怀孕期间抑郁和焦虑的查和治疗模式的差异:综合性审查
Rachel Eakley1, Audrey Lyndon1
1New York University, Rory Meyers College of Nursing, New York, New York.
Journal of midwifery & women's health
|July 26, 2024
概括
患有抑郁症和焦虑症的孕妇经常被忽视,查和治疗机会存在重大差异. 解决系统性障碍对于在怀孕期间提供公平护理至关重要.
科学领域:
- 围产期心理健康问题
- 在健康方面存在差异.
- 医疗保健系统研究研究
背景情况:
- 怀孕期间未经治疗的抑郁症和焦虑症对母亲和孩子的福祉构成风险.
- 孕妇对这些疾病的查和治疗比非孕妇更少.
- 确定影响查,鉴定和治疗的因素至关重要.
研究的目的:
- 探索影响围产期抑郁和焦虑的查,识别和治疗的个人,提供者和系统因素.
- 了解对边缘化孕妇群体的护理方面的差异.
主要方法:
- 2012年1月至2023年1月期间发表的美国研究的系统审查.
- 包括比较查,识别或治疗参与率的研究.
- 专注于明确讨论边缘化群体的差异或健康平等的研究 (15篇文章).
主要成果:
- 在不同患者群体的查,鉴定和治疗率中存在显著差异.
- 查率差异很大 (波多黎各的51.3%,阿拉斯加的90.7%),一些临床人群仅为2.0%.
- 只有不到一半的患者接受了治疗转诊;语言,种族,种族和社会经济因素与更低的治疗机会有关.
结论:
- 许多孕妇缺乏足够的转诊和资源,无法获得围产期心理健康治疗.
- 低查和治疗率与提供者角色混乱,时间限制,培训缺口和缺乏兴趣有关.
- 未来的研究应该优先考虑系统层面的干预措施,以克服障碍并确保公平的围产期心理健康护理.
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