对比两种系统级干预措施对围产期通用焦虑症和创伤后应激障碍症状的影响
Martha Zimmermann1, Catherine Merton1, Julie Flahive1
1Chan Medical School, University of Massachusetts, Worcester, MA (Zimmermann, Merton, Flahive, Allison, Person, Moore Simas, and Byatt).
American journal of obstetrics & gynecology MFM
|July 11, 2024
概括
这两种方案都改善了产后焦虑和PTSD症状. 与马萨诸塞州母亲儿童精神病学准入计划相比,PRogram In Support of Moms显示,与马萨诸塞州母亲儿童精神病学准入计划相比,一般性焦虑症症状的早期产后减少更大.
科学领域:
- 围产期心理健康问题
- 精神病学是一个精神病学.
- 产科 产科 产科 产科 产科
背景情况:
- 马萨诸塞州的母亲儿童精神病学准入计划 (MCPAP for Moms) 和支持母亲的计划 (PrISM) 旨在帮助产科实践管理围产期抑郁症.
- 普里斯姆集成MCPAP为Moms与积极的实施支持.
研究的目的:
- 评估 MCPAP for Moms 和 PrISM 对围产期泛性焦虑障碍 (GAD) 和创伤后应激障碍 (PTSD) 症状的影响.
- 评估对抑郁症呈阳性查个体的症状变化.
主要方法:
- 一个集群随机对照试验 (2017-2022) 的二次分析,比较Moms和Prism的MCPAP.
- 包括254名患有产前抑郁症评分≥10的参与者,评估从怀孕到产后13个月的GAD和PTSD症状.
- 利用差异分析和线性混合模型来检查症状变化.
主要成果:
- 这两项计划都显著减少了从怀孕到产后的GAD和PTSD症状.
- 在产后4-12周,Prism在统计学上显著地减少了GAD症状.
- 在两项计划中,在产后4-12周和11-13个月观察到GAD和PTSD症状的临床有意义的减少.
结论:
- 针对母亲的MCPAP和PRISM在改善同时出现的围产期抑郁症,GAD和PTSD症状方面是有效的.
- 普里斯姆可以为GAD症状提供额外的早期产后益处,尽管在临床上并不显著.
- 这两种干预措施都支持改善孕妇和产后患者的心理健康结果.
关键词:
焦虑是一种焦虑.干预干预干预干预干预干预心理健康 心理健康产科 产科 产科 产科周产阶段 周产阶段在分娩后的产后.创伤后应激障碍 创伤后应激障碍怀孕 怀孕 怀孕 怀孕 怀孕随机对照试验是随机对照试验.更多相关视频
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