产后创伤后应激障碍和医疗服务使用:一个纵向队列研究
Patricia M Moran1, Catherine Best2, Rose Meades1
1Centre for Maternal and Child Health Research, City St Georges, University of London, Northampton Square, London, EC1V 0HB, UK.
Journal of affective disorders
|January 12, 2026
概括
患有创伤后应激障碍 (PTSD) 症状的产后妇女为自己和婴儿使用更多的医疗服务. 尽管服务使用率更高,但这些母亲在心理健康护理方面的差距仍然存在.
科学领域:
- 生殖健康 生殖健康
- 心理健康服务研究 心理健康服务研究
- 公共卫生 公共卫生
背景情况:
- 产后创伤后应激障碍 (PTSD) 显著影响母亲的福祉.
- 对于患有PTSD症状的产后妇女在医疗服务利用模式的了解有限.
研究的目的:
- 检查和比较产后妇女与没有PTSD症状之间的医疗服务使用情况.
- 确定受影响的母亲及其婴儿可以获得的特定类型的卫生服务.
主要方法:
- 采用纵向队列研究设计,在怀孕期间招募参与者.
- 问卷评估了心理健康和服务使用在分娩后的6,12和24个月.
- 在患有PTSD症状的妇女和没有症状的对照组之间进行了比较分析.
主要成果:
- 患有创伤后应激障碍症状的妇女增加了对自己和婴儿的一般卫生服务 (GP,健康访问者,医院门诊) 的使用.
- 在患有PTSD症状的女性中,精神健康和支持服务的转诊率显著更高.
- 观察到一个显著的护理差距,近一半的女性符合可能的PTSD标准,没有接受心理健康转诊.
结论:
- 患有PTSD症状的产后妇女是一般卫生服务的重要用户.
- 心理健康护理和转诊方面的差距仍然存在,这表明需要改进支持系统.
- 加强预防,查,转诊和支持策略对于减轻产后创伤后应激障碍的负担至关重要.
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