摘要

摘要
目的 探究基于认知行为疗法的心理干预对高龄初产产妇产后抑郁的预防效果。

方法 选取2024年1月-2025年1月于我院就诊的106例高龄初产产妇为研究对象，经简单随机分组法随机分为观察组及对照组各53例，其中对照组采用常规心理干预，观察组采用基于认知行为疗法的心理干预。于干预前及干预后评估产妇抑郁情况[爱丁堡产后抑郁量表（EPDS）]、育儿自我效能[育儿自我效能感量表（PMPS-E）]差异。于干预后，评估其抑郁发生率（EPDS量表）。

结果 干预后，观察组产妇EPDS评分、产后抑郁发生概率明显低于对照组（P<0.05）；PMPS-E评分明显高于对照组（P<0.05）。

结论 基于认知行为疗法的心理干预，对高龄初产产妇产后抑郁具有良好的预防效果，有助于减小其产后抑郁发生风险，提高其育儿效能。

关键词：关键词 认知行为疗法；心理干预；产后抑郁；高龄；初产；产妇

ABSTRACT

Abstract
Objective To explore the preventive effect of psychological intervention based on cognitive behavioral therapy on postpartum depression in elder primiparas.

Methods 106 elder primiparas who were treated in the hospital from January 2024 to January 2025 were selected as research subjects, and were randomized into observation group and control group by simple random grouping method, with 53 cases in each group. The control group was given routine psychological intervention, and the observation group received psychological intervention based on cognitive behavioral therapy. The differences in maternal depression [Edinburgh Postnatal Depression Scale (EPDS)] and parenting self-efficacy [Perceived Maternal Parenting Self-efficacy Scale (PMPS-E)] were evaluated before and after intervention. After intervention, the incidence rate of depression was assessed.

Results After intervention, the EPDS score and incidence rate of postpartum depression in observation group were significantly lower than those in control group (P<0.05) while the PMPS-E score was significantly higher compared to control group (P<0.05).

Conclusion   Psychological intervention based on cognitive behavioral therapy has a good preventive effect on postpartum depression in elder primiparas, and it is helpful to reduce the risk of postpartum depression and enhance the parenting efficacy.

Key words: Key words Cognitive behavioral therapy; Psychological intervention; Postpartum depression; Elder; Primary birth; Puerpera