广州医科大学学报

目的:探讨自我效能感、归因方式与产后抑郁的相关性研究。方法:选取2016年3月至2017年10月于我院进行分娩的195例产妇作为此次研究对象,按照产后有无抑郁分为抑郁组与非抑郁组,采用自我效能感量表(Gs ES)、ASQ归因方式问卷和爱丁堡抑郁量表(EPDS)评定患者的相关情况,观察自我效能感、归因方式与产后抑郁的相关性。结果:抑郁组与非抑郁组产妇的自我效能感评分分别为(14.56±7.38)、(28.62±5.33),抑郁组明显更低(t=15.308,P<0.05);抑郁组产妇归因方式中主观性原因、持久性存在以及整体影响等方面(81.23±8.56)、(74.65±5.28)、(69.97±5.43),抑郁组产妇归因方式中主观性原因、持久性存在以及整体影响等方面(65.24±5.81)、(61.22±6.39)、(55.22±7.16),差异对比有意义(t=15.330、15.954、16.146,P<0.05);自我效能感与产后抑郁呈负相关,而归因方式中主观性原因、持久性存在以及整体影响等指标与产后抑郁呈正相关,具有统计学意义(P<0.05)。结论:自我效能感、归因方式与产后抑郁的发生密切相关,临床应重视产妇自我效能感的提升,帮助产妇对生活中发生的好坏事件做认知上的正确归因,积极预防产后抑郁。

Objective:To determine the correlation of self-efficacy and attributional patterns with postpartum depression(PPD).Methods:A total of 195 maternal women who delivered in our hospital between March 2016 and October 2017 were included as the subjects in the study.All the maternal women were divided into the PPD group and non-PPD group according to the occurrence of PPD.The General Self-Efficacy Scale(Gs ES),Attributional Style Questionnaire(ASQ) and Edinburgh Postnatal Depression Scale(EPDS) were used to assess the patients ' condition and determine the correlation of self-efficacy and attributional patterns with PPD.Results:The self-efficacy scores in the PPD group and non-PPD group were(14.56±7.38) and(28.62±5.33),respectively.The self-efficacy scores in the PPD group were significantly lower,with significant differences(t=15.308,P<0.05).The subjective causes,durability and general impact of attributional patterns in the PPD group and non-PPD group were(81.23±8.56) vs(65.24±5.81),(74.65±5.28) vs(61.22±6.39) and(69.97±5.43) vs(55.22±7.16),respectively,with significant differences(t=15.330,15.954,16.146,P<0.05).The self-efficacy was negatively correlated with PPD.The subjective causes,durability,general impact and other indicators of attributional patterns were positively correlated with PPD,with statistical significance(P<0.05).Conclusion:In general,self-efficacy and attributional patterns are closely correlated with PPD.Clinically,we should pay attention to the improvement of maternal self-efficacy,help them make correct cognitive attribution to the good and bad events in life,and actively prevent PPD.