不良的童年经历是否会增加产后创伤性压力和抑郁症的风险?
Arzu Aydoğan1, Zeynep Dilşah Karaçam Yılmaz2, Fadime Bayrı Bingol2
1Nursing Department, Health Sciences Faculty, Yüksek İhtisas University, Balgat, Ankara, Turkey.
Journal of evaluation in clinical practice
|October 13, 2024
概括
童年不良经历 (ACE) 显著增加产后抑郁症 (PPD) 的风险. 查ACE和创伤性出生经历对于早期PPD诊断和预防至关重要.
科学领域:
- 精神病学是一个精神病学.
- 围产期心理健康 围产期心理健康
- 创伤研究 创伤研究
背景情况:
- 童年不良经历 (ACE) 与各种心理健康问题有关.
- 产后抑郁症 (PPD) 和产后创伤后应激障碍 (PP-PTSD) 是对母亲福祉的重大关注.
研究的目的:
- 调查童年不良经历对患产后创伤后应激障碍 (PP-PTSD) 和产后抑郁症 (PPD) 的风险的影响.
主要方法:
- 进行了一项涉及417名母亲的描述性研究.
- 通过在线表格收集的数据包括不良童年经历问卷 (ACE),城市出生创伤量表 (CityBiTS) 和爱丁堡产后抑郁症量表 (EPDS).
主要成果:
- 65.9%的母亲报告至少有一次ACE.
- 在ACE和PP-PTSD (CityBiTS) 和PPD (EPDS) 分数之间发现了积极的关联.
- PP-PTSD部分调解了ACE和PPD之间的关系.
结论:
- 童年ACE增加了PPD的风险,特别是当与创伤性出生经历相结合时.
- 建议对ACE和创伤性分娩经历进行查,以早期检测PPD.
- 增强的支持系统对于有ACE史和创伤性分娩经历的母亲至关重要.
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