第一季度堕胎和精神病发病率
Shreyashi Aryal1, Rachana Sharma Basnet2
1Department of Obstetrics and Gynaecology, Kathmandu Medical College.
Journal of Nepal Health Research Council
|July 31, 2024
概括
在早孕流产后,焦虑和抑郁是常见的. 虽然随着时间的推移,自发性和诱导性堕胎的抑郁症会减少,但与自发性堕胎相比,诱导性堕胎后的焦虑会持续更长时间.
科学领域:
- 生殖健康 生殖健康
- 心理健康 心理健康
- 心理病态性 心理疾病性
背景情况:
- 怀孕早期流产是一种与心理痛苦相关的创伤性事件.
- 在这种情况下,精神疾病与产科和社会因素有关.
- 了解堕胎后心理健康的流行率和影响因素至关重要.
研究的目的:
- 为了确定第一季度堕胎 (自发和诱导) 之前和之后的抑郁和焦虑的患病率.
- 分析与这些心理疾病相关的人口和产科因素.
- 评估堕胎后焦虑和抑郁水平的时间变化.
主要方法:
- 在一年内进行了一项观察性研究.
- 招募了171名经历了流产的患者.
- 医院焦虑和抑郁量表 (HADS) 用于在基线,两周和堕胎后两个月的查.
主要成果:
- 在堕胎前,在自发 (13%严重) 和诱导 (43.2%不同程度) 堕胎组中都发现了显著的焦虑.
- 轻度至中度抑郁症在45.6%的自发性堕胎客户和40.8%的诱导堕胎客户中流行.
- 在自发性流产中,焦虑水平随着时间的推移而下降,但在诱导性流产中仍然持久;抑郁症得分在两者都下降.
结论:
- 焦虑和抑郁是早期怀孕流产的常见后果.
- 自发堕胎后的焦虑率随着时间的推移而减少,但在诱导堕胎后仍然存在.
- 随着时间的推移,自发性和诱导性堕胎类型的抑郁率往往会下降.
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