高萍,刘珊,冯琳,邱成艳,简凤,高茹.初产妇产前抑郁：社会支持和分娩恐惧及相关因素的影响[J].四川精神卫生杂志,2025,(4):315-320.Gao Ping,Liu Shan,Feng Lin,Qiu Chengyan,Jian Feng,Gao Ru,Prenatal depression in primiparous women： effects of social support， fear of childbirth and related factors[J].SICHUAN MENTAL HEALTH,2025,(4):315-320

Prenatal depression in primiparous women： effects of social support， fear of childbirth and related factors

DOI：10.11886/scjsws20240904002

English keywords:Primiparous women Social support Fear of childbirth Depression Prenatal

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Author Name	Affiliation	Postcode
Gao Ping	Chengdu Wenjiang District People's Hospital, Chengdu 611130, China	611130
Liu Shan	Chengdu Wenjiang District People's Hospital, Chengdu 611130, China	611130
Feng Lin	Chengdu Wenjiang District People's Hospital, Chengdu 611130, China	611130
Qiu Chengyan	Chengdu Wenjiang District People's Hospital, Chengdu 611130, China	611130
Jian Feng	West China School of Public Health, Sichuan University/West China Fourth Hospital, Chengdu 610041, China	610041
Gao Ru	Chengdu Wenjiang District People's Hospital, Chengdu 611130, China	611130

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Background Prenatal depression has an important impact on maternal health and pregnancy outcomes. Previous studies have shown that maternal prenatal depression is associated with social support， and social support is related to fear of childbirth. However， there is limited research on the relationship among maternal prenatal depression， social support and fear of childbirth， and no studies have specifically explored the influence of social support and fear of childbirth on prenatal depression in primiparous women.Objective To investigate the current status of prenatal depression among primiparous women， and to analyze the correlation between social support and fear of childbirth， and to further explore the influence of social support and fear of childbirth on prenatal depression in this population， so as to provide references for improving their mental health.Methods A total of 380 primiparous women admitted to the inpatient department of Chengdu Wenjiang District People's Hospital from December 2022 to September 2023 were enrolled as study subjects. A self-made questionnaire， Edinburgh Postnatal Depression Scale （EPDS）， Social Support Rating Scale （SSRS） and Childbirth Attitudes Questionnaire （CAQ） were used to conduct the survey. Pearson correlation analysis was employed to examine the relationships between scale scores. Multiple linear regression analysis was conducted to identify influencing factors of prenatal depression.Results A total of 380 questionnaires were distributed， with 372 （97.89%） valid responses collected. Among the participants， 222 cases （59.68%） were identified with prenatal depression. Pearson correlation analysis revealed that EPDS score was negatively correlated with SSRS score （r=-0.283， P<0.01） and positively correlated with CAQ score （r=0.341， P<0.01）. Multiple linear regression analysis indicated that social support （β=-0.166， P<0.01） and fear of childbirth （β=0.269， P<0.01） were influencing factors of prenatal depression in primiparous women.Conclusion The prevalence of prenatal depression among primiparous women is concerning， with depression levels showing significant associations with both social support and fear of childbirth.

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