周围创伤与分娩后心理结果之间的关系:基于人口的调查调查的二次分析
Charles Opondo1, Siân Harrison1, Julia Sanders2
1NIHR Policy Research Unit in Maternal and Neonatal Health and Care, National Perinatal Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Old Road Campus, Headington, OX3 7LF, Oxford, UK.
BMC pregnancy and childbirth
|September 6, 2023
概括
产后周围创伤与增加的身体症状和产后抑郁症,焦虑症和创伤后应激症 (PTS) 症状的更高风险有关. 管理产后的身体症状是减少心理痛苦的关键.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇心理健康 孕产妇心理健康
- 围产期心理学 围产期心理学
背景情况:
- 在分娩期间围外伤 (眼或表皮切割) 是常见的,但其心理影响尚不清楚.
- 了解围外伤的心理影响对于改善孕产妇护理至关重要.
- 介导创伤和母亲心理结果之间的关系的因素需要探索.
研究的目的:
- 确定与分娩相关的围创伤和产后三个月的心理结果之间的关联.
- 探索围创伤与母亲心理健康之间的关系中的潜在调解因素.
主要方法:
- 关于母亲和婴儿健康的基于人口的横截面调查的二次分析.
- 包括3307名经历了阴道分娩的妇女.
- 使用经过验证的措施评估抑郁,焦虑和创伤后压力 (PTS) 症状;身体症状被编制成一个分数. 分析使用了回归模型.
主要成果:
- 近75%的女性经历了围外伤.
- 围外伤与产后身体症状 (aOR 1.47) 和PTS症状 (aOR 1.19) 的增加有关.
- 较高的身体症状得分显著增加了不良心理症状的几率 (38-90%的增加).
结论:
- 患有围创伤的女性报告了更多的身体症状,这与更高的抑郁症,焦虑症和PTS症状相关.
- 建议围创伤和PTS症状之间有直接联系,但不是抑郁症或焦虑症.
- 产后身体症状评估和管理对于降低身体和心理发病率至关重要.
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