患有精神分裂症和精神分裂情绪障碍的妇女的孕产期
Gemma Safont1, Marina Garriga2, Alexandre González-Rodríguez1
1Department of Psychiatry, Hospital Universitari Mútua Terrassa, Terrassa, Spain.
Spanish journal of psychiatry and mental health
|April 9, 2024
概括
精神分裂症妇女的孕产率很高,但意外怀孕和产科并发症很常见. 晚期的疾病发病和结婚可能预示着产妇,但许多母亲需要在照顾孩子方面得到支持.
科学领域:
- 精神病学和生殖健康
- 临床心理学 临床心理学
- 妇女健康 妇女健康
背景情况:
- 精神分裂症妇女的产妇率正在上升,接近一般人口水平.
- 这些母亲面临更高的社会功能障碍,意外怀孕和产科并发症.
- 了解影响这群人群产妇的因素对于有针对性的支持至关重要.
研究的目的:
- 描述与被诊断患有精神分裂症和精神分裂情绪障碍的妇女产妇相关的变量.
- 确定孕产妇的预测因素和这些条件的母亲所面临的挑战.
- 为患有严重精神疾病的妇女提供生殖健康护理策略的信息.
主要方法:
- 一项在两个地点进行的研究包括了192名患有精神分裂症或精神分裂情绪障碍的妇女 (DSM-IV-TR标准).
- 收集的数据包括心理社会风险因素,人口统计和临床特征.
- 使用非参数测试来分析与后代可能性相关的变量.
主要成果:
- 该样本包括76.6%的精神分裂症和23.4%的精神分裂情绪障碍诊断.
- 患有精神病的母亲更有可能结婚/有伴侣,并且病发晚 (>36岁).
- 大约80%的孕妇经历了产科并发症;只有25%的怀孕是计划的,而47.9%的怀孕是共同的.
结论:
- 在患有精神分裂症和精神分裂情绪障碍的妇女中,孕产妇普遍存在.
- 晚期的疾病发作和婚姻状况似乎是孕产妇的预测因素.
- 显著需要加强生殖健康护理,并考虑这些妇女的生殖生活计划.
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