德国的产后妇女患上适应障碍的流行病引起的增加
K Tsoneva1, N Chechko2,3,4, E Losse1
1Department of Psychiatry, Psychotherapy and Psychosomatics, Faculty of Medicine, RWTH Aachen University, Pauwelsstraße 30, 52074, Aachen, Germany.
BMC women's health
|September 12, 2023
概括
在德国,COVID-19封锁增加了产后早期妇女的适应障碍 (AD),但没有影响产后抑郁症 (PPD) 率. 母亲的心理健康显示了一些负面影响,在锁定期间,在AD病例中,压力更高,依恋程度更低.
科学领域:
- 围产期心理健康研究
- 精神健康障碍的流行病学 精神健康障碍的流行病学
- 流行病的心理影响 流行病的心理影响
背景情况:
- COVID-19 流行病和相关的封锁对全球公共卫生产生了重大影响.
- 在产后期,母亲的心理健康对母亲和孩子的福祉至关重要.
- 了解流行病相关压力因素对分娩后心理健康的具体影响至关重要.
研究的目的:
- 分析疫情引发的封锁对孕产妇心理健康的影响.
- 为了比较德国COVID前和封锁期间在产后前12周的心理健康结果.
- 调查适应障碍 (AD) 和产后抑郁症 (PPD) 患病率和风险因素的变化.
主要方法:
- 一项对德国327名女性进行比较的队列研究.
- 两个组:"COVID前"样本和"封锁"样本.
- 心理测试测量了压力,抑郁症状和依恋;诊断和风险概况进行了比较.
主要成果:
- 在封锁期间,调整障碍 (AD) 患病率显著增加了13.2%.
- 产后抑郁症 (PPD) 的患病率没有受到封锁的影响.
- 在封锁期间患有阿尔茨海默病的女性的风险因素较少,但压力较高,母亲和孩子的依恋度较低.
结论:
- 疫情封锁对母亲的心理健康产生了负面影响,在分娩后期增加了阿尔茨海默病例.
- 产后抑郁症的发病率没有受到封锁的显著影响.
- COVID-19对母亲的整体心理健康影响可能不如最初预期的那么严重.
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