不良的童年经历预测产后和幼儿时期的焦虑
Chelsea Walker-Mao1, Charlotte V Farewell1,2, Sarah Nagle-Yang3
1Department of Community and Behavioral Health, Colorado School of Public Health, Aurora, CO, USA.
Journal of psychosomatic obstetrics and gynaecology
|October 21, 2024
概括
母亲的不良童年经历 (ACE) 显著预测了产后期更高的焦虑水平. 在产科和健康儿童诊所的早期查和创伤信息化护理对于母亲和儿童的福祉至关重要.
科学领域:
- 围产期心理健康问题
- 发展心理学是发展心理学.
- 公共卫生 公共卫生
背景情况:
- 围产期焦虑障碍 (PAD) 影响20%的孕妇/产后患者,影响母亲和儿童的健康.
- 早期识别和管理风险因素对于有效治疗和预防PAD至关重要.
- 母亲的不良童年经历 (ACE) 和产后焦虑之间的关系仍未得到充分探索.
研究的目的:
- 为了研究母亲ACE和围产期焦虑症状之间的关联.
- 为了检查ACE是否预测产后3至36个月的焦虑.
- 为了确定与产后焦虑相关的其他母亲社会人口统计因素.
主要方法:
- 美国科罗拉多州1116名母亲的长度研究.
- 评估了母亲的ACE和社会人口因素 (年龄,种族,种族,教育,婚姻状况,平等).
- 在产后3至36个月之间,自我报告了6次焦虑症状,使用混合效应模型进行分析.
主要成果:
- 患有四次或以上ACE的母亲在三年内报告了显著更高的焦虑水平 (b=0.84,p<.001).
- 较年轻的母亲出生年龄 (25-34岁与<24岁) 和非西班牙裔种族与更高的焦虑相关 (分别为p=.02和p=.01).
- 在控制社会人口统计学共变量后,ACE仍然是焦虑的重要预测因素.
结论:
- 孕产妇的ACE是持续产后焦虑的重要危险因素.
- 建议在产科和健康儿童环境中对ACE进行查.
- 以创伤为基础的,以优势为基础的方法可以促进代际福祉.
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