The Study About The Contribution Of Psychosocial Factors To The Cognitive Pattern Of Postpartum Depression

Purposes:To evaluate the cognitive pattern of postpartum depression(PPD),to analyse thecontribution of psychosocial factors to the cognitive pattern and the relationshipbetween the cognitive patter and personality traits, coping stying,socialsupport.Consequently,providing the basis for establishing psychological nursingoperation process of PPD and for maternal health education.Methods:By means of convenience sampling,lying-in women of postpartum3to7days wereinvestigated from two hospitals in AnHui Province during March2012to July2012. Atotal of400questiormaires were issued and the valid copies were389with theavailability of97.2%. Survey tools include:①the self-made questionnaire about thegeneral information;②Edinburgh postnatal depression scale(EPDS);③thoughtsquestionnaire(ATQ);④dysfunctional attitudes scale(DAS),⑤Eysenck personalityquestionnair(EPQ);⑥social support rating scale(SSRS);⑦trait coping stylequestionnaire(TCSQ).Apply SPSS16.0software to do descriptive, T test, the singlefactor analysis of variance, related analysis and stepwise multiple regression analysis.Results:①In all of the389subjects, the proportion of PPD were37.8%②The scores of ATQ and DAS between PPD and non-PPD were significantly differentin statistics(P<0.001）；The scores of DAS’seven factor（vulnerability, beautification,mandatory, seeking approval, dependence, autonomous attitude, cognitive philosophy）between PPD and non-PPD were significantly different in statistics（P<0.01）;③In age differences、in couple relationship differences the scores ofATQ between PPDand non-PPD was significantly different in statistics(P<0.001）,after multiplecomparison, the score of18～24age group was higher than the other age groups,thescore of good relationship was lower than poor relationship and general relationship;indegree of education differences、in professions differences the score of DAS between PPD and non-PPD was significantly different in statistics(P<0.05）, after multiplecomparison, the score of bachelor degree or above was lower than other degree ofeducation，the score of teachers was lower than other professions.④the score of spiritual quality and neurotic quality in PPD were significantly higherthan that of non-PPD, with the difference statistically significant（P<0.01）,the score ofinternal and external tendency,masked in PPD were significantly lower than that ofnon-PPD, with the difference statistically significant（P<0.01）; the score of positivecoping style in PPD was significantly lower than that of non-PPD, with the differencestatistically significant（P<0.01）, the score of negative coping style in PPD wassignificantly higher than that of non-PPD, with the difference statistically significant（P<0.01）; the score of subject support,object support,support availability and total inPPD were significantly lower than that of non-PPD, with the difference statisticallysignificant（P<0.01）.⑤The scores of ATQ with the spiritual quality, neurotic quality, negative coping styleof PPD was positively correlated(P<0.05）, while it is negatively correlated withmasked,social support(P<0.05）; The scores of DAS with negative coping style of PPDwas positively correlated(P<0.05）, while it is negatively correlated with socialsupport(P<0.05）.⑥The multiple stepwise regression analysis of the cognitive pattern showed thatsignificant variable regression equation in turn was neurotic quality, spiritual quality andcouple relationship. Jointly predicting PPD the cognitive pattern was21.1%. thestandardized regression equation is:ATQ=-4.23+0.650X7+0.339X5-9.670X4.Conclusion:①The degree of automatic thoughts and dysfunctional attitudes in PPD is higher thanthose in non-PPD.②The personality trait of PPD expressed high spiritual quality, high neuroticquality,introversion and low masked; the PPD were more likely to adopt negativecoping style and less likely to adopt positive coping style than non-PPD;the socialsupport of PPD was poorer than that of non-PPD.③The score of ATQ was affected by age,couple relationship, neurotic quality, spiritualquality,marked, negative coping style,social support; The score of DAS was affected bydegree of education, professions, negative coping style,social support; spiritual quality, neurotic quality,couple relationship were significant predictors of automatic thoughts.