【摘要】 目的:了解初产妇焦虑情绪与其认知倾向、幸福感以及其它社会心理因素的关系。方法:采用焦虑自评量表,总体幸福感量表和认知倾向问卷,对78名焦虑初产妇与103名非焦虑初产妇进行调查。结果:①焦虑组乐观因子(6.64±2.90)分低于对照组,悲观因子(7.54±1.98)分高于对照组,差异均具有显著性(t=-8.59,t=2.37,P<0.01),且焦虑程度与乐观因子呈显著负相关(r=-0.51,P<0.01);焦虑症组主观幸福感(5.85±2.78)分、积极情感(1.47±1.02)分、生活满意度因子(4.48±2.52)分低于对照组,差异具有显著性(t=-4.32,t=-2.81,t=-2.66,P<0.01),焦虑程度与主观幸福感、积极情感及生活满意度呈显著负相关(r=-0.42,r=-0.34,r=-0.26,P<0.01);剖宫产妇焦虑分(49.64±5.90)高于自然分娩产妇得分(40.52±4.66),差异具有显著性(t=-4.26,P<0.01),焦虑与分娩方式呈负相关(r=-0.14,P<0.05);②回归分析发现,乐观因子、主观幸福感进入焦虑的回归方程,具有预测作用,其中乐观因子的预测作用较强。结论:初产妇焦虑情绪可能是认知倾向等多种因素影响的结果。更多还原

【Abstract】 Objective:To explore the relationships between cognitive style,General well-being and other sociopsychological factors in primipara with anxious emotion.Methods:By cross-sectional study,78 primipora with anxious emotion and 103 normal controls were investigated with Cognitive Appraisal Orientation Test(CAOT),General Well-Being Schedule(GWS),Self Anxiety Scale(SAS)respectively,All variables of two groups were compared,correlation,regression were adopted.Results:①The scores of anxious primipara were lower than those of normal controls in Optimism(6.64±2.90),but higher in Pessimism(7.54±1.98)of CAOT(t=-8.59,t=2.37,P<13.01),and showed significantly negative correlation between anxiety and Optimism(r=-0.51,P<0.01);were lower than those of normal controls in general well-being(5.85-4.2.78),negative affect(1.47±1.02) and life satisfactio(4.48±2.52) of GWS(t=-4.32,t=-2.81,t=-2.66,P<0.01),and showed showed,significantly negative correlation between anxiety and general well-being,negative affect and life satisfaction(r=-0.42,r=-0.34,r=-0.26,P<0.01);the scores of the cesarean section(49.64±5.90)were higher than those of vaginal delivery(40.52±4.66) in SAS(t=-4.26,P<0.01),and showed negative correlation between anxiety and the mode of delivery(r=-0.14,P<0.05);.②Regression analysis showed Optimism and General well-being were major predictors.Conclusion:Cognitive style,General well-being and other sociopsychological factors possibly play important roles in occurrence of anxious emotion in primipara.更多还原