围产期焦虑的患病率和治疗:诊断面试研究
Susan Ayers1, Andrea Sinesi2, Rose Meade1
1Centre for Maternal and Child Health Research, School of Health and Psychological Sciences, City, University of London, UK.
BJPsych open
|December 13, 2024
概括
围产期焦虑障碍影响近20%的女性,大多数女性不寻求治疗. 了解个人需求和障碍对于在怀孕和产后期间有效的基于关系的护理至关重要.
科学领域:
- 围产期心理健康问题
- 精神病学是一个精神病学.
- 流行病学 流行病学
背景情况:
- 焦虑症影响约20%的妇女在怀孕期间和产后期.
- 现有的研究缺乏关于围产期焦虑症寻求治疗行为的系统数据.
研究的目的:
- 为了确定焦虑症的患病率在基于人口的样本在整个怀孕和产后.
- 评估需要并接受治疗的患有围产期焦虑障碍的妇女比例.
主要方法:
- 在怀孕早期,中期和晚期以及产后进行了403次诊断采访.
- 在每一个评估点上,利用了以前/目前的心理健康问题和治疗愿望的自我报告措施.
主要成果:
- 焦虑症的总体患病率为19.9%,在怀孕早期达到顶峰 (25.5%).
- 强迫症 (8.2%) 和通用焦虑症 (5.7%) 是最常见的.
- 大多数 (79.8%) 患有焦虑症的女性不希望接受治疗,而大多数 (20.2%) 接受治疗. 报告的64.6%的人有心理健康问题史.
结论:
- 这些发现与先前的流行研究一致,验证了研究的范围.
- 挑战了所有患有心理障碍的人都寻求治疗的假设,强调需要探索个人的需求和障碍.
- 强调基于关系的护理的重要性,以解决影响治疗机会的上下文因素.
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