Patterns of maternal depression, anxiety, and stress symptoms from pregnancy to 5 years postpartum in an Australian cohort experiencing adversity.
Patterns of maternal depression, anxiety, and stress symptoms from pregnancy to 5 years postpartum in an Australian cohort experiencing adversity.
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从怀孕到产后5年的孕产妇抑郁症，焦虑和压力症状的模式，经历了逆境。
DOI：
10.1007/s00737-021-01145-0
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发表时间：
2021-12
期刊：
影响因子：
--
通讯作者：
Goldfeld S
中科院分区：
文献类型：
--
作者：
Bryson H;Perlen S;Price A;Mensah F;Gold L;Dakin P;Goldfeld S
本研究的目的是描述一群经历逆境的澳大利亚母亲从怀孕到产后 5 年抑郁、焦虑和压力症状的纵向模式。纵向数据取自护士家访试验的对照组。经历逆境的孕妇（10个逆境危险因素中≥2个）是从澳大利亚2个州的产前诊所招募的（2013年4月30日至2014年8月29日）。女性在从怀孕到产后 5 年的 11 个时间点完成了抑郁、焦虑和压力量表简表 (DASS-21)。根据逆境风险水平总结了所有女性在每个时间点的 DASS-21 评分。 359 名女性 (100%) 在怀孕期间完成了 DASS-21，343 名 (96%) 提供了后续数据。心理健康症状在怀孕期间以及产后 4 年和 5 年最为严重。虽然这种模式在不同的产前逆境风险水平上具有可比性，但逆境风险最大的女性始终有较高的心理健康症状。在一组经历逆境的母亲中，抑郁、焦虑和压力症状在怀孕期间和产后 4 至 5 年最为严重。在产后第一年之后，持续、严重的心理健康症状的显着模式可以为建立一个更加公平和反应灵敏的卫生系统提供信息。在线版本包含可在 10.1007/s00737-021-01145-0 获取的补充材料。
The objective of this study is to describe the longitudinal patterns of depression, anxiety, and stress symptoms from pregnancy to 5 years postpartum, in a cohort of Australian mothers experiencing adversity. Longitudinal data were drawn from the control group of a trial of nurse home visiting. Pregnant women experiencing adversity (≥ 2 of 10 adversity risk factors) were recruited from antenatal clinics across 2 Australian states (30 April 2013–29 August 2014). Women completed the Depression Anxiety and Stress Scales short-form (DASS-21) at 11 time-points from pregnancy to 5 years postpartum. DASS-21 scores were summarized at each time-point for all women and by level of adversity risk. Three hundred fifty-nine women (100%) completed the DASS-21 in pregnancy and 343 (96%) provided subsequent data. Mental health symptoms were highest in pregnancy and at 4 and 5 years postpartum. While this pattern was comparable across levels of antenatal adversity risk, women with greatest adversity risk had consistently higher mental health symptoms. In a cohort of mothers experiencing adversity, depression, anxiety, and stress symptoms were highest in pregnancy and at 4 to 5 years postpartum. The striking patterns of persistent, high, mental health symptoms, beyond the first year postpartum, can inform a more equitable and responsive health system. The online version contains supplementary material available at 10.1007/s00737-021-01145-0.
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影响因子：
3.7
作者：
Foulon S;Greacen T;Pasquet B;Dugravier R;Saïas T;Guedeney N;Guedeney A;Tubach F;CAPEDP Study Group
通讯作者：
CAPEDP Study Group
影响因子：
4
作者：
Bonevski B;Randell M;Paul C;Chapman K;Twyman L;Bryant J;Brozek I;Hughes C
通讯作者：
Hughes C
DOI：
10.1111/j.1479-828x.2010.01204.x
发表时间：
2010-10-01
影响因子：
1.7
作者：
Gartland, Deirdre;Brown, Stephanie;Perlen, Susan
通讯作者：
Perlen, Susan
影响因子：
3.8
作者：
Price, Anna;Bryson, Hannah;Goldfeld, Sharon
通讯作者：
Goldfeld, Sharon
影响因子：
6.6
作者：
Matthey, Stephen;Valenti, Barbara;Ross-Hamid, Clodagh
通讯作者：
Ross-Hamid, Clodagh