围产期创伤后应激障碍和母婴纽带:系统性审查和元分析
Franciska Rehberg1, Lydia Rihm2, Ariane Göbel3
1Institute for Systems Medicine (ISM), Faculty of Medicine, MSH Medical School Hamburg, Am Kaiserkai 1, Hamburg 20457, Germany.
Journal of anxiety disorders
|August 10, 2025
概括
孕产后创伤后应激障碍 (PTSD) 症状与较弱的母婴纽带 (MIB) 有关. 与分娩相关的PTSD (CB-PTSD) 与MIB损伤的关联比一般的PTSD症状更强.
科学领域:
- 围产期心理健康问题
- 母亲心理学 母亲心理学
- 婴儿发育婴儿的发展.
背景情况:
- 了解母亲产后创伤后应激障碍和MIB之间的联系是有限的.
- 本综述探讨了一般性PTSD (gPTSD) 和与分娩相关的PTSD (CB-PTSD) 症状.
研究的目的:
- 系统地审查和元分析母亲周围创伤后应激障碍症状与MIB之间的关联.
- 为了区分gPTSD与CB-PTSD对MIB的影响.
主要方法:
- 全面的文献搜索直到10/03/2024.
- 按照PRISMA指南进行系统审查和元分析.
- 用于聚合效应大小的随机效应模型.
主要成果:
- 22项研究 (9472名参与者) 显示,围产后创伤后应激障碍和受损的MIB之间存在积极联系.
- 在CB-PTSD和受损的MIB之间存在中度的关联 (r=.38).
- 一般的PTSD症状,而不是分娩特异性,在CB-PTSD中更强烈地与MIB相关.
结论:
- 周产后创伤后应激障碍症状与受损的MIB有关.
- 关于MIB,gPTSD和CB-PTSD之间存在不同的关联.
- 需要进一步的研究来澄清这些关系,并为干预措施提供信息.
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