产后侵入性思维和精神病般的经历:探索与育儿经验和心理健康的关联
Ilana Foreman1,2, Tammy Hunt3,4, Joanne Peterkin4
1Norwich Medical School, Faculty of Medicine and Health Sciences, University of East Anglia, Norwich, United Kingdom. ilana.foreman@cpft.nhs.uk.
许多父母在产前期经历侵入性思想 (IT) 和精神病类经历 (PLEs),往往造成痛苦并影响育儿. 这些经历与较差的心理健康和较低的育儿能力有关,特别是在男性中.
科学领域:
- 围产期心理健康问题
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
背景情况:
- 围产期心理健康问题,包括强迫症 (OCD) 和产后精神病,影响了许多父母.
- 这些情况存在于从亚临床症状到临床诊断的范围.
- 有限的研究解决了社区环境中的这些困难,特别是它们与育儿的关联.
研究的目的:
- 在社区围产人口中探索侵入性思想 (IT) 和精神病类经历 (PLEs).
- 调查与IT和PLE相关的痛苦.
- 检查IT,PLE和育儿经验 (能力,压力) 与心理健康之间的关系.
主要方法:
- 采用了横截面的定量研究设计.
- 在产后 (12个月产后) 期间,349名父母完成了匿名在线调查.
- 调查评估了IT,PLE,育儿,抑郁,焦虑和压力的经验.
主要成果:
- 报告显示,IT (96%) 和PLE (89%) 的患病率很高,其中大多数人经历了痛苦.
- 痛苦的IT和PLE与感知较低的育儿能力,增加的育儿压力和较差的心理健康有关,由抑郁和焦虑介导.
- 与女性相比,男性报告的IT,育儿压力,抑郁,焦虑和感知能力较低的比率更高.
结论:
- 侵入性的想法和类似精神病的经历在产前期很常见,并显著影响父母的心理健康和福祉.
- 这些经验与负面的育儿结果有关,突出了有针对性的支持的需要.
- 进一步的研究是必不可少的,以了解和解决ITs和PLEs在整个产周期及以后.
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