在性少数群体妇女中对围产期抑郁症的查
Leiszle Lapping-Carr1, Ashley Dennard1, Katherine L Wisner1
1Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
JAMA psychiatry
|August 2, 2023
概括
性少数群体妇女分娩时更有可能接受产后抑郁症查并呈阳性测试. 然而,他们的性取向往往没有被记录在医疗记录中,这凸显了需要更好地收集数据的需要.
科学领域:
- 生殖健康 生殖健康
- 心理健康 心理健康
- 健康差异 在健康上的差异
背景情况:
- 在美国,大量的分娩是发生在性少数群体妇女身上,但对她们围产期抑郁查的研究是有限的.
- 性少数群体的人面临更高的患儿周围抑郁症的风险因素,如亲密伴侣暴力和精神疾病史.
研究的目的:
- 为了确定性少数群体妇女在学术医疗中心分娩的患病率.
- 为了比较性少数群体女性和异性恋 cisgender 女性之间的围产期抑郁查率和分数.
主要方法:
- 一项回顾性队列研究分析了2019年1月至12月期间分娩的18,243名女性的非身份医疗记录.
- 数据包括被认定为性少数群体的女性比例,使用9项患者健康问卷 (PHQ-9) 的抑郁症查率,以及查得分.
主要成果:
- 只有1.5%的女性在医疗记录中被确定为性少数群体.
- 性少数民族妇女更有可能参加产前和产后护理访问.
- 与异性恋女性相比,性少数群体女性的产后抑郁症查率和查结果阳性率更高.
结论:
- 在这个学术医疗中心接受护理的性少数群体妇女高度从事产科护理,但患产后抑郁症的风险较高.
- 医疗记录中经常没有记录性取向,这表明使用医疗记录审查来捕获这些数据的局限性.
- 未来的研究应该包括系统测量性取向的策略,以更好地理解和解决围产期心理健康差异.
相关概念视频
Depression: Overview
277
Depression is a prevalent mental illness marked by persistent sadness and lack of interest in previously enjoyable activities. It can take several forms, including major depression, persistent depressive disorder, and bipolar I and II disorders. Symptoms range from emotional changes like chronic worry to physical changes like sleep disturbances and suicidal thoughts. From a neurobiological perspective, depression is believed to be triggered by abnormalities in the brain's prefrontal cortex,...
277
Depressive Disorders: MDD and Dysthymia
175
Depressive disorders are a group of mental health conditions characterized by pervasive feelings of sadness, diminished pleasure in life, and a significant impact on daily functioning. These conditions are most prevalent in individuals during their 30s and affect women at twice the rate of men. Contrary to popular belief, younger individuals are generally more susceptible to these disorders than older adults. Two key types of depressive disorders include Major Depressive Disorder (MDD) and...
175
Depressive Disorders: Etiology
140
Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
140
Long-term Depression
2.6K
Long-term depression, or LTD, is one of the ways by which synaptic plasticity—changes in the strength of chemical synapses—can occur in the brain. LTD is the process of synaptic weakening that occurs over time between pre and postsynaptic neuronal connections. The synaptic weakening of LTD works in opposition to synaptic strengthening by long-term potentiation (LTP) and together are the main mechanisms that underlie learning and memory.
Calcium Ion Concentration Mechanism
If over...
Calcium Ion Concentration Mechanism
If over...
2.6K
Post-traumatic Stress Disorder
74
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
74
Bipolar Disorder
106
Bipolar disorder is a chronic mental health condition marked by significant mood fluctuations, including episodes of mania and depression. Elevated energy levels, heightened mood or irritability, impulsive behavior, reduced sleep needs, rapid speech, racing thoughts, inflated self-esteem, and distractibility characterize mania. Individuals with bipolar disorder often alternate between depressive and manic states, with periods of emotional stability lasting an average of six months to a year.
106


