母亲抑郁症症状和怀孕年龄的小:应对努力是否会缓和关系?
Habibat A Oguntade1, Rhonda K Dailey2, Dawn P Misra3
1Division of Epidemiology & Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA.
Journal of racial and ethnic health disparities
|March 4, 2025
概括
产前抑郁症增加了生育年龄小 (SGA) 婴儿的风险. 应对方式,比如对抗和保持距离,可以调节这种关系,影响怀孕的结果.
科学领域:
- 围产期健康 围产期健康
- 生殖精神病学是一种精神病学.
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 关于产前抑郁症和心理社会因素对围产期结果的影响的证据有限.
- 产前抑郁和应对方式是影响怀孕的关键心理社会因素.
- 了解这些因素对于改善母亲和婴儿健康至关重要.
研究的目的:
- 为了调查怀孕期间抑郁症状与怀孕年龄小 (SGA) 婴儿的发生率之间的关联.
- 为了确定女性的应对方式是否会改变产前抑郁症和SGA之间的关系.
- 确定干预的潜在目标,以改善围产期结果.
主要方法:
- 在密歇根州大都会底特律的一组1410名黑人/非洲裔美国女性进行了研究.
- 使用流行病学研究中心抑郁症 (CES-D) 尺度测量抑郁症症状.
- 应对风格 (对抗,疏远,内化) 通过应对方式 (WOC) 问卷进行评估;使用修改Poisson回归.
主要成果:
- 严重的抑郁症状 (CES-D>23) 与SGA婴儿的更高率相关 (aPR = 1.39).
- 对抗性应对对严重抑郁症状和SGA之间的关联略有缓解.
- 不太频繁地使用距离应对与患有严重抑郁症状的女性中SGA的风险更高相关 (PR = 1.52).
结论:
- 对抗和疏远的应对方式缓和了产前抑郁症状和SGA婴儿风险之间的关系.
- 临床医生应查抑郁症状,并评估怀孕期间的应对方式.
- 应对策略可能会接受干预措施,以减轻产前压力对围产期结果的影响.
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