在产后第一年评估母亲与分娩相关的创伤后应激障碍:系统性审查
Giulia Ciuffo1, Ana Morais2, Marta Landoni1,3
1CRIdee, Unità di Ricerca sul Trauma, Dipartimento di Psicologia, Facoltà di Psicologia, Università Cattolica del Sacro Cuore, Milan, Italy.
Journal of reproductive and infant psychology
|July 31, 2024
概括
对母亲进行与分娩相关的PTSD (CB-PTSD) 评估至关重要. 本次审查强调了需要验证的,专门的工具,如城市分娩创伤量表,以准确诊断和改善孕产妇心理健康结果.
科学领域:
- 围产期心理健康问题
- 心理创伤学 心理创伤学
- 临床心理学 临床心理学
背景情况:
- 产后创伤后应激障碍 (PTSD) 是一个重要的,但往往被忽视的,母亲的心理健康问题.
- 准确的评估对于产后第一年的及时干预和支持至关重要.
研究的目的:
- 系统地审查和评估用于评估与分娩相关的PTSD (CB-PTSD) 和母亲的创伤后应激症状 (CB-PTSS) 的测量措施的心理测量特性.
- 为临床使用和未来研究确定最可靠和有效的仪器.
主要方法:
- 在多个数据库和灰色文献中,按照PRISMA指南进行了全面的系统文献搜索.
- 研究包括在产后第一年内报告CB-PTSD/CB-PTSS措施的母亲.
- 质量评估使用了CASP检查清单.
主要成果:
- 149项研究符合纳入标准,其中自我报告问卷 (例如IES) 是最常见的.
- 专门的工具,如城市出生创伤量表 (City BiTS),已经出现了针对性的CB-PTSD评估.
- 评估措施的心理测量属性不一致,有些缺乏详细的有效性和可靠性数据.
结论:
- 经过验证和定制的评估工具对于准确的CB-PTSD诊断至关重要.
- 与一般的自我报告措施相比,专用工具提供了更高的准确性.
- 未来的研究应该专注于改进测量工具,纵向研究和早期干预的有效性,以改善母亲的心理健康.
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