影响怀孕期间心理和情绪健康的潜在可修改的风险和保护因素
Fiona Wohrer1, Helen Ngo2, Jared DiDomenico2
1School of Medicine, University of New Mexico Health Sciences Center, Albuquerque, NM, United States.
Frontiers in human neuroscience
|March 6, 2024
概括
母亲心理健康与产前酒精和大麻使用,不良童年经历和社会支持有关. 诸如社会支持和母语等社会文化因素可以在怀孕期间保护母亲的福祉.
科学领域:
- 围产期心理健康问题
- 生殖健康 生殖健康
- 神经发育结果的神经发育结果
背景情况:
- 母亲的精神和情绪健康受损经常与产前物质使用同时发生.
- 无论是母亲的心理健康还是物质使用,都会在多个领域影响婴儿的发育.
- 一个经过修改的生物心理社会框架指导了对这些复杂相互作用的理解.
研究的目的:
- 检查产前物质暴露 (酒精,大麻) 对母亲心理健康 (MMH) 的影响.
- 调查社会文化因素 (社会支持,不良童年经历) 在MMH中的作用.
- 评估生殖健康因素对MMH的影响.
主要方法:
- 有202名孕妇参与的前性队列研究 (ENRICH-2).
- 通过采访和生物标志物对酒精和大麻暴露的评估.
- 使用验证的尺度 (感知压力,爱丁堡抑郁症,GAD-7,PTSD检查清单) 评估MMH在第三个三个月.
主要成果:
- 母亲的不良童年经历和酒精暴露与较差的MMH结果有关.
- 在怀孕期间低至中度的酒精暴露对MMH产生了负面影响.
- 更高的社会支持和西班牙语作为主要语言对MMH显示出保护作用.
结论:
- 产前物质使用,特别是酒精,和母亲的心理健康是相互关联的风险因素.
- 社会文化因素,包括社会支持和语言,在很大程度上保护了母亲的精神和情感健康.
- 解决这些因素对于母婴结合和婴儿神经发育至关重要.
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