Health-related functional status in pregnancy: Relationship to depression and social support in a multi-ethnic population
Health-related functional status in pregnancy: Relationship to depression and social support in a multi-ethnic population
复制标题
DOI：
10.1016/s0029-7844(01)01377-1
复制
发表时间：
2001-06-01
影响因子：
7.2
通讯作者：
Zayas, L
中科院分区：
文献类型：
--
作者：
McKee, MD;Cunningham, M;Zayas, L
目的：描述低收入少数民族妇女在无并发症晚期妊娠期间的幸福感和功能状态，并检查功能状态与抑郁和社会支持的关系。低风险妊娠的西班牙裔和黑人妇女完成了一项访谈，内容包括人口统计学、医学结局研究简表36（SF-36）、贝克抑郁量表-II（BDI-II）、结果：在155名符合条件并要求参加的妇女中，有41人拒绝参加，参加率为74%。SF-36的结果显示，最低的感知幸福的活力和身体角色的维度。抑郁症的发病率很高，平均BDI评分为15（标准差8.6）。使用BDI评分为14作为分界点，超过一半的样本被归类为具有显著的抑郁症状。与非抑郁受试者相比，在SF-36的所有子量表中，抑郁受试者的功能状态均显著降低。虽然功能状态与BDI评分在所有维度上均呈负相关（r =.23-.69），但SF-36评分与社会支持的相关性要弱得多（r =.06-.24）。社会支持与身体或情感幸福感的增加无关，但与SF-36测量的心理健康弱相关。（妇产科2001;97：988-93。(C)2001年由美国妇产科医师学会出版）。
Objective: To describe perceived well-being and functional status during uncomplicated late pregnancy among low-income minority women, and to examine the relationship of functional status to depression and social support.Methods: Hispanic and black women with low-risk pregnancies completed an interview consisting of demographics, the Medical Outcomes Study Short Form 36 (SF-36), Beck Depression Inventory-II (BDI-II), and the Norbeck Social Support Questionnaire.Results: Of the 155 women who were eligible and asked to participate, 41 refused for a participation rate of 74%. Results of the SF-36 showed lowest perceived well-being in the vitality and physical role dimensions. Depressive symptomatology was high, with a mean BDI score of 15 (standard deviation 8.6). Using a BDI score of 14 as the cutoff point, over half of the sample was categorized as having significant depressive symptoms. Significantly lower functional status was seen for depressed subjects in all subscales of the SF-36 compared with nondepressed subjects. Although functional status was negatively correlated with BDI score in all dimensions (r =.23-.69), correlation of SF-36 scores with social support was much weaker (r =.06-.24).Conclusion: Elevated levels of depressive symptomatology are strongly correlated with lowered health-related functioning and perceived well-being. Social support is not associated with increased physical or emotional well-being but is weakly associated with mental health as measured by the SF-36. (Obstet Gynecol 2001;97:988-93. (C) 2001 by The American College of Obstetricians and Gynecologists.).