焦虑,抑郁和COVID-19诊断在妊娠期中的关系:一项基于医院的罗马尼亚研究
Gabriela Caracostea1,2, Elisabeta Ioana Hirişcău3,4, Andreia Paraschiva Preda1
1Mother and Child Department, Faculty of Medicine, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Medicine and pharmacy reports
|February 14, 2025
概括
怀孕期间患有COVID-19的妇女经历了更高的产后焦虑和更高的不良妊娠结果的风险. 社交互动被发现是这些母亲对焦虑的保护因素.
科学领域:
- 产科和妇科 产科和妇科
- 传染性疾病 传染性疾病
- 心理健康 心理健康
背景情况:
- 有限的数据存在于SARS-CoV-2感染的孕妇的心理健康.
- 由于COVID-19导致的妊娠并发症需要进一步调查母亲的心理健康状况.
研究的目的:
- 评估分娩后妇女的焦虑和抑郁,重点关注COVID-19诊断的影响.
- 评估COVID-19感染和产后期心理健康结果之间的关系.
主要方法:
- 一项涉及105名在2020年9月至2021年10月期间在第三级产科医院分娩的妇女的横截面研究.
- 使用医院焦虑和抑郁量表 (HADS) 和COVID-19大流行心理健康问卷 (CoPaQ) 对焦虑和抑郁的评估.
- 与SARS-CoV-2感染和没有感染的女性之间的心理健康指标的比较.
主要成果:
- 与COVID-19阴性女性相比,COVID-19阳性女性的产后焦虑水平明显高 (p = .004).
- 两组之间没有观察到产后抑郁水平的显著差异.
- COVID-19诊断是不良妊娠结果的重要预测因素,感染女性的风险高4.72倍.
- 焦虑,PTSD和强迫症症状与与流行病相关的心理表现有关,而社会关系则起到了保护因素的作用.
结论:
- 在分娩期间感染COVID-19的孕妇患产后焦虑症,PTSD和强迫症症状的风险增加.
- 保持社交互动可以减轻COVID-19感染母亲的焦虑.
- 怀孕期间的COVID-19感染与不良妊娠结果有关,并影响母亲的心理健康.
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