孕不育症患者婚姻调适状况及其与人格特征的相关性[J].现代临床护理,2014,13(6):1-5.
[8] RHODES T,RANCE J,FRASER S,et al.The intimate relationship as a site of social protection:Partnerships between people who inject drugs[J].Soc Sci Med,2017,180(5):125-134.
[9] KIM J H,SHIN H S,YUN E K.A Dyadic approach to infertility stress,marital adjustment,and depression on quality of life in infertile couples[J].J Holist Nurs,2018,36(1):6-14.
[10] 丁海燕,安晨凤,孙超.产前焦虑抑郁情绪对产科并发症和妊娠结局的影响[J].中国基层医药,2015,22(1):28-31.
[11] 代兰芬,陈华丽,李节,等.产前抑郁症对孕妇睡眠质量的影响研究[J].护理管理杂志,2014,14(2):86-87,95.
[12] HOLLEY S R,PASCH L A,BLEIL M E,et al.Prevalence and predictors of major depressive disorder for fertility treatment patients and their partners[J].Fertil Steril,2015,103(5):1332-1339.
[13] FIELD T.Prenatal Depression Risk Factors,Developmental effects and interventions:A review[J].J Pregnancy Child Health,2017,4(1):1-22.
[14] SAFFARI M,KHASHAVI Z,VALIANI M.The effect of auriculotherapy on the stress and the outcomes of assistant reproductive technologies in infertile women[J].Iran J Nurs Midwifery Res,2018,23(1):8-13.
[15] 唐惠艳,邱忠君,王成刚.正念减压疗法对试管婴儿患者焦虑抑郁情绪及知觉压力的影响[J].中国煤炭工业医学杂志,2016,19(11):1652-1656.
[16] REESE J B,LEPORE S J,HANDORF E A,et al.Emotional approach coping and depressive symptoms in colorectal cancer patients:The role of the intimate relationship[J].J Psychosoc Oncol,2017,35(5):578-596.
[17] ACETI F,GIACCHETTI N, MEUTI V,et al.Perinatal depression and affective bonds:experience in close relationship during pregnancy[J].Riv Psichiatr,2015,50(3):134-142.
[18] WHISMAN M A,JOHNSON D P,LI A,et al.Intimate relationship involvement,intimate relationship quality,and psychiatric disorders in adolescents[J].J Fam Psychol,2014,28(6):908-914.
[19] RYAN L H,WAN W H,SMITH J.Spousal social support and strain:impacts on health in older couples[J].J Behav Med,2014,37(6):1108-1117.
[20] 麻超,毋嫘,洪炜.亲密关系中男性躯体施暴行为影响因素分析[J].中国公共卫生,2014,30(1):38-42.
[21] ZURLO M C,CATTANEO DELLA VOLTA M F,VALLONE F.Predictors of quality of life and psychological health in infertile couples:the moderating role of duration of infertility[J].Qual Life Res,2018,27(4):945-954.