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Abstract
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BACKGROUND: Antenatal depression is one of the common stress reactions in pregnancy with a high incidence,which affects the health of women and newborns,and the family's quality of life.In extreme cases,self-injury and suicidal ideation and behavior may occur.The research on the depression and suicide ideation of pregnant women has important clinical value of preventing adverse perinatal events and improving perinatal health care.
OBJECTIVE: To explore the relationship between depression and suicidal ideation in pregnant women and its risk factors.
METHODS: A total of 448 pregnant women in Nanfang Hospital and Nanhai Hospital of Southern Medical University in Guangdong Province were investigated with the Patient Health Questionnaire(PHQ-9),Social Support Rating Scale(SSRS),Simple Coping Style Questionnaire(SCSQ),Eysenck Personality Questionnaire-Revised Short Scale for Chinese(EPQ-RSC) and Basic Data Questionnaire from January to April in 2018.Spearman rank correlation was used to analyze the relationship between depression and suicidal ideation.Binary Logistic regression was used to analyze the relationship among antenatal depression,suicidal ideation and psychosocial factors.
RESULTS: The incidence of depression and suicide ideation in pregnant women were 47.8% and 6.9% respectively and there was a positive correlation between them(rs=0.250,P<0.001).The binary Logistic regression analysis showed that unemployment or being housewives,the family income is less than 3 000 yuan,and high score of psychophysical dimension were risk factors for the depression in pregnant women(OR=1.568,1.860,1.539,P<0.05).While the risk factors of suicidal ideation in pregnant women were living in rural area,low level of social support,high score of internal and external dimension and introverted personality(OR=2.703,12.148,5.374,15.550,P<0.05).
CONCLUSION: Antenatal depression is positively correlated with suicidal ideation.We should pay attention to screening for serious psychological problems during pregnancy period of a woman,and focus on pregnant women who are unemployed or housewives(without stable occupations),live in rural areas,and have low monthly household income,low level of social support,negative coping styles,high scores in internal and external dimension and psychophysical dimension. Copyright © 2020 by the Chinese General Practice.
Language: zh |