广州医科大学学报

目的:了解围绝经期妇女抑郁症的现状及心理保健需求。方法:2012年1月⁶月随机抽查某社区围绝经期妇女224人进行问卷调查,采用一般情况调查表、改良更年期Kupperman评分量表、社会支持评定量表和生活事件量表等,并对围绝经期妇女心理保健需求进行调查,抑郁症状诊断标准采用病人健康问卷抑郁量表(PHQ-9)。结果:224名调查妇女中有抑郁症状78人(占34.8%)。与抑郁症状发生有关的因素为:痛经程度、关节肌肉痛、感觉异常、围绝经期综合征、生活事件量表、社会支持量表评分(P<0.01)。89人(39.7%)表示不关注自身心理保健。156人(69.6%)通过电视节目或收音机了解相关知识,138人(61.6%)通过报刊、杂志了解相关知识。结论:本地区围绝经期妇女抑郁症发生率较高,除与自身性腺功能减退有关外,还受社会支持、家庭等多种因素影响,应针对性地开展围绝经期妇女健康教育,降低围绝经期妇女抑郁症发生率。

Objective:To explore the current situation of depression symptom among perimenopausal women and their psychological health demands.Methods:General condition questionnaire,modified menopausal Kupperman assessment scale,social support rating scale(SSRS),patient health questionnaire depression module(PHQ-9)and menopausal mental health care attitude and need scale were used to survey 224 women received general investigation in a community from January 2012 to June.Results:The incidence of depression in perimenopausal women was 34.8%.The effect factors of depressionin perimenopausal women included dysmenorrhea degree,joint muscle pain,paresthesia,perimenopausal syndrome,life events scale and the social support rating scale(P <0.01).39.7%of the perimenopausal women did not care about mental health care,69.6%of the perimenopausal women obtained health knowledge from media mainly,and 61.6%of the perimenopausal women obtained health knowledge from newspapers and magazines mainly.Conclusion:The incidence of depression among perimenopausal women is high.Except with their own hypogonadism relevant outside,still supported by society,family and so on the many kinds of factors,the development of should be targeted perimenopausal women's health education,reduce the incidence of perimenopausal women depression.