患有堕胎威胁的妇女的抑郁和焦虑症状:一个案例对照研究
Seyyedeh Mahboubeh Mirtabar1, Shahnaz Barat2, Farzan Kheirkhah3
1Student Research Committee, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
International journal of fertility & sterility
|November 20, 2024
概括
遭受堕胎威胁的妇女经历了显著更高的抑郁,焦虑和心理困扰率. 早期识别和心理支持对于管理TA和改善妊娠结果至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 生殖健康 生殖健康
- 怀孕期间的心理健康
背景情况:
- 堕胎威胁 (TA) 与不良妊娠结果有关.
- 关于TA对女性的心理影响的研究有限.
- 这项研究解决了了解TA的女性心理健康状况的差距.
研究的目的:
- 为了比较TA妇女的抑郁和焦虑症状与没有TA妇女的抑郁和焦虑症状.
- 评估TA妇女的心理痛苦,包括体化.
- 突出威胁堕胎管理中综合心理护理的需要.
主要方法:
- 一项涉及262名妇女 (136名有TA,136名对照) 的病例控制研究.
- 参与者根据妊娠年龄,教育程度,年龄和性别等级进行了匹配.
- 用行为和症状解释 (BSI-18) 问卷来评估心理症状.
主要成果:
- 患有TA的女性患抑郁症 (OR=1.91),焦虑症 (OR=1.83) 和体化症 (OR=2.65) 的几率明显更高.
- 在TA组中,整体心理痛苦的风险是TA组的3.3倍 (OR=3.30).
- 对所有评估的心理症状观察到统计学意义 (P<0.001对体化和痛苦).
结论:
- 经历堕胎威胁的女性患抑郁症,焦虑症和体化症的风险增加.
- 医疗保健提供者应该选和解决TA妇女的心理困扰.
- 优先考虑心理支持对于全面的威胁堕胎护理至关重要.
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