妊娠期妇女焦虑和抑郁的影响因素分析

采用问卷及焦虑/抑郁（SAS/SDS）自评量表对湘西地区250名孕妇进行调查，发现妇女妊娠期焦虑和抑郁的发生率较高，妊娠期焦虑、抑郁发生率分为35.6%和56.0%.ogistic回归分析表明，妊娠期焦虑和抑郁的发生受多因素影响，按危险程度排序，引发妊娠期焦虑的因素为不良孕产史、饮食不平衡、农村居住、既往疾病史、睡眠不佳、孕周早、缺乏孕前锻炼；引发妊娠期抑郁的因素为既往疾病史、农村居住、缺乏孕前锻炼、家庭收入低。产科门诊应开设心理健康服务，有针对性地进行心理健康宣传与心理干预.

Analysis of Influencing Factors of Anxiety and Depression for Women in Pregnancy

Questionnaire and SAS/SDS self-rating scale were applied to investigate 250 pregnant women in Xiangxi. It was found that the incidence of anxiety and depression in pregnancy was high, and the incidence rate was 35.6% and 56.0% respectively. Logistic regression analysis shows that the occurrence of anxiety and depression during pregnancy is influenced by many factors. According to the criticality degree, the influencing factors that cause anxiety during pregnancy include history of abnormal gestation and birth, imbalanced diet, rural residence, past disease history, poor sleep, early gestational age, lack of exercise before pregnancy. Factors that cause depression during pregnancy include past disease history, rural residence, lack of exercise before pregnancy，low family income. The obstetrics out-patient clinic should provide mental health service and carry out pertinent mental health propaganda and psychological intervention.