产前焦虑和抑郁的发展轨迹及其与胎儿生长和发育的关联
Ziyi Yang1, Xin Wang1, Mingbo Wang1
1Medical School of Nantong University, Nantong, Jiangsu 226007, China.
Early human development
|October 22, 2023
概括
怀孕期间母亲的焦虑和抑郁会影响胎儿的生长和新生儿的长度. 同时存在的焦虑和抑郁症对后代发育产生了最显著的负面影响,突出了针对性母亲心理健康护理的需要.
科学领域:
- 围产期心理健康问题
- 孕产妇与胎儿的医学
- 发展心理学是发展心理学.
背景情况:
- 众所周知,产前焦虑和抑郁会影响母亲和子女的福祉.
- 焦虑与抑郁的明显影响,以及它们的共存,对怀孕的结果需要进一步澄清.
研究的目的:
- 研究产前焦虑和抑郁的轨迹及其共存.
- 根据这些情绪轨迹,检查怀孕结果和胎儿/新生儿生长的变化.
主要方法:
- 招募了457名孕妇,从第一到第三季度进行监测.
- 使用医院焦虑和抑郁量表来评估焦虑和抑郁.
- 利用联合轨迹建模和协差/多层次模型分析进行增长分析.
主要成果:
- 确定了四个轨迹组:非负面情绪,焦虑主导,抑郁主导和焦虑/抑郁共存.
- 在不同组中观察到胎儿腹周和新生儿长度的显著差异,趋势下降.
- 焦虑和抑郁症的同时存在对胎儿腹周的生长产生了显著的负面影响.
结论:
- 孕产妇的负面情绪状态,特别是同时存在的焦虑和抑郁,与受限制的胎儿和新生儿发育有关.
- 结合焦虑和抑郁的协同效应对后代的发育构成显著的风险.
- 医疗保健提供者应优先解决怀孕妇女同时存在的焦虑和抑郁症.
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