在社区围产期精神卫生服务中评估亲子关系
Grace Baptie1,2, Karen Yirmiya1,2, Camilla Rosan1,2
1Clinical, Health and Educational Psychology, University College London (UCL), London, UK.
Clinical psychology & psychotherapy
|March 5, 2025
概括
在围产期心理健康服务中对父母婴儿结合困难和精神病理学的查预测了患者的结果. 早期的结合问题独立地预测了以后的心理健康症状,支持综合评估.
科学领域:
- 围产期心理健康问题
- 临床心理学 临床心理学
- 精神病学是一个精神病学.
背景情况:
- 围产期心理健康 (PMH) 服务针对怀孕期间和分娩后的心理健康.
- 常规查心理健康症状是常见的,但父母婴儿联系评估是不一致的.
- 父母与婴儿之间的纽带对于婴儿的发展和父母的福祉至关重要.
研究的目的:
- 评估父母婴儿结合困难 (产后结合问卷,PBQ) 和精神病理学 (CORE-10) 查的预测有效性.
- 为了预测患者在从PMH服务中出院时的结果.
- 了解早期结合和以后的心理健康之间的关系.
主要方法:
- 来自总部位于英国的PMH服务的948名患者记录的二次分析.
- 结构方程建模用于分析初始和排放评估数据.
- 包括PBQ和CORE-10的分数,以及人口因素.
主要成果:
- 从评估到释放时,结合困难和精神病理学分数的显著减少被观察到.
- 排放的 CORE-10 评分是由初始的 CORE-10 和 PBQ 评分预测的.
- 排放PBQ分数仅由初始PBQ分数预测; 人口统计学没有直接关联.
结论:
- 证据表明,在早期的父母婴儿结合困难和以后的精神病理之间有着独特的途径.
- 这种途径独立于初始精神病理对出院症状的直接影响而运作.
- 将父母婴儿联系评估与精神病理学查相结合,可以改善PMH服务中的结果预测.
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