母亲,她们的伴侣和夫妇的产前幸福感:一个横截面描述性研究
Tia Mäkelä1,2, Terhi Saisto3,4, Katariina Salmela-Aro5
1Department of Obstetrics and Gynecology, Helsinki University Hospital, PO BOX 140, Helsinki, 00029 HUS, Finland. tia.makela@helsinki.fi.
BMC pregnancy and childbirth
|June 22, 2023
概括
产前创伤后应激症状 (PTSS) 和对分娩的恐惧 (FOC) 在孕妇和他们的伴侣中很常见. 经历PTSS或FOC的伴侣需要注意,因为他们的孕妇也可能出现这些症状.
科学领域:
- 围产期心理健康问题
- 在怀孕期间的心理健康.
- 这对夫妇的心理健康.
背景情况:
- 产前创伤后应激症状 (PTSS),生育恐惧 (FOC) 和抑郁症状与怀孕,分娩和产后不良结果有关.
- 评估这些情况及其对孕妇,伴侣和夫妇健康相关生活质量 (HRQoL) 的影响至关重要.
研究的目的:
- 确定孕妇,他们的伴侣和夫妇中PTSS,FOC,抑郁症状和HRQoL的患病率.
- 探索怀孕期间母亲和父亲心理健康之间的关系.
主要方法:
- 一项包括3853名孕妇和3020名伴侣在内的队列研究.
- 使用了经过验证的仪器:PTSS的事件影响量表 (IES),FOC的Wijma分娩预期问卷 (W-DEQ-A),抑郁症状的爱丁堡产后抑郁量表 (EPDS) 和HRQoL的15D.
主要成果:
- PTSS影响了20.2%的女性和13.4%的伴侣. 5.9%的女性和0.3%的伴侣报告了恐惧FOC. 7.6%的女性和1.8%的伴侣有抑郁症状.
- 绝育妇女和没有先前孩子的伴侣报告了更高的FOC率.
- 女性的HRQoL低于一般人群,而伴侣的HRQoL更高. 当伴侣经历了类似的问题时,母亲的PTSS,FOC或抑郁症状更为常见.
结论:
- 在孕妇和他们的伴侣中,PTSS普遍存在. FOC和抑郁症状在女性中比伴侣更常见.
- 虽然FOC和抑郁症状在夫妇中很少同时发生,但如果伴侣经历PTSS,FOC或抑郁症状的孕妇需要特别注意,因为可能有共同的症状.
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