怀孕期间与早产风险相关的心理健康问题:一项回顾性队列研究
Min Zhang1, Niya Zhou1, Xinzhen Chen1
1Clinical Research Center, Women and Children's Hospital of Chongqing Medical University, Chongqing Health Center for Women and Children, China; Chongqing Research Center for Prevention & Control of Maternal and Child Diseases and Public Health, China.
Journal of affective disorders
|September 12, 2024
概括
患有心理健康问题,特别是敌意的孕妇面临着更高的早产风险 (PTB). 在孕产妇护理中解决这些问题可能有助于预防PTB.
科学领域:
- 产科和妇科 产科和妇科
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 过早分娩 (PTB) 是一个重大问题,具有多种风险因素.
- 怀孕期间的情绪障碍被确定为PTB的关键风险因素.
研究的目的:
- 调查整体心理健康问题和特定精神症状与PTB风险之间的关联.
- 分析十种特定心理症状对PTB风险的影响.
主要方法:
- 一项在单一医学大学参与25175名孕妇 (2020-2022) 的队列研究.
- 使用症状检查清单90 (SCL-90) 来评估精神症状.
- 应用多变量/多项逻辑回归和灵敏度分析以确定与PTB风险的关联.
主要成果:
- 在8336名符合条件的女性中,6.6%的女性患有PTB,30.5%的女性患有心理健康问题.
- 患有整体心理健康问题的女性,患PTB的风险增加了29%.
- 敌意与55%更高的PTB风险有关,敏感性分析中也有类似的发现.
结论:
- 患有心理健康症状的孕妇,特别是敌意,患PTB的风险较高.
- 将精神卫生服务纳入常规产妇护理是预防PTB的潜在策略.
- 这些发现来自单一中心研究,限制了概括性.
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