累积创伤,创伤后压力,以及产科和围产期结局
Rachel Wamser1, Rebecca A Ferro1
1Department of Psychological Sciences, University of Missouri-St. Louis.
Psychological trauma : theory, research, practice and policy
|October 5, 2023
概括
创伤后应激症状 (PTSS) 与不良妊娠结果有关,例如不可生存的怀孕和低出生体重. 累积的创伤暴露与早产有关,突出了有创伤史的孕妇的脆弱性.
科学领域:
- 产科和妇科 产科和妇科
- 精神病学是一个精神病学.
- 围产期健康 围产期健康
背景情况:
- 创伤性压力增加了身体健康,情绪障碍和生殖挑战的风险.
- 虽然在怀孕期间已经认识到创伤后应激障碍 (PTSD),但其对产科和周围产生的影响尚未得到充分研究.
- 了解累积创伤和PTSS对怀孕的影响对于母亲和婴儿的福祉至关重要.
研究的目的:
- 调查累积创伤暴露和创伤后应激症状 (PTSS) 与不良产科和周围产生的结果之间的关联.
- 为了检查创伤暴露和堕胎率之间的关系.
- 为了识别孕妇有创伤史的人面临的特定风险.
主要方法:
- 从在线平台和大学环境中招募了226名经历过创伤的妇女.
- 评估累积创伤暴露和当前创伤后应激症状 (PTSS).
- 检查了与妊娠并发症,不可生存的怀孕,早产,低出生体重和堕胎的关联.
主要成果:
- 较高的PTSS水平与增加的不可生存的怀孕,堕胎和低出生体重婴儿相关.
- 更大的累积创伤暴露与更高的早产发病率有关.
- 怀孕并发症与PTSS或累积创伤没有显著的关联.
结论:
- 累积创伤和PTSS可能会对产科和围产期的结果产生不利影响.
- 患有PTSS的孕妇可能特别容易受到负面结果的影响.
- 需要进一步的研究来证实这些发现,并探索PTSS持续时间和怀孕结果之间的时间动态.
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