青春期產後憂鬱的對照研究

Controlled Study of Postpartum Depression in Adolescence

陳彰惠(Chung-Hey Chen) ； 周汎澔(Fan-Hao Chou) ； 曾英芬(Ying-Fen Tseng) ； 王興耀(Shing-Yaw Wang)

《護理研究》 7卷5期 (1999/10) Pp. 459-467

https://doi.org/10.7081/NR.199910.0459

摘要

青春期懷孕生育是一種青春期發展危機加上情境危機，帶給個人、家庭和社會很多問題。本研究目的在使用對照組以瞭解產後期是否為青春期女性的憂鬱高危險期。樣本是高雄地區的青春期女性，研究組收取青春期產婦（年齡≤20歲），並以不曾懷孕及生育之青春期女性為對照組，每組樣本數各148名。測量工具除基本資料外，包括知覺壓力量表(PSS)、社會支持調查表(ISEL)以及貝氏憂鬱量表(BDI)。結果發現青春期母親的壓力、社會支持、憂鬱得分和對照組沒有顯著差異。產後組和對照組在貝氏憂鬱量表的平均分數，產後組13.56和對照組14.40，均是在輕度憂鬱的範圍。本研究雖未印證產後期為青春期女性憂鬱之高危險期，並非表示不必關注青春期母親的憂鬱問題，而是預防青春期母親產後憂鬱的重點是不可忽略其青春期之壓力源。

關鍵字

青春期 ； 社會支持 ； 憂鬱

並列摘要

Adolescent pregnancy and motherhood superimpose a situational crisis upon the ongoing developmental crisis of adolescence and pose many problems for both the individuals involved and society as a whole. The purpose of this study was to examine the differences between childbearing and nonchildbearing adolescents, with respect to stress, social support and depression. Adolescents comprised two samples: 148 adolescent mothers (13-20 years) and 148 nonchildbearing adolescents (16-21 years). The Demographic Data Form, the Perceived Stress Scale, the Interpersonal Evaluation List and the Beck Depression Inventory were used to collect data. No significant differences of stress, social support and depression were found between the two groups. The means of the depression scores of the two groups, 13.56 for adolescent mothers and 14.40 for nonchildbearing adolescents, were within the mild depression range. These findings highlight the importance of careful assessment of stressors related to adolescence and childbearing in adolescent mothers.

並列關鍵字

adolescence ； social support ； depression.