严重的孕产妇发病率与结合障碍和自我伤害思想的关联:一个多中心前性队列研究
Shuhei Terada1, Takeo Fujiwara1, Junichi Sugawara2
1Department of Global Health Promotion, Tokyo Medical and Dental University, Tokyo, Japan.
Journal of affective disorders
|June 29, 2023
概括
严重的孕产妇发病率 (SMM) 与较差的母婴联系有关,新生儿重症监护室 (NICU) 的入院部分介导了这一效应. 对于经历SMM的母亲来说,对父母婴儿关系的支持至关重要.
科学领域:
- 孕产妇健康 孕产妇健康
- 围产阶段精神病学 围产阶段精神病学
- 新生儿护理 新生儿护理
背景情况:
- 有限的证据表明,严重的孕产妇发病率对母婴亲密关系和自我伤害的想法产生影响.
- 严重的孕产妇发病率 (SMM) 包括诸如子宫前,子宫,严重的产后出血,胎盘断裂和子宫破裂等疾病.
研究的目的:
- 调查严重孕产妇发病率 (SMM) 和母婴亲密关系之间的联系.
- 检查SMM和自我伤害思想之间的关系.
- 评估新生儿重症监护室 (NICU) 入院在这些协会中的调解作用.
主要方法:
- 这是一项多中心前性队列研究,涉及日本5398名参与者.
- 使用母婴结合量表 (MIBS) 评估的母婴结合 (缺乏感情[LA],愤怒和拒绝[AR]).
- 用爱丁堡产后抑郁症量表 (EPDS) 评估自伤的想法.
- 结构方程建模 (SEM) 用于分析调解效应.
主要成果:
- 患有SMM的女性表现出更高的MIBS分数 (0.21分以上).
- 在SMM的女性中观察到自我伤害想法风险降低的趋势 (OR 0.28).
- SEM证实,新生儿重症监护室的入院部分调解了SMM和母婴关系之间的关联.
结论:
- 严重的孕产妇发病率与母亲和婴儿之间的联系受损有关,特别是缺乏感情子级别.
- 新生儿重症监护室的入院在这种关系中发挥了部分调解作用.
- 心理治疗干预对于SMM母亲的父母婴儿关系的支持至关重要.
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