抑郁症,焦虑和压力在怀孕的黑人:一个病例查和基于证据的干预
The Nurse practitioner
|November 22, 2023
概括
怀孕的黑人经常经历同时出现的抑郁,焦虑和压力. 查和广泛的治疗对于这一群体的产前心理健康支持至关重要.
科学领域:
- 围产期心理健康问题
- 公共卫生 公共卫生
- 在健康方面存在差异.
背景情况:
- 目前的指南建议对孕妇进行抑郁和焦虑的查.
- 与非西班牙裔白人相比,怀孕的黑人面临更高的产前压力,焦虑和抑郁症状的风险.
- 了解这一人口群体中同时出现的心理健康状况至关重要.
研究的目的:
- 为了确定怀孕的黑人中抑郁症,焦虑和压力的同时发生.
- 确定与这些心理健康问题相关的人口因素.
主要方法:
- 使用了一种描述性关联设计.
- 从一小部分怀孕的黑人妇女中收集了数据,这些妇女有资格参加一个更大的随机对照试验.
- 从两个城市诊所招募了参与者.
主要成果:
- 在452名接受查的人中,有194人 (42.9%) 的抑郁,焦虑和/或压力得分升高.
- 平均得分是焦虑 (M=9.16,SD=4.30),抑郁 (M=12.80,SD=4.27) 和压力 (M=21.79,SD=4.76).这些都是人们对焦虑的表现.
- 超过69%的人报告说,他们同时经历了两种或三种症状.
结论:
- 怀孕的黑人个人表现出高水平的并发性精神健康困扰.
- 产前心理健康问题的治疗必须是全面的,应对抑郁,焦虑和压力.
- 产前干预应优先考虑在怀孕的黑人中对这些疾病的查和治疗.
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