在COVID-19大流行期间生育人员的心理痛苦:对愤怒,焦虑和抑郁的多轨迹研究
Christine Ou1, Guanyu Chen2, Gerald F Giesbrecht3
1Faculty of Human and Social Development, University of Victoria, 3800 Finnerty Road HSD Building, Room A402a, Victoria V8P 5C2, Canada.
Depression and anxiety
|April 14, 2025
概括
周围产生的心理压力,包括愤怒,焦虑和抑郁,可以在得到支持的情况下减少或在没有支持的情况下增加. 产后第一年的早期查和管理对于产后父母的福祉至关重要.
科学领域:
- 围产期心理健康问题
- 心理病理学 心理病理学
- 跨诊断精神病学是一种精神病学.
背景情况:
- 围产期心理困扰,包括抑郁,焦虑和愤怒,是常见的,但通常是孤立地研究.
- 需要一种跨诊断的方法来理解这些症状的相互联系,并告知有效的干预措施.
- 了解症状轨迹对于改善分娩父母的结果至关重要.
研究的目的:
- 在分娩的个体中识别心理痛苦 (愤怒,焦虑,抑郁) 的明显模式 (轨迹).
- 检查与分娩后痛苦减少或增加相关的因素.
- 为围产期心理健康的查和治疗策略提供信息.
主要方法:
- 基于小组的多轨迹建模 (GBMTM) 用于在COVID-19大流行期间分娩的2,145个个体的纵向队列.
- 在三个时间点评估情绪障碍症状:怀孕,产后3个月和产后12个月.
- 多项式回归分析确定了危险轨迹的预测因素.
主要成果:
- 确定了五种不同的心理痛苦轨迹:高稳定,产后增加,产后减少,低稳定和最小稳定.
- 较少的睡眠障碍,较少的财务困难和较低的不容忍不确定性的预测减少了痛苦.
- 更高的睡眠障碍,更大的经济困难,更低的社会支持,以及更大的不容忍不确定性预测增加了痛苦.
结论:
- 心理困扰症状 (愤怒,焦虑,抑郁) 在围产期表现出各种轨迹.
- 睡眠障碍,经济困难,社会支持,以及对不确定性的不容忍,都会显著地影响这些发展轨迹.
- 建议在分娩后的第一年进行例行查和基于证据的心理痛苦管理.
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