Depression and anxiety during pregnancy and six months postpartum: a follow-up study
Depression and anxiety during pregnancy and six months postpartum: a follow-up study
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DOI：
10.1080/00016340600697652
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发表时间：
2006-07-01
影响因子：
4.3
通讯作者：
Bixo, Marie
中科院分区：
文献类型：
--
作者：
Andersson, Liselott;Sundstrom-Poromaa, Inger;Bixo, Marie
目标。目的探讨产前产后抑郁和焦虑的关系及相关的母体特征。方法：研究方法。从在瑞典两家产科诊所就诊的1555名妇女的人口样本中，对所有产前被诊断为精神病的妇女(n=220)和随机选择的健康妇女(n=500)进行了联系，以便在产后三到六个月进行第二次评估。在两种情况下都使用精神障碍初级保健评估进行评估。结果。与中期筛查相比，产后普遍存在的抑郁和/或焦虑症病例较少。抑郁和/或焦虑在16.5%的产后妇女中普遍存在，而在孕妇中则为29.2%。从怀孕期间的大多数阈值以下诊断，到产后期间的《精神疾病全面诊断和统计手册》(第四版)诊断发生了重大转变。既往精神障碍病史、单身生活和肥胖与新发的产后精神障碍显著相关。既往没有精神障碍与产后抑郁或焦虑的恢复显著相关。结论。产后抑郁和焦虑似乎没有怀孕期间那么常见。
Aims. To investigate the relationship between antenatal and postpartum depression and anxiety and to explore associated maternal characteristics. Methods. From a population-based sample of 1,555 women attending two obstetric clinics in Sweden, all women with an antenatal psychiatric diagnosis (n = 220) and a random selection of healthy women (n = 500) were contacted for a second assessment three to six months postpartum. The Primary Care Evaluation of Mental Disorders was used for evaluation on both occasions. Results. Fewer cases of depressive and/or anxiety disorders were prevalent postpartum compared with the second trimester screening. Depression and/or anxiety were prevalent in 16.5% of postpartal women versus 29.2% of pregnant women. There was a significant shift from a majority of subthreshold diagnoses during pregnancy to full Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition) diagnoses during the postpartum period. A history of previous psychiatric disorder, living single, and obesity were significantly associated with a new-onset postpartum psychiatric disorder. The absence of a previous psychiatric disorder was significantly associated with a postpartum recovery of depression or anxiety. Conclusions. Depression and anxiety appear to be less common postpartum than during pregnancy.