Fear of childbirth; the relation to anxiety and depression
Fear of childbirth; the relation to anxiety and depression
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DOI：
10.1111/j.1600-0412.2011.01323.x
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发表时间：
2012-02-01
影响因子：
4.3
通讯作者：
Eskild, Anne
中科院分区：
文献类型：
--
作者：
Storksen, Hege Therese;Eberhard-Gran, Malin;Eskild, Anne
Objective.探讨焦虑、抑郁与分娩恐惧的关系。设计横断面问卷调查。设置.挪威的产前公共保健。Sample. 2008年11月至2010年4月期间招募的孕妇（n=1642）。方法.在妊娠第32周通过邮寄问卷收集数据。对分娩的恐惧是通过Wijma分娩预期问卷（W-DEQ）和数字评级量表来衡量的。焦虑症状采用霍普金斯症状自评量表（SCL-25），抑郁症状采用爱丁堡产后抑郁量表（EPDS）。主要结果测量。害怕分娩。结果8%（137/1642）的妇女害怕分娩（W-DEQ=85），8.8%（145/1642）的妇女焦虑（SCL-焦虑=18），8.9%（146/1642）的妇女抑郁（EPDS=12）。超过一半（56.2%）的妇女与分娩恐惧没有焦虑或抑郁，然而，焦虑或抑郁的存在增加了分娩恐惧的患病率（比值比2.4，95%置信区间1.15.2和比值比8.4，95%置信区间4.814.7，分别）。焦虑和抑郁的妇女有最高的患病率分娩恐惧（比值比11.0，95%置信区间6.618.3）。焦虑和抑郁的类似关联通过使用测量分娩恐惧的数字评级量表来估计。结论.焦虑和抑郁的存在增加了分娩恐惧的患病率;然而，大多数害怕分娩的妇女既没有焦虑也没有抑郁。
Objective. To study the associations of anxiety and depression with fear of childbirth. Design. A cross-sectional questionnaire study. Setting. Prenatal public healthcare in Norway. Sample. Pregnant women (n=1642) recruited during November 2008 until April 2010. Methods. Data were collected by a postal questionnaire at pregnancy week 32. Fear of childbirth was measured by the Wijma Delivery Expectancy Questionnaire (W-DEQ) and by a numeric rating scale. Symptoms of anxiety were measured by the Hopkins Symptom Check List (SCL-25) and symptoms of depression by the Edinburgh Postnatal Depression Scale (EPDS). Main outcome measure. Fear of childbirth. Results. Eight per cent (137 of 1642) of the women had fear of childbirth (W-DEQ=85), 8.8% (145 of 1642) had anxiety (SCL-anxiety=18) and 8.9% (146 of 1642) had depression (EPDS=12). More than half (56.2%) of the women with fear of childbirth did not have anxiety or depression; however, presence of anxiety or depression increased the prevalence of fear of childbirth (odds ratio 2.4, 95% confidence interval 1.15.2 and odds ratio 8.4, 95% confidence interval 4.814.7, respectively). Women with both anxiety and depression had the highest prevalence of fear of childbirth (odds ratio 11.0, 95% confidence interval 6.618.3). Similar associations of anxiety and depression were estimated by using the numerical rating scale for measuring fear of childbirth. Conclusions. Presence of anxiety and depression increased the prevalence of fear of childbirth; however, the majority of women with fear of childbirth had neither anxiety nor depression.