论文部分内容阅读
目的探讨杭州市某区幼儿情绪能力与母亲产后抑郁的关系,以提供针对性的预防措施。方法于2016年,按照单纯随机抽样的方法,抽取抗州市某区3个社区的幼儿保健门诊和预防接种门诊的12~36月龄幼儿及其母亲381名。采用病例对照研究,以情绪能力异常的幼儿为病例组(69名),情绪能力正常的幼儿为对照组(312名)。单因素分析母亲产后抑郁在病例组和对照组间的分布特点及其与幼儿情绪能力的相关性;应用多重线性回归分析母亲产后抑郁对幼儿情绪能力的影响。结果病例组与对照组母亲产后抑郁程度比较,差异有统计学意义(Z=-3.274,P=0.001);幼儿情绪能力各维度与母亲产后抑郁各维度得分呈正相关。多重线性分析显示,母亲产后抑郁的幼儿的情绪能力的外显域(β=1.292,P=0.001)、活动度/冲动性(β=0.480,P=0.002)、攻击性/反抗性(β=0.825,P<0.001)、内隐域(β=1.752,P<0.001)、忧郁/退缩(β=0.416,P<0.001)、焦虑(β=0.549,P<0.001)得分更高,异常风险更高。结论幼儿情绪能力异常与母亲产后抑郁呈正相关。建议培养幼儿情绪能力的同时,也要积极预防治疗母亲产后抑郁。
Objective To explore the relationship between emotional ability of young children and postpartum depression in a certain district of Hangzhou so as to provide targeted preventive measures. Methods In 2016, 381 children aged 12-36 months and their mothers in out-patient clinics and out-patient vaccination clinics of 3 communities in a certain district of Kangzhou were selected according to a simple random sampling method. A case-control study was conducted in which children with abnormal emotional ability were selected as the case group (69 children) and children with normal emotional ability as the control group (312 children). Univariate analysis of maternal postpartum depression in the case group and control group distribution and its relationship with emotional ability of children; multiple linear regression analysis of maternal postpartum depression on emotional ability in children. Results There was significant difference in the degree of postpartum depression among the mothers in the case group and the control group (Z = -3.274, P = 0.001). There was a positive correlation between the dimensions of emotion ability and the dimensions of postpartum depression. Multivariate linear analysis showed that the emotional domains of mothers with postpartum depression were significantly higher than those of controls (β = 1.292, P = 0.001), activity / impulsivity (β = 0.480, P = 0.002) 0.825, P <0.001), implicit domain (β = 1.752, P <0.001), depression / withdrawal (β = 0.416, P <0.001) and anxiety (β = 0.549, P <0.001) high. Conclusion Abnormal emotion ability in young children is positively correlated with maternal postpartum depression. Proposed to develop emotional ability of children at the same time, but also to actively prevent and treat maternal postpartum depression.