自我伤害的想法和行为从怀孕到产后:风险因素和临床影响
Nicolette C Molina1, Parisa R Kaliush2, Simone Mendes1
1Department of Psychology, University of Oregon, Eugene, Oregon, USA.
Suicide & life-threatening behavior
|June 13, 2025
概括
自伤行为在分娩后显著增加,而思想保持稳定. 童年创伤和情绪失调是围产期自我伤害思想和行为 (SITB) 的关键风险因素.
科学领域:
- 围产期心理健康 围产期心理健康
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 自杀是围产期人口的一个关键问题,但研究仍然有限.
- 自伤的想法和行为 (SITBs) 在怀孕和产后期间构成重大风险.
研究的目的:
- 为了检查从怀孕到产后SITB的变化.
- 确定风险因素 (情绪失调,伴侣压力,童年创伤) 与SITB之间的关联.
- 确定风险因素是否适度SITB的变化.
主要方法:
- 一组223名参与者报告了SITB,情绪失调和伴侣压力在第三季度和产后7个月.
- 儿童创伤的评估是在妊娠第三季度进行的.
- 用了通用线性模型来分析数据.
主要成果:
- 在怀孕和产后期间,自我伤害的想法没有显著改变.
- 与怀孕相比,产后自我伤害行为的几率是产后3.56倍.
- 更高的情绪失调和童年创伤与增加的SITB显著相关,特别是在分娩后. 伴侣压力与SITBs没有关联.
结论:
- 针对儿童创伤和情绪失调的干预措施对于预防产后SITB至关重要.
- 在产前解决这些风险因素可能会减轻产后期增加的风险.
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