产后性功能障碍的风险:与创伤后应激障碍症状和抑郁症症状的联系
Ferdane Koçoğlu1, Özlem Aşci2, Meltem Demirgöz Bal3
1Niğde Zübeyde Hanım Faculty of Health Sciences, Nursing Department, Department of Public Health Nursing, Niğde Ömer Halisdemir University, Niğde, Türkiye.
产后性功能障碍 (SD) 在出生后的第一年影响一半的女性. 产后抑郁症和创伤后应激障碍 (PTSD) 的症状增加与患SD的风险增加有关.
科学领域:
- 生殖健康 生殖健康
- 心理健康 心理健康
- 妇女健康 妇女健康
背景情况:
- 产后性功能障碍 (SD) 是影响妇女生活质量的常见问题.
- 产后抑郁症和创伤后应激障碍 (PTSD) 和SD等心理健康状况之间的相互作用需要进一步调查.
研究的目的:
- 确定产后性功能障碍 (SD) 风险与创伤后应激障碍 (PTSD) 和抑郁症症状之间的关联.
- 探索产后期SD,抑郁症和PTSD的流行情况.
主要方法:
- 一项涉及8个家庭健康中心的147名妇女的横截面研究.
- 数据采用城市出生创伤量表 (CityBiTS),爱丁堡产后抑郁量表 (EPDS) 和女性性功能指数 (FSFI) 来收集.
- 统计分析包括千平方,费舍尔的精确测试,t测试,斯皮尔曼的相关性和后勤回归.
主要成果:
- 在产后6-12个月期间,SD风险的患病率为53.1%,抑郁症风险为19%.
- 16.3%的女性符合DSM-5与出生相关的PTSD标准.
- 增加的EPDS得分显著增加了SD的可能性 (OR:1.22,p<0.05),而CityBiTS得分没有显示出显著的关联 (p>0.05).
- 在FSFI分数和CityBiTS (r=-0.208) 和EPDS (r=-0.335) 两种分数之间观察到负相关性.
结论:
- 一半的妇女在产后第一年内面临SD的风险.
- 产后抑郁症症状是发展性功能障碍的重要危险因素.
- 随着产后抑郁症和PTSD症状的增加,性功能往往会下降.
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