童年不良经历与围产期抑郁症症状轨迹之间的关联
Emma C Allen1, Melissa M Goslawski2, Bayley J Taple3
1Northwestern University Feinberg School of Medicine, Chicago, IL (Ms Allen and Ms Alvarado-Goldberg).
American journal of obstetrics & gynecology MFM
|May 29, 2023
概括
童年不良经历与围产期护理中产前抑郁症恶化有关. 这凸显了针对有创伤史的孕妇进行有针对性的干预的必要性.
科学领域:
- 围产期心理健康问题
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 童年不良经历 (ACE) 与一般人群中耐治疗抑郁症有关.
- ACE 和围产期抑郁症之间的关联仍然不清楚.
研究的目的:
- 调查ACE和产前和产后抑郁轨迹之间的关系.
- 分析围产期协作护理计划中的个人数据.
主要方法:
- 对1270名在精神卫生保健计划中的孕妇和产后患者进行了回顾性队列研究.
- 在服用时进行ACE查;通过患者健康问卷-9 (PHQ-9) 监测抑郁症.
- 根据PHQ-9分数变化分析的抑郁轨迹 (改善,稳定,恶化).
主要成果:
- 23.1%的参与者报告了高的ACE分数.
- 高ACE得分与产前抑郁轨迹恶化有关 (aOR,2.39;P=.008).
- 在高ACE得分和产后抑郁轨迹之间没有发现显著的关联.
结论:
- 高ACE分数预测在围产期合作护理中产前抑郁症的恶化.
- 需要对患有ACE的孕妇的预防和治疗进行进一步的研究.
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