孕妇和产后妇女的并发性焦虑和抑郁症:一项基于人口的长度研究
Quan Shen1,2, Meili Xiao3, Binglu Wang2
1Department of Obstetrics and Gynecology of The Third XiangYa Hospital of Central South University, Changsha, Hunan Province, China.
Depression and anxiety
|April 14, 2025
概括
伴随性焦虑和抑郁症 (CAD) 影响了中国超过8%的孕妇和产后妇女. 吸烟史和婚姻不满的Primiparas面临更高的风险,这表明需要有针对性的干预措施.
科学领域:
- 围产期心理健康问题
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 有限的纵向数据存在于伴随性焦虑和抑郁症 (CAD) 患病率和危险因素在围产期.
- 在孕妇和产后妇女中研究CAD对于母亲的健康至关重要.
- 了解CAD在不同的人群中,如在中国,对于全球心理健康倡议至关重要.
研究的目的:
- 确定中国孕妇和产后妇女的并发性焦虑和抑郁症 (CAD) 的患病率.
- 为了确定社会人口统计学,产科和心理健康风险因素,在产周期间与CAD相关.
主要方法:
- 一项基于人口的纵向研究包括2017年3月至2022年3月期间调查的1941名中国妇女.
- 焦虑和抑郁症状使用自我评价焦虑量表和自我评价抑郁量表在四个围产期时间点进行评估.
- 用通用估计方程模型来分析CAD的风险因素.
主要成果:
- 在三个月和产后,CAD的患病率从8.36%到15.67%不等.
- 原始人 (OR=1.32),有吸烟史的人 (OR=1.51) 和不满意的婚姻关系 (OR=1.97) 的患病率更高.
- 辅助生殖治疗与较低的CAD几率相关 (OR=0.69).
结论:
- 伴随性焦虑和抑郁症是中国孕妇和产后妇女的一个重要问题.
- 有针对性的干预措施应集中在高风险群体,包括有吸烟史的primiparas和那些不满意的婚姻关系.
- 对辅助生殖治疗等保护因素的进一步研究可能为预防策略提供见解.
相关概念视频
Stress and Mental Health
60
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
60
Depressive Disorders: Etiology
19
Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
19
Depression: Overview
197
Depression is a prevalent mental illness marked by persistent sadness and lack of interest in previously enjoyable activities. It can take several forms, including major depression, persistent depressive disorder, and bipolar I and II disorders. Symptoms range from emotional changes like chronic worry to physical changes like sleep disturbances and suicidal thoughts. From a neurobiological perspective, depression is believed to be triggered by abnormalities in the brain's prefrontal cortex,...
197
Depressive Disorders: MDD and Dysthymia
17
Depressive disorders are a group of mental health conditions characterized by pervasive feelings of sadness, diminished pleasure in life, and a significant impact on daily functioning. These conditions are most prevalent in individuals during their 30s and affect women at twice the rate of men. Contrary to popular belief, younger individuals are generally more susceptible to these disorders than older adults. Two key types of depressive disorders include Major Depressive Disorder (MDD) and...
17
Panic Disorder
19
Panic disorder is an anxiety disorder characterized by recurrent and sudden minutes-long episodes of intense fear, known as panic attacks. These attacks may feel like heart attacks and often happen without warning or a specific cause. They can include symptoms such as rapid heart rate, shortness of breath, chest pain, trembling, sweating, dizziness, and a sense of helplessness. During a panic attack, individuals may feel as though they are experiencing a heart attack or are in a...
19
Social Anxiety Disorder
15
Social anxiety disorder, also known as social phobia, is characterized by an intense fear of social situations where one might face humiliation, rejection, embarrassment, or negative evaluation. This disorder leads individuals to avoid activities like casual conversations, public speaking, or seemingly simple tasks such as eating, signing documents, or swimming, in public settings. Its impact extends beyond discomfort, often significantly interfering with daily functioning and quality of life.
15


