药物使用障碍作为产后抑郁症的危险因素:社区医院的回顾性图表审查
Eduardo D Espiridion1,2, Diane Lee2
1Psychiatry, Drexel University College of Medicine, Philadelphia, USA.
Cureus
|October 3, 2024
概括
患有物质使用障碍 (SUD) 的母亲患产后抑郁症 (PPD) 的风险明显更高. 早期查和干预对于母亲和婴儿的福祉至关重要.
科学领域:
- 围产期心理健康问题
- 药物中毒药物 药物中毒药物
- 公共卫生 公共卫生
背景情况:
- 产后抑郁症 (PPD) 影响母亲的心理健康.
- 药物使用障碍 (SUD) 在围产期人口中越来越令人担忧.
- 了解PPD和SUD的并发症对于有效的护理至关重要.
研究的目的:
- 调查产后抑郁症 (PPD) 和物质使用障碍 (SUD) 之间的联系.
- 在社区医院环境中量化SUD母亲的PPD风险.
主要方法:
- 从2016年1月到2018年12月,对电子医疗记录 (EMR) 的回顾性图表审查.
- 已确认患有PPD的母亲 (计费代码F53.0) 和SUD (代码F10-F19).
- 计算的赔率比率 (OR) 和相对风险 (RR) 来评估关联.
主要成果:
- 在2517例分娩中,51例显示PPD和SUD同时发生.
- 患有SUD的母亲的PPD风险增加了4.3倍 (OR=4.8).
- 在SUD和PPD之间发现了显著的关联.
结论:
- 研究结果强调了社区医院环境中SUD和PPD之间的关键联系.
- 强调需要对孕妇和产后妇女的两种疾病进行例行查.
- 有针对性的干预措施可以改善母亲和婴儿的结果.
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