孕期糖尿病与生育恐惧之间的关联:一个纵向注册研究
Josephine Savard1,2, Guro Pauck Bernhardsen3, Anu Mykkänen4,5
1Research and Development Department, Division of Mental Health Services, Akershus University Hospital, Lørenskog, Norway. Josephine.savard@ki.se.
BMC pregnancy and childbirth
|December 19, 2024
概括
当考虑诸如BMI和健康行为等混因素时,孕期糖尿病 (GDM) 与对分娩的恐惧没有显著联系. 以前的关联可能来自未调整的变量.
科学领域:
- 产科和妇科 产科和妇科
- 生殖健康 生殖健康
- 孕产妇心理健康 孕产妇心理健康
背景情况:
- 孕期糖尿病 (GDM) 是一种常见的妊娠并发症,与不良结果有关.
- GDM与更大的胎儿大小,抑郁症和对分娩的担忧增加有关.
- GDM与生育恐惧之间的关系需要进一步研究,特别是抑郁症状的作用.
研究的目的:
- 为了确定妊娠糖尿病 (GDM) 是否与生育的恐惧有关.
- 调查抑郁症状是否调解了GDM与生育恐惧之间的潜在关联.
主要方法:
- 研究包括在2019-2022年间分娩的3293名妇女.
- 通过视觉模拟尺度和产科医生诊断评估分娩的恐惧.
- 使用血葡萄糖度诊断的孕期糖尿病.
- 使用爱丁堡产后抑郁症量表 (EPDS) 测量抑郁症状.
主要成果:
- 孕期糖尿病 (GDM) 显示出最初的关联与对分娩诊断的恐惧风险增加和更高的恐惧水平.
- 这些关联在调整身体质量指数和健康行为后减弱并变得无意义.
- 对抑郁症状的进一步调整进一步降低了非显著的估计值.
结论:
- 之前观察到的GDM与生育恐惧之间的关联可以通过未经调整的混因素来解释.
- 由于害怕分娩,GDM本身可能不是一个独立的风险因素.
- 在检查GDM和分娩恐惧时,未来的研究应该考虑BMI,健康行为和心理健康.
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