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《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]

卷:

28卷

期数:

2022年02期

页码:

186-190

栏目:

医学心理学

出版日期:

2022-03-20

文章信息/Info

Title:

Relationship between family cohesion，adaptability and prenatal depression： the mediating role of basic psychology needs satisfaction

文章编号:

1006-8147(2022)02-0186-05

作者:

陈可人¹; 李洁²; 周敏³; 刘惠军¹

（1. 天津医科大学心理学研究所，天津300070；2. 天津市女性生殖健康与优生重点实验室，天津300052；3. 天津市和平区新兴街社区卫生服务中心儿童保健科，天津 300070）

Author(s):

CHEN Ke-ren¹; LI Jie²; ZHOU Min³; LIU Hui-jun¹

（1. Institute of Psychology，Tianjin Medical University，Tianjin 300070，China；2. Tianjin Key Laboratory of Female Reproductive Health and Eugenics，Tianjin 300052，China；3. Department of Child Health Care，Xinxing Street Community Health Service Center，Tianjin 300070，China）

关键词:

产前抑郁; 家庭亲密度; 家庭适应性; 基本心理需要满足; 妊娠

Keywords:

prenatal depression; family cohesion; family adaptability; basic psychological needs satisfaction; pregnancy

分类号:

B849

DOI:

-

文献标志码:

A

摘要:

目的：探讨孕晚期女性家庭亲密度与适应性、基本心理需要满足与抑郁之间的关系。方法：对常规产检的327名孕晚期女性进行整体抽样调查，回收有效问卷300份，受试者平均年龄（32.11±4.51）岁，通过PHQ-9抑郁筛查量表、基本心理需要量表中文版、家庭亲密度与适应性量表中文版考察其抑郁症状、家庭亲密度、家庭适应性以及基本心理需要满足水平。结果：（1）样本人群的抑郁检出率为19.33%，孕妇的不良孕史（?字2=5.69，P=0.017）、家庭亲密度（F=4.71，P=0.003）、家庭适应性（F=3.83，P=0.029）在抑郁得分上存在显著差异。（2）孕妇的家庭亲密度（F=16.47~28.31，均P＜0.001）、家庭适应性（F=18.14~24.17，均P＜0.001）均在基本心理需要满足及三维度上存在着显著差异。（3）基本心理需要满足总分、自主需要满足、归属需要满足与抑郁呈负相关（r=-0.31~-0.24，均P＜0.01）。（4）分层回归显示，与家庭亲密度中的缠结型相比，分离型（β=-3.06，P=0.012）能正向预测抑郁；基本心理需要满足中自主需要满足（β=-3.15，P=0.002）能负向预测抑郁。（5）自主需要满足在家庭亲密度（联结型、缠结型）对产前抑郁的影响中起部分中介作用。结论：家庭亲密度与自主需要满足是预测产前抑郁的重要因素。高水平的家庭亲密度会通过提高孕妇的自主需要满足水平来降低产前抑郁。

Abstract:

Objective：To investigate the relationship between family cohesion and adaptability， basic psychological needs satisfaction and prenatal depression among women in late pregnancy. Methods： A total of 327 women in late pregnancy undergoing routine prenatal examination were investigated by overall sampling. A total of 300 valid questionnaires were collected.The average age of the subjects was（32.11±4.51） years old. Depressive symptoms，family cohesion，family adaptability and satisfaction level of basic psychological needs were investigated by PHQ-9 Depression Screening Scale，Basic Psychological Needs Scale Chinese version and Family Intimacy and Adaptability Scale Chinese version. Results：（1） The detection rate of depression in the sample was 19.33%，the history of adverse pregnancy（?字2=5.69，P=0.017），family cohesion（F=4.71，P=0.003） and family adaptability（F=3.83，P=0.029） had significant differences in depression scores.（2） There were significant differences in family cohesion（F=16.47-28.31，all P＜0.001），family adaptability（F=18.14-24.17，all P＜0.001） among pregnant women in basic psychological needs satisfaction and three dimensions.（3） Basic psychological needs satisfaction，autonomous needs satisfaction and relatedness satisfaction were negatively correlated with depression（r=-0.31~-0.24，all P<0.01）.（4） Hierarchical regression showed that separated type（β=-3.06，P=0.012） could positively predict depression compared with enmeshed type in family cohesion. In basic psychological need satisfaction，autonomy need satisfaction（β=-3.15，P=0.002） could negatively predict depression among basic psychological need satisfaction. （5）Autonomy need satisfaction plays a partial mediating role in the influence of familycohesion（connected，enmeshed） on prenatal depression. Conclusion：Family cohesion and autonomy need satisfaction are important factors to predict prenatal depression.A high level of family cohesion can reduce prenatal depression by increasing the autonomy need satisfaction level of pregnant women.

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相似文献/References:

备注/Memo

备注/Memo:

基金项目 国家社会科学基金（15BSH065）
作者简介 陈可人（1997-），女，硕士在读，研究方向：心理咨询与治疗；通信作者：刘惠军，E-mail：lhjun@tmu.edu.cn。

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更新日期/Last Update: 2022-03-20