怀孕和产后一年的自我伤害:患病率和危险因素
Karyn Ayre1,2, Xiaoqin Liu3, Louise M Howard1,2
1Section of Women's Mental Health, Health Services and Population Research, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK.
Psychological medicine
|July 14, 2023
概括
在患有精神病史的女性中,围产期自我伤害更为常见,并且在1997-2015年期间整体下降. 风险因素包括年轻年龄,先前的自我伤害和精神疾病,突出了针对性干预的必要性.
科学领域:
- 围产期心理健康问题
- 公共卫生研究 公共卫生研究
- 流行病学 流行病学
背景情况:
- 围产期自我伤害 (怀孕期间或出生后的一年) 是一个重要的临床问题.
- 患病率,时间趋势和围产期自我伤害的风险因素仍然不完全理解.
研究的目的:
- 确定围产期自我伤害的流行率和时间趋势.
- 在大量人口群体中识别与围产期自我伤害相关的风险因素.
主要方法:
- 丹麦的一项队列研究利用了1997-2015年679,881名母亲 (1,172,191例怀孕) 的登记数据.
- 怀孕期间和出生后12个月的自我伤害医院治疗是主要结果.
- 考克斯回归分析确定了围产期自我伤害的风险因素.
主要成果:
- 怀孕期间自我伤害的发病率为32.2/100,000分娩;产后自我伤害的发病率为63.3/100,000分娩.
- 在有精神病史的女性中,病率下降,但在没有精神病史的女性中保持稳定.
- 关键的危险因素包括年轻年龄,非丹麦出生,先前的自我伤害,精神病史和父母精神病史. 人格障碍和精神病与分别怀孕和产后自我伤害有很强的关联.
结论:
- 围产期自我伤害在患有先前精神疾病的女性中更为普遍.
- 虽然整体发病率下降,但没有先前精神病史的女性没有观察到这种趋势.
- 预防性干预应针对精神病患者和非精神病患者的社会和心理决定因素.
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